Diagnostic criteria for temporomandibular disorders: self-instruction or formal training and calibration?
Diagnostic criteria for temporomandibular disorders: self-instruction or formal training and calibration?
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颞下颌疾病的诊断标准：自我指导还是正式培训和校准？
DOI：
10.1186/s10194-015-0505-9
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发表时间：
2015
期刊：
影响因子：
--
通讯作者：
Alstergren P
中科院分区：
文献类型：
--
作者：
Vilanova LS;Garcia RC;List T;Alstergren P
探讨自学考试者和颞下颌关节紊乱病诊断标准（DC/TMD）课程中教授的考试者之间诊断可靠性的差异，以及自学考试者的可靠性在课程后是否有所提高。6名测试人员被分为3组：（1）在DC/TMD培训中心接受为期2天的正式培训和校准课程（课程组）;（2）通过文件和电影进行自学（自我组），每组3名测试人员，自我组随后参加课程（自我+课程组）。每组检查16名受试者，共48名志愿者（36名TMD患者和12名无症状者），并通过Cohen’s Kappa系数比较与参考标准检查员得出的诊断相关的可靠性。三组检查者对所有DC/TMD诊断的可靠性均为良好至极好，但自我+课程组中转诊的肌筋膜疼痛除外。该课程似乎提高了关于肌痛和关节痛的可靠性，同时检查者认为该课程对自我感知能力和信心很有价值。这项研究表明，正式的DC/TMD培训和校准和DC/TMD自我指导的诊断可靠性是相似的，除了肌痛的亚组。因此，自我指导似乎可以用来诊断最常见的TMD在一般牙科实践。该课程进一步提高了关于肌痛和关节痛的可靠性，同时考官经历了课程对自我感知能力和信心的价值。
To investigate the difference in diagnostic reliability between self-instructed examiners and examiners taught in a Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) course and if the reliability of self-instructed examiners improves after the course. Six examiners were divided into three groups: (1) formal two-day training and calibration course at a DC/TMD training center (Course group), (2) self-teaching through documents and movie (Self group) with three examiners on each and the Self group later participated in the course (Self + course group). Each group examined sixteen subjects, total of 48 volunteers (36 patients with TMD and 12 asymptomatic) and the reliabilities in relation to the diagnoses derived by a Reference Standard Examiner were compared by Cohen’s Kappa coefficient. The reliability was good to excellent in all three groups of examiners for all DC/TMD diagnoses, except for Myofascial pain with referral in the Self + course group. The course seemed to improve the reliability regarding Myalgia and Arthralgia at the same time as the examiners experienced the course to be valuable for self-perceived ability and confidence. This study shows that the diagnostic reliability of formal DC/TMD training and calibration and DC/TMD self-instruction are similar, except for subgroups of Myalgia. Thus, self-instruction seems to be possible to use to diagnose the most common TMDs in general dental practice. The course further improves the reliability regarding Myalgia and Arthralgia at the same time as the examiners experienced the course to be valuable for self-perceived ability and confidence.
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影响因子：
2.9
作者：
Reiter, S.;Goldsmith, C.;Winocur, E.
通讯作者：
Winocur, E.
影响因子：
2.5
作者：
Schiffman E;Ohrbach R;Truelove E;Look J;Anderson G;Goulet JP;List T;Svensson P;Gonzalez Y;Lobbezoo F;Michelotti A;Brooks SL;Ceusters W;Drangsholt M;Ettlin D;Gaul C;Goldberg LJ;Haythornthwaite JA;Hollender L;Jensen R;John MT;De Laat A;de Leeuw R;Maixner W;van der Meulen M;Murray GM;Nixdorf DR;Palla S;Petersson A;Pionchon P;Smith B;Visscher CM;Zakrzewska J;Dworkin SF;International RDC/TMD Consortium Network, International association for Dental Research;Orofacial Pain Special Interest Group, International Association for the Study of Pain
通讯作者：
Orofacial Pain Special Interest Group, International Association for the Study of Pain
影响因子：
7.4
作者：
Bruehl, S;Harden, RN;Stanton-Hicks, M
通讯作者：
Stanton-Hicks, M
影响因子：
7.6
作者：
LERESCHE, L;BURGESS, J;DWORKIN, SF
通讯作者：
DWORKIN, SF
影响因子：
7.2
作者：
FEINSTEIN, AR;CICCHETTI, DV
通讯作者：
CICCHETTI, DV