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牙科医生的决策对可疑合面龋损的影响

2017-11-28 lishiting MedSci原创

SOCLs治疗决策
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由牙科医师在基于国家牙科实践的研究网络平台“决策援助管理可疑合面龋损(SOCLs)” 中来完成病情介绍(图像)。这项研究的目的是为了评估牙科医师的决策对SOCLs的影响。

由牙科医师在基于国家牙科实践的研究网络平台"决策援助管理可疑合面龋损(SOCLs)" 中来完成病情介绍(图像)。这项研究的目的是为了评估牙科医师的决策对SOCLs的影响。研究由107名牙科医师审视一系列共16张影像，整合信息它们代表着4项临床线索：颜色、光泽、损伤的粗糙度和患者级别的龋齿风险。由牙科医师决定可疑龋损趋近牙本质的可能性。使用透镜模型分析检测牙科医师如何使用这些线索来做决定。结果显示，有86%的牙科医师对于运用线索做决定具有一致的模式。平均来看，对于4种线索的运用导致医师们的决策存在70%的差异。然而，每名医师对个别线索的理解存在大量的差异。牙科医师们一直使用的不同线索百分比分别为：光泽(58%)、颜色(48%)、粗糙度(36%)和风险(35%)。当做SOCL决定时，14%的牙科医师仅依赖于颜色， 7%仅依赖于光泽， 4%仅依赖于粗糙度和1%仅依赖于风险。结论：线上图像系统表明，临床SOCL的决策具有高度的个性化，并且牙科医师并不使用全部所得线索来做决策。临床意义：在这篇报道前，少有证据研究牙科医师如何使用这些线索(不论是个别的还是整合的线索)来判断龋损进程的范围。当设计干

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    2018-08-20 fyxzlh

    #牙科医生#

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=1797963, encodeId=572a1e97963af, content=<a href='/topic/show?id=91806e62400' target=_blank style='color:#2F92EE;'>#牙科医生#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=82, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=67624, encryptionId=91806e62400, topicName=牙科医生)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c9df476, createdName=fyxzlh, createdTime=Mon Aug 20 09:11:00 CST 2018, time=2018-08-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1461323, encodeId=67d11461323bd, content=<a href='/topic/show?id=67356e62003' target=_blank style='color:#2F92EE;'>#牙科#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=79, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=67620, encryptionId=67356e62003, topicName=牙科)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=2d786418402, createdName=xzw115, createdTime=Thu Nov 30 11:11:00 CST 2017, time=2017-11-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1541800, encodeId=ec501541800a3, content=<a href='/topic/show?id=e8ca3108823' target=_blank style='color:#2F92EE;'>#决策#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=31088, encryptionId=e8ca3108823, topicName=决策)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=e76e13331157, createdName=ms2999106592497887, createdTime=Thu Nov 30 11:11:00 CST 2017, time=2017-11-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=265301, encodeId=aff42653011b, content=这个研究挺有意思, beContent=null, objectType=article, channel=null, level=null, likeNumber=89, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/04/24/1c2dbd6706e64df33befd6663f1d6b37.jpg, createdBy=94f61661779, createdName=lyh994, createdTime=Wed Nov 29 09:31:53 CST 2017, time=2017-11-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=265163, encodeId=0221265163bd, content=学习一下谢谢, beContent=null, objectType=article, channel=null, level=null, likeNumber=118, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3zSn0GqHrsfLGSUSR8zwnWWLT4FMl5XH8S58HuZslVkLsAPbXDXaliagK7TOxQfmngKibG1yrDonepCLDkcxGk8hS/0, createdBy=b8282062892, createdName=changjiu, createdTime=Tue Nov 28 23:33:11 CST 2017, time=2017-11-28, status=1, ipAttribution=)]
    2017-11-30 xzw115

    #牙科#

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=1797963, encodeId=572a1e97963af, content=<a href='/topic/show?id=91806e62400' target=_blank style='color:#2F92EE;'>#牙科医生#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=82, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=67624, encryptionId=91806e62400, topicName=牙科医生)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c9df476, createdName=fyxzlh, createdTime=Mon Aug 20 09:11:00 CST 2018, time=2018-08-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1461323, encodeId=67d11461323bd, content=<a href='/topic/show?id=67356e62003' target=_blank style='color:#2F92EE;'>#牙科#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=79, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=67620, encryptionId=67356e62003, topicName=牙科)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=2d786418402, createdName=xzw115, createdTime=Thu Nov 30 11:11:00 CST 2017, time=2017-11-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1541800, encodeId=ec501541800a3, content=<a href='/topic/show?id=e8ca3108823' target=_blank style='color:#2F92EE;'>#决策#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=31088, encryptionId=e8ca3108823, topicName=决策)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=e76e13331157, createdName=ms2999106592497887, createdTime=Thu Nov 30 11:11:00 CST 2017, time=2017-11-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=265301, encodeId=aff42653011b, content=这个研究挺有意思, beContent=null, objectType=article, channel=null, level=null, likeNumber=89, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/04/24/1c2dbd6706e64df33befd6663f1d6b37.jpg, createdBy=94f61661779, createdName=lyh994, createdTime=Wed Nov 29 09:31:53 CST 2017, time=2017-11-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=265163, encodeId=0221265163bd, content=学习一下谢谢, beContent=null, objectType=article, channel=null, level=null, likeNumber=118, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3zSn0GqHrsfLGSUSR8zwnWWLT4FMl5XH8S58HuZslVkLsAPbXDXaliagK7TOxQfmngKibG1yrDonepCLDkcxGk8hS/0, createdBy=b8282062892, createdName=changjiu, createdTime=Tue Nov 28 23:33:11 CST 2017, time=2017-11-28, status=1, ipAttribution=)]
    2017-11-30 ms2999106592497887

    #决策#

    0

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    2017-11-29 lyh994

    这个研究挺有意思

    0

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    2017-11-28 changjiu

    学习一下谢谢

    0

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