目的:本综述旨在确定在口腔健康背景下如何成功进行衰老,并确定患者报告结果(PROs)和牙科患者报告结果(dPROs)的使用。
方法:进行了范围审查,并在PROSPERO(CRD42021232668)注册。审查报告遵循PRISMA(系统审查和荟萃分析的首选报告项目)框架。
结果:检索了5个数据库,确定了1288个潜在相关出版物。共有263项“有效”研究为这项审查提供了信息。大多数研究是观察性的(94.3%,250),大多数是横截面(52.5%,139).大多数研究(89.4%,235)在成功衰老的可操作性中是一维的。成功的衰老主要是在“生物医学模型”(81.4%,214)对心理和社会维度/模式的考虑有限。关于生物健康,通常考虑的成分是“营养”(33.6%,72/214)和“长寿”(28.9%,62/214)。在营养评估中最常用的是专业人员(88.8%,64/72),尽管是对标准化评估的回应。关于心理维度(28.9%,76),“认知”是最频繁评估的(69.7%,53/76)-通常使用PRO(83.0%,44/53)。社会维度很少被考虑(1.5%,4).在口腔健康方面-考虑了一系列方面,包括:“牙齿数量”(58.2%,153-dPRO(31.6%,49/155));假体使用率(30.4%,80-dpros(31.3%,25/80))。
结论:口腔健康中成功衰老的操作通常是一维的,主要集中在“生物医学模型”上。PROs和dPROS都广泛用于口腔健康背景下成功老化的评估。
OBJECTIVE: This
review aimed to determine how successful aging is operationalized in the oral heath context, and to determine the use of Patient Reported Outcomes (
PROs) and Dental Patient Reported Outcomes (dPROs).
METHODS: A scoping
review was conducted and was registered with PROSPERO (CRD42021232668). The reporting of the
review followed the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) framework.
RESULTS: Five databases were searched and 1288 potentially relevant publications were identified. A total of 263 \'effective\' studies informed this
review. Most studies were observational in nature (94.3%, 250) and the majority were cross-sectional (52.5%, 139). Most studies (89.4%, 235) were unidimensional in their operationalization of successful aging. Successful aging was mainly operationalized in terms of the \'biomedical model\' (81.4%, 214) with limited consideration of psychological and social dimensions/models. Regarding biological health, commonly considered components were \'nutrition\' (33.6%, 72/214) and \'longevity\' (28.9%, 62/214). PROs were most frequently employed in the assessment of nutrition (88.8%, 64/72), albeit in response to standardized assessments. Regarding the psychological dimension (28.9%, 76), \'cognition\' was most frequently assessed (69.7%, 53/76) - typically by the use of PROs (83.0%, 44/53). Social dimensions were only rarely considered (1.5%, 4). In terms of oral health - a range of aspects were considered including: \'number of teeth\' (58.2%, 153 - dPROs (31.6%, 49/155)); and prosthesis use (30.4%, 80 - dPROS (31.3%, 25/80)).
CONCLUSIONS: The operationalization of successful aging in oral health is typically unidimensional and focuses primarily on the \'biomedical model\'. PROs and dPROS are both widely used in the assessment of successful aging in the oral health context.