Dean's fluorosis index: an assessment of examiner reliability.
Dean's fluorosis index: an assessment of examiner reliability.
复制标题
Dean 氟中毒指数:对检查者可靠性的评估。
DOI:
10.1111/j.1752-7325.2000.tb03294.x
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发表时间:
2000
影响因子:
2.3
通讯作者:
Green,EL
中科院分区:
文献类型:
--
作者:
Kumar,JV;Swango,PA;Opima,PN;Green,EL
Objective: This report describes the interexaminer reliability achieved using Dean's Index in a study of dental fluorosis, and shows the effect on kappa values of assigning different weights to the various components of Dean's Index.Methods: Three dentists conducted replicate fluorosis examinations on 202 children in Newburgh and Kingston, NY. Examiner reliability was assessed by computing percent agreement and weighted and unweighted kappa statistics.Results: Agreement on the presence or absence of fluorosis using Dean's definition of fluorosis ranged from 92 to 97 percent and the respective kappa values ranged from 0.75 to 0.94. A comparison of subject‐level severity scores for Dean's Index resulted in percent agreement ranging from 79.6 percent to 86.8 percent and kappa values ranging from 0.67 to 0.76. Weighting the kappa statistics improved agreement and reduced the differences.Conclusions: Examiners showed good to excellent agreement beyond chance in the use of the index. Subject level kappa scores were higher than tooth‐level scores.