Developing a standard set of patient-centred outcomes for adult oral health–an international, cross-disciplinary consensus
Open accessAbstract
OBJECTIVE: To develop a minimum Adult Oral Health Standard Set (AOHSS) for use in clinical practice, research, advocacy and population health. MATERIALS AND METHODS: An international oral health working group (OHWG) was established, of patient advocates, researchers, clinicians and public health experts to develop an AOHSS. PubMed was searched for oral health clinical and patient-reported measures and case-mix variables related to caries and periodontal disease. The selected patient-reported outcome measures focused on general oral health, and oral health-related quality of life tools. A consensus was reached via Delphi with parallel consultation of subject matter content experts. Finally, comments and input were elicited from oral health stakeholders globally, including patients/consumers. RESULTS: The literature search yielded 1,453 results. After inclusion/exclusion criteria, 959 abstracts generated potential outcomes and case-mix variables. Delphi rounds resulted in a consensus-based selection of 80 individual items capturing 31 outcome and case-mix concepts. Global reviews generated 347 responses from 87 countries, and the patient/consumer validation survey elicited 129 responses. This AOHSS includes 25 items directed towards patients (including demographics, the impact of their oral health on oral function, a record of pain and oral hygiene practices, and financial implications of care) and items for clinicians to complete, including medical history, a record of caries and periodontal disease activity, and types of dental treatment delivered. CONCLUSION: In conclusion, utilising a robust methodology, a standardised core set of oral health outcome measures for adults, with a particular emphasis on caries and periodontal disease, was developed.
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The patient-reported outcome included within the COS was derived from the standardised core set of outcomes for adult oral health.
“The patient-reported outcome included within the COS was derived from the standardised core set of outcomes for adult oral health.25”
From International Consensus on a Dental Antibiotic Stewardship Core Outcome Set (2023) · cites this paper as [25]
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- Authors
- Riordain, R. N., Glick, M., Mashhadani, S. S. A. A., Aravamudhan, K., Barrow, J., Cole, D., Crall, J. J., Gallagher, J. E., Gibson, J., Hegde, S., Kaberry, R., Kalenderian, E., Karki, A., Celeste, R. K., Listl, S., Myers, S. N., Niederman, R., Severin, T., Smith, M. W., Murray Thomson, W., Tsakos, G., Vujicic, M., Watt, R. G., Whittaker, S., & Williams, D. M.
- Affiliations
- University at Buffalo, State University of New York (US)
- American Dental Association (US)
- Harvard University (US)
- University of California, Los Angeles (US)
- King's College London (GB)
- University of California, San Francisco (US)
- Public Health Wales (GB)
- Universidade Federal do Rio Grande do Sul (BR)
- Radboud University Nijmegen (NL)
- New York University (US)
- Hospitals Contribution Fund (Australia) (AU)
- University College London (GB)
- University of London (GB)
- ORCID
- Venue
- International Dental Journal
- Publisher
- Elsevier BV
- Published
- 2021-02
- Volume
- 71
- Issue
- 1
- Pages
- 40-52
- ISSN
- 0020-6539 (ISSN-L)
- PMC
- PMC9275363
- OpenAlex
- W3039394949
- Cited by
- 94
- References
- 31
- Citations by year
- 2026: 11 · 2025: 21 · 2024: 17 · 2023: 17 · 2022: 15 · 2021: 6 · 2020: 7
- FWCI
- 11.49
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- International Dental Journal (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Research Portal (King's College London) (publishedVersion, other-oa)
- Radboud Repository (Radboud University) (submittedVersion, other-oa)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- UCL Discovery (University College London) (submittedVersion)
- Figshare (submittedVersion, cc-by-nc-nd)
- Queen Mary Research Online (Queen Mary University of London) (submittedVersion)
- Queen Mary Research Online (Queen Mary University of London) (submittedVersion, cc-by-nc-nd)
- Radboud Repository (Radboud University) (submittedVersion)
- Lenus, The Irish Health Repository (Dr Steevens Hospital Library) (submittedVersion, cc-by-nc-nd)
- LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (submittedVersion, cc-by-nc-sa)
- Funders
- Harvard School of Dental Medicine
- HCF Research Foundation
- Topics
- Health Sciences › Dentistry › Periodontics › Dental Health and Care Utilization
- Social Sciences › Sociology and Political Science › Delphi Technique in Research
- Social Sciences › Education › Health Education and Validation
- Keywords
- patient-centered outcomes, adult oral health, oral health-related quality of life, patient-reported outcome measures, dental caries, periodontal disease, oral hygiene habits, dental care costs, dental treatment, Delphi consensus, stakeholder validation
- MeSH terms
- Adult, Delphi Technique, Humans, Oral Health, Quality of Life, Reference Standards, Outcome Assessment, Health Care
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