Boersma, A.R. (2010) Tandheelkundige behandeling en antitrombotica : Onderzoek naar verschil in aanpak tussen tandartsen. thesis, Dentistry.
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Abstract
Objective: The aim of this thesis is to examine whether there are differences between dentists working in the Netherlands regarding the treatment of patients who take antithrombotic medication. Methods: Research data made available by the Dutch Dental Association (NMT) were used. In November 2008 512 so-called 'Omnibus dentists' were contacted by mail, with a request to fill out a questionnaire on the web. Furthermore, an additional random sample of 1000 dentists, of whom an e-mail address was known, were asked to do the same. The net sample consists of 1442 dentists, of whom 487 (34°/o) have (partly) filled out the questionnaire and returned it. The research data were processed upon a data file using the IBM computer program SPSS Statistics 16 ®. This data file was used in order to answer the main question of this thesis. Differences between dentists were analyzed by making a distinction between a number of personal and practice characteristics. These characteristics include age, sex, place of graduation, region of residence, cooperation with colleagues, recording in the Dutch Quality Register for Dentists (KRT), number of dental units in the practice, number of patients visiting the practice annually, number of hours per week fellow dentist(s) work in the practice, number of hours per week dental assistant(s) work in the practice, number of hours per week dental hygienist(s) work in the practice. Statistical tests were performed using IBM SPSS Statistics 16®: Chi-Square test, paired t test and analysis of variance (ANOVA). Differences between groups were considered significant if p <0.05. Results: Based on this study, which can be considered representative of the population dentists in the Netherlands, it can be concluded that there are some significant differences between dentists in treating patients who take antithrombotic medication. Dentists working in larger practices tend to record the medical anamneses of patients more often. Dentists with age below 35 years and female dentists tend to record the ASA-score of a patient more often. Dentists who are enrolled in the Dutch Quality Register for Dentists (KRT) are more familiar with the International Normalized Ratio (INR). Female dentists tend to contact the medical specialist more frequently when they render invasive treatment with a risk of bleeding in patients who take antithrombotic medication. Conclusion: The knowledge of dentists on the use of antithrombotic medication by patients and the dental interaction should be improved. A national evidence-based guideline, which is currently under development, would dispel doubts among dentists.
| Item Type: | Thesis (Thesis) |
|---|---|
| Supervisor name: | Scriptiebegeleiders: and Bos, Prof. Dr. R.R.M. kaakchirurg UMC Groningen and Bruers, Dr. J.J.M. onderzoekscoordinator NMT |
| Faculty: | Medical Sciences |
| Date Deposited: | 25 Jun 2020 10:45 |
| Last Modified: | 25 Jun 2020 10:45 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/698 |
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