Publicação
Patient experience and satisfaction with different temporomandibular joint treatments: a retrospective study
| dc.contributor.author | Rodrigues, Ana Lúcia Pereira | |
| dc.contributor.author | Cardoso, Henrique José | |
| dc.contributor.author | Ângelo, David | |
| dc.date.accessioned | 2023-02-07T11:36:08Z | |
| dc.date.available | 2023-02-07T11:36:08Z | |
| dc.date.issued | 2023 | |
| dc.description | © 2023 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved. | pt_PT |
| dc.description.abstract | This retrospective study aimed to evaluate patient satisfaction with different temporomandibular joint (TMJ) treatments. Patients were included in the study according to the following inclusion criteria: 1) arthrogenous and/or myogenous temporomandibular disorders (TMD); 2) Dimitroulis classification category between 1-4; 3) conservative treatment without any improvement at least for 3 months; 4) indication for one of the following TMD treatments: injection of botulinum toxin; arthrocentesis; arthroscopy, and open surgery without alloplastic material; and 5) age ≥16 years. An independent satisfaction questionnaire with 11 queries was applied via phone call to all patients, which included 6 questions using a 10-point Likert scale and 5 yes-or-no questions. The principal outcome was the overall satisfaction with the clinical result of the treatment, and the secondary outcomes were specific satisfaction with the following: 1) pain reduction; 2) range of mouth opening; 3) chewing ability; 4) postoperative recovery; 5) the fulfillment of expectations; 6) treatment choice; 7) treatment recommendation to a friend; and 8) the need for another intervention. Anxiety and depression were also included as variables. Data were analyzed using descriptive statistics, non-parametric Kruskal-Wallis and Spearman rank correlation coefficient tests. A total of 120 patients (mean age 41.20 ± 17.78 years) were enrolled, comprising 109 women (90%) and 11 men (10%). The overall clinical satisfaction of all patients was 8.24 ± 2.23 (mean ± SD), and 97 patients (80.8%) stated that they would repeat the treatment. Patients submitted to TMJ arthrocentesis and arthroscopy had higher overall clinical satisfaction (9.09 ± 0.971 and 9.03 ± 1.13, p = 0.021) followed by open surgery (8.38 ± 1.84). The authors observed three statistically significant correlations: 1) overall clinical satisfaction and patient expectations (r = 0.803; p < 0.0001); 2) overall clinical satisfaction and post-treatment pain (r = −0.299; p = 0.003); and (3) the presence of depression and the need for further TMJ treatment (r = 0.186; p = 0.043). Within the limitations of the study it seems that patient expectations should be addressed ad initium, and the presence of a diagnosis of depression with concomitant TMD must alert the clinical team and patient for the possible need of additional treatment. | pt_PT |
| dc.description.version | info:eu-repo/semantics/publishedVersion | pt_PT |
| dc.identifier.citation | Journal of Cranio-Maxillofacial Surgery, Volume 51, Issue 1, January 2023, Pages 44-51 | pt_PT |
| dc.identifier.doi | 10.1016/j.jcms.2023.01.006 | pt_PT |
| dc.identifier.eissn | 1878-4119 | |
| dc.identifier.issn | 1010-5182 | |
| dc.identifier.uri | http://hdl.handle.net/10451/56191 | |
| dc.language.iso | eng | pt_PT |
| dc.peerreviewed | yes | pt_PT |
| dc.publisher | Elsevier | pt_PT |
| dc.relation.publisherversion | https://www.sciencedirect.com/journal/journal-of-cranio-maxillofacial-surgery | pt_PT |
| dc.subject | Temporomandibular joint | pt_PT |
| dc.subject | Patient satisfaction | pt_PT |
| dc.subject | Botulinum toxin injections | pt_PT |
| dc.subject | TMJ arthrocentesis | pt_PT |
| dc.subject | Temporomandibular joint arthroscopy | pt_PT |
| dc.subject | Temporomandibular joint surgery | pt_PT |
| dc.title | Patient experience and satisfaction with different temporomandibular joint treatments: a retrospective study | pt_PT |
| dc.type | journal article | |
| dspace.entity.type | Publication | |
| oaire.citation.title | Journal of Cranio-Maxillofacial Surgery | pt_PT |
| person.familyName | Ângelo | |
| person.givenName | David | |
| person.identifier.ciencia-id | 2C1B-F1D5-5A08 | |
| person.identifier.orcid | 0000-0001-8411-9946 | |
| rcaap.rights | restrictedAccess | pt_PT |
| rcaap.type | article | pt_PT |
| relation.isAuthorOfPublication | 17926c30-4672-46f2-a819-657463e3c725 | |
| relation.isAuthorOfPublication.latestForDiscovery | 17926c30-4672-46f2-a819-657463e3c725 |