顎関節症診療ガイドラインにおける“Clinical Question”の系統的把握のための一般開業歯科医師等へのアンケート解析

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  • Questionnaire analysis of general practice dentists for systematic understanding of “Clinical Questions” for clinical guideline for temporomandibular disorders

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In current clinical guideline making, we need to adopt the “PICO” acronym: patient (or disease), intervention (a drug or test), comparison (another drug, placebo or test) and outcome of clinical questions (CQ).<BR>Purpose: We carried out a questionnaire survey of dentists in general practice to collate the CQ for the treatment of temporomandibular disorders (TMD).<BR>Subjects and Methods: The Japan Dental Association (JDA) carried out the questionnaire survey, and we analyzed the secondary data, in which personal information had been eliminated. All the subjects were general members of the Japan Dental Association and members and non-members of the JDA working in the participating clinics. One-tenth of the number of general members was extracted in principle for every age group. As for the unification of terms, one of the authors compiled a list of similar terms using the text-mining method.<BR>Results: We sent the questionnaire to 5, 999 dentists, and the response rate was 23.5% (1, 412 dentists). Inadequate and incomplete CQ (353) were excluded from the total analysis set of 4, 423, leaving 4, 070 finally included in the effective analysis set. The main therapies (more than 5%) chosen for main symptoms (more than 3%) were 32 kinds of CQ.<BR>Conclusion: These data and/or combinations should be considered when making the clinical guideline for TMD.

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