Perceptions, Attitudes and Needs of Periodontitis Patients: A Qualitative Systematic Review.

Autor: Furquim CP; Department of Periodontology and Oral Implantology, Dental Research Division, University of Guarulhos, Guarulhos, São Paulo, Brazil., Suárez LJ; Department of Periodontology and Oral Implantology, Dental Research Division, University of Guarulhos, Guarulhos, São Paulo, Brazil.; Departamento de Ciencias Básicas y Medicina Oral, Universidad Nacional de Colombia, Bogota, Colombia., Tavares R; Department of Periodontology and Oral Implantology, Dental Research Division, University of Guarulhos, Guarulhos, São Paulo, Brazil., Retamal-Valdes B; Department of Periodontology, Faculty of Dentistry, Universitas Gadjah Mada, Yogyakarta, Indonesia.; Department of Dental Sciences, Technical University of Oruro, Oruro, Bolivia., Feres MFN; Department of Orthodontics and Pediatric Dentistry, School of Dentistry, University of São Paulo, Guarulhos, São Paulo, Brazil., Feres M; Department of Periodontology and Oral Implantology, Dental Research Division, University of Guarulhos, Guarulhos, São Paulo, Brazil.; Department or Oral Medicine, Infection and Immunity, Harvard School of Dental Medicine, Boston, Massachusetts, USA.
Jazyk: angličtina
Zdroj: Journal of clinical periodontology [J Clin Periodontol] 2024 Sep 27. Date of Electronic Publication: 2024 Sep 27.
DOI: 10.1111/jcpe.14058
Abstrakt: Aim: Patient-reported outcomes (PROs) hold significant potential in guiding clinical decision making, yet their utilization in periodontal trials has been limited. This systematic review aimed to critically synthesize and analyse qualitative studies that evaluated the knowledge and impact of periodontitis and its treatment on patients' lives, as well as their motivations, expectations and experiences in seeking treatment.
Materials and Methods: Six databases were searched up to March 2024 for qualitative studies on periodontitis patients. Studies were quality-assessed using the JBI Critical Appraisal and ConQual tools. Two authors independently extracted the findings, with discrepancies resolved by a third reviewer.
Results: Thirteen studies from 2006 to 2023 across four continents, involving 215 participants, identified five themes related to periodontitis: (i) knowledge about periodontitis and its treatment; (ii) impact of periodontitis on patients' lives; (iii) motivation and treatment expectations; (iv) obstacles to treatment; and (v) treatment impact on patients' lives.
Conclusion: Significant physical and psychosocial impacts of periodontitis on patients' lives were identified, along with critical gaps in knowledge and awareness, emphasizing the important role of dentists in patient education. Specific PROs for use in validated instruments tailored to periodontitis were identified. These results can enhance patient-centred care by guiding future studies in accurately assessing patient perspectives on their condition and treatment.
(© 2024 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.)
Databáze: MEDLINE
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