METHODS: Candidate outcomes in implant dentistry were generated from scientific evidence through five commissioned systematic reviews and from people with lived experience in dental implants (PWLE) through four international focus groups. A steering committee identified stakeholders among representatives from dental professionals, industry-related experts and PWLE. Participants underwent a three-round Delphi survey using a multi-stakeholder approach; they assessed candidate outcomes and additional outcomes identified in the first Delphi round. The process followed the COMET methodology.
RESULTS: From the 665 potential outcomes identified in the systematic reviews and 89 in the PWLE focus group, the steering committee selected 100 and organized them into 13 categories, to be included in the first-round questionnaire as candidate outcomes. A total of 99 dental experts, 7 dental-industry-related experts and 17 PWLE participated in the first round, and 11 additional outcomes were added to the second round. There was no attrition between the first and second rounds, where 61 (54.9%) outcomes exceeded the pre-established threshold of agreement. PWLE and experts participated in the third round that applied \"a priori\" standard filters to distil a list of candidate essential outcomes.
CONCLUSIONS: This Delphi study utilized a standardized, transparent and inclusive methodology and preliminarily validated 13 essential outcomes organized into four core areas. These results informed the final stage of the ID-COSM consensus.
方法:种植牙科的候选结果来自通过5项委托进行的系统评价的科学证据,以及通过4个国际焦点小组的有牙科种植经验的人(PWLE)。一个指导委员会确定了牙科专业人员代表中的利益相关者,行业相关专家和PWLE。参与者使用多方利益相关者方法进行了三轮Delphi调查;他们评估了第一轮Delphi中确定的候选结果和其他结果。该过程遵循COMET方法。
结果:从系统评价中确定的665个潜在结果和PWLE焦点组中的89个潜在结果,指导委员会选择了100个,并将其分为13个类别,纳入第一轮问卷作为候选结果。共有99位牙科专家,7名牙科行业相关专家和17名PWLE参加了第一轮比赛,第二轮又增加了11项结果.第一轮和第二轮之间没有减员,其中61例(54.9%)结局超过了预先设定的协议阈值.PWLE和专家参加了应用“先验”标准过滤器来提取候选基本结果列表的第三轮。
结论:这项德尔菲研究采用了标准化的方法,透明和包容性的方法,并初步验证了分为四个核心领域的13项基本成果。这些结果为ID-COSM共识的最后阶段提供了信息。