Abstract
There is no agreement which outcomes should be measured when investigating interventions for periodontal diseases. It is difficult to compare or combine studies with different outcomes; resulting in research wastage and uncertainty for patients and healthcare professionals. Develop a core outcome set (COS) relevant to key stakeholders for use in effectiveness trials investigating prevention and management of periodontal diseases. Mixed method study involving literature review; online Delphi Study; and face-to-face consensus meeting. Key stakeholders: patients, dentists, hygienist/therapists, periodontists, researchers. The literature review identified 37 unique outcomes. Delphi round 1: 20 patients and 51 dental professional and researchers prioritised 25 and suggested an additional 11 outcomes. Delphi round 2: from the resulting 36 outcomes, 13 patients and 39 dental professionals and researchers prioritised 22 outcomes. A face-to-face consensus meeting was hosted in Dundee, Scotland by an independent chair. Eight patients and six dental professional and researchers participated. The final COS contains: Probing depths, Quality of life, Quantified levels of gingivitis, Quantified levels of plaque, Tooth loss. Implementation of this COS will ensure the results of future effectiveness trials for periodontal diseases are more relevant to patients and dental professionals, reducing research wastage. This could reduce uncertainty for patients and dental professionals by ensuring the evidence used to inform their choices is meaningful to them. It could also strengthen the quality and certainty of the evidence about the relative effectiveness of interventions. COMET Database: http://www.comet-initiative.org/studies/details/265?result=true.
Highlights
There is no agreement which outcomes should be measured when investigating interventions for periodontal diseases
Implementation of this core outcome set (COS) will ensure the results of future effectiveness trials for periodontal diseases are more relevant to patients and dental professionals, reducing research wastage
We aimed to develop a core outcome set for effectiveness trials investigating interventions for periodontal diseases
Summary
There is no agreement which outcomes should be measured when investigating interventions for periodontal diseases. Periodontal diseases are largely preventable, yet remain one of the major causes of poor oral health worldwide and is the primary cause of tooth loss in older adults [1,2,3,4]. Several interventions for the prevention and management of periodontal diseases are only supported by low quality evidence [11,12,13,14]. There is a wide variety of outcomes and clinical indices reported in trials. This outcome heterogeneity has been highlighted in guidance documents as well as Cochrane systematic reviews [13, 15,16,17,18,19,20]
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