Unbound MEDLINE

Global doctor opinion versus a patient questionnaire for the outcome assessment of treated temporomandibular disorder patients.

Abstract

PURPOSE
Accurately assessing treatment outcomes has become increasingly important for maintaining hospital privileges. When these assessments are based on the judgment of the treating doctor, there is often an inherent positive bias. As a result, there has been increased interest in using patient-based assessments. The purpose of this study was to compare doctor's and patient's assessments of the outcomes of treatment in a series of patients with various temporomandibular disorders (TMDs).
MATERIALS AND METHODS
Fifty-two consecutive TMD patients were initially given a questionnaire designed to evaluate their pain, problems eating and sleeping, the occurrence of headache and earache, the presence of temporomandibular joint pain and/or jaw stiffness in the morning, and interference with daily activity. The patients then filled out the same questionnaire at each post-treatment visit, and the findings were compared with the baseline information. At each visit, the treating doctor also recorded a global evaluation of the patient's progress as excellent, good, fair, or poor.
RESULTS
Comparison of the doctor's global evaluation with the patient's evaluation based on the questionnaire showed a discrepancy in 44% of the cases. When there was a discrepancy, the doctor scored the improvement better than the patient 54.5% of the time and worse than the patient 45.5% of the time.
CONCLUSIONS
The results of this study confirm the unreliability of using a global opinion by the treating doctor for outcome assessment in patients with various TMDs.

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  • Publisher Full Text
  • Authors

    Ness GM, Laskin DM

    Institution

    Department of Oral and Maxillofacial Surgery, School of Dentistry, Ohio State University, Columbus, OH, USA.

    Source

    Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons 70:7 2012 Jul pg 1531-3

    MeSH

    Activities of Daily Living
    Arthroplasty, Replacement
    Arthroscopy
    Attitude of Health Personnel
    Dentists
    Dislocations
    Earache
    Eating
    Facial Pain
    Headache
    Humans
    Mastication
    Occlusal Splints
    Osteoarthritis
    Outcome Assessment (Health Care)
    Paracentesis
    Patient Satisfaction
    Questionnaires
    Reproducibility of Results
    Sleep
    Temporomandibular Joint Disorders
    Temporomandibular Joint Dysfunction Syndrome
    Treatment Outcome

    Pub Type(s)

    Comparative Study
    Journal Article

    Language

    eng

    PubMed ID

    22542335