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The Impact Of A Clinical Pathway On Treatment Outcomes Of Patients With Periodontitis In Public University Settings: A Quasi-experimental Study

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dc.contributor.authorTuti Ningseh Mohd-Domen_US
dc.contributor.authorShahida Mohd-Saiden_US
dc.contributor.authorOoi Yow Hianen_US
dc.contributor.authorSiti Lailatul Akmar Zainuddinen_US
dc.contributor.authorMunirah Yaacoben_US
dc.contributor.authorHaslinda Ramlien_US
dc.contributor.authorErni Nooren_US
dc.contributor.authorAznida Firzah Abdul Azizen_US
dc.date.accessioned2024-05-28T03:33:25Z
dc.date.available2024-05-28T03:33:25Z
dc.date.issued2021
dc.date.submitted2022-1-12
dc.descriptionVolume 44, Issue 05 (pp.: 2005-2014)en_US
dc.description.abstractThis study tested a newly-developed clinical pathway (CP) to manage periodontitis patients against patients managed using usual care. This study was a multi-center quasi-experimental involving newly-diagnosed chronic periodontitis patients. Five dental schools at Malaysian public universities participated in the study. A total of 36 patients participated as a test group and received non-surgical periodontal treatment based on the CP and reviewed at 6, 12 and 24 weeks. Treatment outcomes at each review were compared with data of 36 patients who had been treated without CP and matched as historical controls. Outcome variables were clinical parameters namely probing pocket depth (PPD), clinical attachment level (CAL), gingival bleeding index and visible plaque index. Improvements in these parameters for both groups were compared using independent t-test for normally distributed data and Mann–Whitney U test for non-normally distributed data. Both groups showed statistically significant post-treatment improvements for all clinical parameters. The CP group had significantly reduced number of sites for PPD ≥ 7mm and CAL gain compared to control group at 12th week (p=0.040) and 24th week (p=0.041), as well as between baseline to 24 weeks (p=0.039) with Cohen’s effect size 0.87, respectively. The use of a CP could lead to significant clinical improvement for patients with chronic periodontitis. Its use could be recommended in dental settings involving multiple operators to ensure best outcomes based on standardized optimal care and shared guidelines for clinical decision-making.en_US
dc.identifier.epage2014
dc.identifier.issn0387-5547
dc.identifier.issue5
dc.identifier.spage2005
dc.identifier.urihttps://www.teikyomedicaljournal.com/article/the-impact-of-a-clinical-pathway-on-treatment-outcomes-of-patients-with-periodontitis-in-public-university-settings-a-quasi-experimental-study
dc.identifier.urihttps://oarep.usim.edu.my/handle/123456789/4674
dc.identifier.volume44
dc.language.isoen_USen_US
dc.publisherTeikyo University School of Medicineen_US
dc.relation.ispartofTeikyo Medical Journalen_US
dc.subjectCare pathway, Periodontics, Dental scaling, Treatment outcome, Patient-reported outcomeen_US
dc.titleThe Impact Of A Clinical Pathway On Treatment Outcomes Of Patients With Periodontitis In Public University Settings: A Quasi-experimental Studyen_US
dc.typeArticleen_US
dspace.entity.typePublication

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