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首页> 外文期刊>Journal of orofacial pain. >Meta-analysis of treatment need for temporomandibular disorders in adult nonpatients.
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Meta-analysis of treatment need for temporomandibular disorders in adult nonpatients.

机译：对成年非患者颞下颌关节疾病的治疗需求进行荟萃分析。

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AIMS: To determine the prevalence of treatment need for temporomandibular disorders in adult populations by meta-analysis of nonpatient studies and to investigate factors influencing temporomandibular disorder treatment-need estimates. METHODS: Population-based and nonpatient studies of adult subjects with temporomandibular disorders published in the English language prior to July 2006 were systematically reviewed. Electronic databases (MEDLINE, CINAHL, and Science Citation Index Expanded) were searched (n = 641). To combine data, fixed- and random-effects meta-regression models were used. Subgroup analyses were performed to assess factors influencing treatment need estimates. RESULTS: Of 676 articles identified, 17 (9,454 subjects) met the study criteria. The prevalence of treatment need for TMD in adults (95% confidence interval) was estimated to be 15.6% (10.0, 23.6) for the fixed effect model and 16.2% (11.2, 21.1) for the random-effects model. Criteria of estimating treatment need and place of study strongly influenced summary estimates of treatment need (P < .001). Need estimates derived from clinical TMD signs were higher than estimates based on subject-reported symptoms (P = .010). Estimates for younger subjects (19 to 45 years) were higher than for older subjects (46+ years; P = .013). CONCLUSION: The treatment need for TMD in the general adult population is substantial and varies according to definition, criteria, and age. Findings of this meta-analysis can be used for planning and allocating health-care resources.
机译：目的：通过对非患者研究的荟萃分析，确定成人颞下颌关节疾病的治疗需求，并调查影响颞下颌关节疾病治疗需求估计的因素。方法：系统地回顾了2006年7月之前以英语发表的成人颞下颌关节疾病人群和非患者研究。搜索电子数据库（MEDLINE，CINAHL和“科学引文索引扩展”）（n = 641）。为了合并数据，使用了固定效应和随机效应的元回归模型。进行亚组分析以评估影响治疗需求估计的因素。结果：在鉴定的676篇文章中，有17篇（9,454名受试者）符合研究标准。对于固定效应模型，成人（95％置信区间）对TMD的治疗需求估计为15.6％（10.0，23.6），对于随机效应模型为16.2％（11.2，21.1）。估计治疗需求和研究地点的标准极大地影响了治疗需求的汇总估计（P <.001）。从临床TMD征兆得出的需求估计高于基于受试者报告的症状的估计（P = .010）。年轻受试者（19至45岁）的估计数高于老年受试者（46岁以上; P = 0.013）。结论：普通成年人中对TMD的治疗需求很大，并且根据定义，标准和年龄而有所不同。这项荟萃分析的结果可用于计划和分配卫生保健资源。

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