Consultation Contents of an Oral and Maxillofacial Surgery Clinic

Evaluation of Consultation Contents Directed From a University Training and Research Hospital to an Oral and Maxillofacial Surgery Clinic

This study aimed to evaluate conditions and indications in which a training and research hospital directs outpatient and inpatient consultations to an oral and maxillofacial surgery clinic and consider the expectations of physicians in the treatment and management of various conditions.

Study Overview

• Status: Completed
• Conditions: Referral and Consultation
• Intervention / Treatment: Other: Medical Record Examination

Detailed Description

The patients' consultation forms referred from the clinics and inpatient services of the Faculty of Medicine, Tokat Gaziosmanpasa University, between January 2013 and January 2022 were included in the current study via Enlil-Hospital Information Management System (Eskişehir, Turkey).

The consultation forms which were referred within the same institution or from the external institutions with written consultation notes and the patients with missing demographic data or consultation reports were excluded from the study.

The specific variables such as age, gender, the department in which consultations were requested, and for what purpose the patients were consulted were recorded and classified. During the patient management and treatment process, the responses given to the consultations by the Oral and Maxillofacial Surgery (OMFS) clinic, the physicians' recommendations, the patient management, and the treatments applied were classified and recorded for statistical analyses.

• Study Type: Observational
• Enrollment (Actual): 178

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult; Older Adult
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

Medical records of patients who applied to Tokat Gaziosmanpasa University, Faculty of Medicine, Training and Research Hospital departments with the need for treatment were consulted with the Oral and Maxillofacial Surgery clinic of the same institution.

Description

Inclusion Criteria:

• The patients' consultation forms were referred from the clinics and inpatient services of the Faculty of Medicine, Tokat Gaziosmanpasa University, to the Department of Oral and Maxillofacial Surgery of the same affiliation.

Exclusion Criteria:

• The consultation forms which were referred within the same institution or from the external institutions with written consultation notes and the patients with missing demographic data or consultation reports

Study Plan

How is the study designed?

Number of groups / cohorts

8

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
Forensic Medicine; The group of consultation records requested from the Department of Forensic Medicine	Other: Medical Record Examination; The patients' demographic features, related management and treatment process, the responses given to the consultations by OMFS clinic, the physicians' recommendations, the patient management, and the treatments applied by dentistry clinics were classified and recorded for statistical analyses.
Oncology; The group of consultation records requested from the Department of Oncology	Other: Medical Record Examination; The patients' demographic features, related management and treatment process, the responses given to the consultations by OMFS clinic, the physicians' recommendations, the patient management, and the treatments applied by dentistry clinics were classified and recorded for statistical analyses.
Neonatology; The group of consultation records requested from the Department of Neonatology	Other: Medical Record Examination; The patients' demographic features, related management and treatment process, the responses given to the consultations by OMFS clinic, the physicians' recommendations, the patient management, and the treatments applied by dentistry clinics were classified and recorded for statistical analyses.
Otorhinolaryngology; The group of consultation records requested from the Department of Otorhinolaryngology	Other: Medical Record Examination; The patients' demographic features, related management and treatment process, the responses given to the consultations by OMFS clinic, the physicians' recommendations, the patient management, and the treatments applied by dentistry clinics were classified and recorded for statistical analyses.
Neurology and Neurosurgery; The group of consultation records requested from the Department of Neurology and Neurosurgery	Other: Medical Record Examination; The patients' demographic features, related management and treatment process, the responses given to the consultations by OMFS clinic, the physicians' recommendations, the patient management, and the treatments applied by dentistry clinics were classified and recorded for statistical analyses.
Pediatrics; The group of consultation records requested from the Department of Pediatrics	Other: Medical Record Examination; The patients' demographic features, related management and treatment process, the responses given to the consultations by OMFS clinic, the physicians' recommendations, the patient management, and the treatments applied by dentistry clinics were classified and recorded for statistical analyses.
Emergency Medicine; The group of consultation records requested from the Department of Emergency Medicine	Other: Medical Record Examination; The patients' demographic features, related management and treatment process, the responses given to the consultations by OMFS clinic, the physicians' recommendations, the patient management, and the treatments applied by dentistry clinics were classified and recorded for statistical analyses.
Other Departments; The group of consultation records requested from the Departments such as Plastic and Reconstructive Surgery, Cardiovascular Surgery, Internal Medicine, Ophthalmology, Urology, Gastroenterology, Palliative Care, Pulmonology, Sleep Medicine, and Infectious Diseases.	Other: Medical Record Examination; The patients' demographic features, related management and treatment process, the responses given to the consultations by OMFS clinic, the physicians' recommendations, the patient management, and the treatments applied by dentistry clinics were classified and recorded for statistical analyses.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Reasons for Requesting Consultations	The contents of the consultation requests were classified.	After completion of data collection, up to 3 weeks.
The Applied Treatments and Procedures	The diagnosis and applied treatments and of the consulted patients in the department of oral and maxillofacial surgery clinic were analyzed.	After completion of data collection, up to 3 weeks.
Notable Consultation Requests	The departments' consultation requests that frequently refer patients were analyzed regarding demographic variables, applied treatments, and examinations.	After completion of data collection, up to 3 weeks.

Collaborators and Investigators

• Sponsor: Tokat Gaziosmanpasa University
• Investigators: Study Director: Sefa Çolak, AssistProfDr, Tokat Gaziosmanpasa University

Publications and helpful links

General Publications

• Sippli K, Rieger MA, Huettig F. GPs' and dentists' experiences and expectations of interprofessional collaboration: findings from a qualitative study in Germany. BMC Health Serv Res. 2017 Mar 7;17(1):179. doi: 10.1186/s12913-017-2116-4.
• Avon SL. Forensic odontology: the roles and responsibilities of the dentist. J Can Dent Assoc. 2004 Jul-Aug;70(7):453-8.

Study record dates

Study Major Dates

• Study Start (Actual): January 1, 2013
• Primary Completion (Actual): January 1, 2022
• Study Completion (Actual): May 1, 2022

Study Registration Dates

• First Submitted: July 4, 2022
• First Submitted That Met QC Criteria: July 7, 2022
• First Posted (Actual): July 12, 2022

Study Record Updates

• Last Update Posted (Actual): July 12, 2022
• Last Update Submitted That Met QC Criteria: July 7, 2022
• Last Verified: July 1, 2022

More Information

Terms related to this study

• Keywords: Oncology; Consultation, Dentistry; Forensic Odontology; Oral and Maxillofacial Surgery
• Other Study ID Numbers: 21-KAEK-274

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO
• IPD Plan Description: The data regarding participants were made available in the manuscript

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No