A multi-centered epidemiological study evaluating the reliability of the treatment difficulty indices developed by the Japan Prosthodontic Society
A multi-centered epidemiological study evaluating the reliability of the treatment difficulty indices developed by the Japan Prosthodontic Society
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DOI：
10.1016/j.jpor.2012.02.007
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发表时间：
2012-04-01
影响因子：
3.6
通讯作者：
Koyano, Kiyoshi
中科院分区：
文献类型：
--
作者：
Kuboki, Takuo;Ichikawa, Tetsuo;Koyano, Kiyoshi
背景资料：诊断评估的困难程度，在治疗患者谁需要口腔修复护理是有用的，建立一个医疗经济有效的系统与初级保健牙医和prosthodontics.Materials和方法：多轴评估协议建立了使用新建立的治疗困难指数。该方案包含轴I：口腔生理条件（例如，牙齿损伤和/或牙齿缺失）;轴II：一般健康和社会学状况（例如，医学疾病）;轴III：口腔健康相关的生活质量（OHRQOL;例如，口腔健康影响概况：OHIP）;和轴IV：心理健康（例如，情绪、焦虑、躯体形式障碍）。在对该方案进行大规模多中心队列研究之前，对该方案的重测一致性进行了初步研究，以检查指标的信度水平。数据整理后，牙齿问题患者口腔生理状况（轴I）的重测一致性为0.63，部分缺牙患者为0.95，无牙颌患者为0.62。一般健康和社会学条件（轴II），OHRQOL（轴III）和心理健康（轴IV）的信度分别为0.88，0.74和0.61。根据Landis和Koch（1977）[1]建立的标准，这些值反映了“充分一致”或“极好一致”。结论：该方案是第一个引入的多轴评估方案，用于具有足够可靠性的口腔修复治疗。因此，预计这一新系统将对未来的牙科诊断命名系统产生重大影响。(C)2012年日本口腔修复学会。由Elsevier爱尔兰出版。All rights reserved.
Background: The diagnostic assessment of the level of difficulty in treating patients who need prosthodontic care is useful to establish a medico-economically efficient system with primary care dentists and prosthodontic specialists.Materials and methods: A multi-axis assessment protocol was established using the newly established treatment difficulty indices. The protocol contains Axis I: oral physiological conditions (e.g., teeth damage and/or missing teeth); Axis II: general health and sociological conditions (e.g., medical disorders); Axis III: oral health-related quality of life (OHRQOL; e.g., oral health impact profile: OHIP); and Axis IV: psychological health (e.g., mood, anxiety, somatoform disorders). A preliminary study on the test-retest consistency of the protocol was conducted to check the levels of reliability of the indices prior to a large-scale, multi-center cohort study on the validity of the protocol.Results: The test-retest consistency in terms of the oral physiological condition (Axis I) after data reduction was 0.63 for patients with teeth problems, 0.95 for partially edentulous patients, and 0.62 for edentulous patients. The reliability for general health and sociological conditions (Axis II), OHRQOL (Axis III), and psychological health (Axis IV) were 0.88, 0.74, and 0.61, respectively. These values reflect either "sufficient agreement" or "excellent agreement" in accordance with the criteria established by Landis and Koch (1977) [1].Conclusion: This protocol is the first multi-axis assessment scheme introduced for prosthodontic treatment with sufficient reliability. This new system is therefore expected to have a significant impact on future dental diagnostic nomenclature systems. (C) 2012 Japan Prosthodontic Society. Published by Elsevier Ireland. All rights reserved.