Abstract:
Consensus on a valid and comprehensive set of outcomes to capture the full benefits and harms of implant dentistry interventions is key for progress towards better clinical guidelines and policy. In this field, outcome research remains fragmented and uses too many different outcomes. Accordingly, such efforts are still unable to cover the full breadth necessary to properly evaluate benefits, harms, and costs. Best practice examples from medicine have inspired the Implant Dentistry Core Outcome Set and Measurements (ID-COSM) initiative that identified four core outcome domain areas (pathophysiology, implant/prosthesis lifespan, life impact, and access to care) and five essential outcomes mandatory for all trials, plus six others that are mandatory in specific circumstances. The innovative multistep approach has combined input from scientific evidence, patients from multiple countries, methodologists, and industry representatives. It is an important step. The ID-COSM consensus aspires to contribute to better adoption of relevant and valid outcomes in trials and enable combining their results in high-quality meta-analyses to support better informed care and policy.
摘要:
就一套有效和全面的结果达成共识,以充分了解植入牙科干预措施的益处和危害,这是朝着更好的临床指南和政策取得进展的关键。在这个领域,结果研究仍然支离破碎,使用了太多不同的结果。他们仍然无法涵盖正确评估收益所需的全部广度,危害和成本。医学的最佳实践示例启发了植入物牙科核心结果集和测量(ID-COSM)计划,该计划确定了4个核心结果领域(病理生理学,植入物/假体寿命,生活影响,和获得护理的机会)和所有试验都必须的5项基本结果,在特定情况下必须的6项。创新的多步骤方法结合了科学证据的投入,来自多个国家的患者,方法学家和行业代表。这是重要的一步。ID-COSM共识希望有助于在试验中更好地采用相关和有效的结果,并能够将其结果结合到高质量的荟萃分析中,以支持更好的知情护理和政策。本文受版权保护。保留所有权利。