Prevalence of myofascial temporomandibular disorder in US community women
Prevalence of myofascial temporomandibular disorder in US community women
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DOI：
10.1111/j.1365-2842.2008.01854.x
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发表时间：
2008-11-01
影响因子：
2.9
通讯作者：
Klausner, J.
中科院分区：
文献类型：
--
作者：
Janal, M. N.;Raphael, K. G.;Klausner, J.
本研究估计了研究诊断标准（RDC）定义的颞下颌关节紊乱病（M-TMD）肌筋膜亚型的患病率，并将患病率与面部疼痛的调查报告联系起来。从20 000名妇女中随机选择在纽约大都会地区谁完成了面部疼痛的电话调查，2000人被邀请进行RDC/TMD检查，782检查完成。在分析中估计患病率，并进行加权以纠正抽样偏倚。人口统计学分层之间的差异进行了Logistic回归分析。M-TMD的患病率估计为10.5%（95%CL = 8.5-13.0%）。年轻妇女、社会经济地位较低的妇女、黑人妇女和非西班牙裔妇女的患病率明显较高。电话调查中面部疼痛的报告（10.1%）对M-TMD诊断的特异性高（94.7%），但敏感性低（42.7%）。M-TMD在美国女性中是一种相当常见的疾病。在上个月报告面部疼痛的患者中，有一半符合RDC触诊M-TMD的标准;因此，必须进行正式的体格检查才能确诊。患病率因年龄、社会经济地位、种族和西班牙裔而异。大量的RDC诊断的M-TMD病例在调查中没有报告面部疼痛;其原因需要进一步研究。
This study estimates the prevalence of the myofascial subtype of temporomandibular disorders (M-TMD) defined by Research Diagnostic Criteria (RDC), and relates that prevalence to the surveyed report of facial pain. From among 20 000 women selected at random in the NY metropolitan area who completed a telephone survey of facial pain, 2000 were invited for an RDC/TMD examination; 782 examinations were completed. Prevalence was estimated in analyses that were weighted to correct sampling biases. Differences among demographic strata were evaluated with logistic regression. The prevalence of M-TMD was estimated to be 10.5% (95% CL = 8.5-13.0%). Prevalence was significantly higher among younger women, among women of lower socio-economic status, among Black women, and among non-Hispanic women. The report of facial pain in the telephone survey (10.1%) had high specificity for M-TMD diagnosis (94.7%), but low sensitivity (42.7%). M-TMD is a fairly common disorder among American women. Among those reporting facial pain during the last month, half met RDC palpation criteria for M-TMD; thus, a formal physical examination is imperative to establish this diagnosis. Prevalence varies with age, socio-economic status, race and Hispanic ethnicity. A substantial number of RDC-diagnosed cases of M-TMD did not report facial pain in the survey; the reason for this requires further study.