Validity of self-reported measures for surveillance of periodontal disease in two western New York population-based studies
Validity of self-reported measures for surveillance of periodontal disease in two western New York population-based studies
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DOI：
10.1902/jop.2007.060435
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发表时间：
2007-07-01
影响因子：
4.3
通讯作者：
Trevisan, Maurizio
中科院分区：
文献类型：
--
作者：
Genco, Robert J.;Falkner, Karen L.;Trevisan, Maurizio
背景资料：公共卫生和其他基于人群的研究通常依赖于参与者自我报告的疾病状态来评估患病率，发病率和疾病趋势。我们试图评估的可行性，自我报告的牙周病措施，使用牙科历史的问题，结合人口统计学和病史，以预测牙周病。方法：我们评估了两个独立的人口为基础的研究结果，在大学进行布法罗，布法罗，纽约，即，“牙周炎感染和心肌梗死风险研究”，一项对1,578名成年人进行的评估牙周病和心肌梗死之间关系的研究，以及“牙周病研究中心”（伊利县研究），一项对1,438名成年人进行的流行病学风险评估研究。在每一项研究中，口腔健康问题的广泛列表被问到，和一个全面的病史，血液分析使用化学和血液学测试，和人口统计学data.Results：使用牙周病的严重程度的预定义的措施，我们比较了患者与所有其他严重疾病（即，中度和无或轻度疾病的患者）。我们检查了受试者工作曲线的曲线下面积（AUC），以确定最佳模型，在所有可能的组合中添加一个，两个或三个牙科变量。AUC最大值为0.76，联合灵敏度和特异性最大值为142，在两项研究中具有可比性。结论：自我报告的牙周疾病的措施是适度的预测临床附着丧失。年龄、种族、吸烟、性别和糖尿病等人口统计学变量对自我报告的牙周病具有很大的预测能力;然而，当包括“过去是否做过牙龈手术？”““过去牙龈痛吗？““过去的规模？““牙龈出血了吗？““近两年做过牙周手术吗？“和“咀嚼满意度？”添加到模型中。
Background: Public health and other population-based studies often depend on participants' self-reported disease status to assess prevalence, incidence, and disease trends. We sought to assess the feasibility of self-reported periodontal disease measures using dental history questions combined with demographic and medical history to predict periodontal disease.Methods: We evaluated results from two separate population-based studies carried out at the University at Buffalo, Buffalo, New York, i.e., the "Periodontal Infection and Risk for Myocardial Infarction Study," a study of 1,578 adults assessing the association between periodontal disease and myocardial infarction and the "Periodontal Disease Research Center" (the Erie County Study), an epidemiologic risk assessment study of 1,438 adults. In each study, an extensive list of oral health questions was asked, and a comprehensive medical history, blood analysis using chemistry and hematology tests, and demographic data were collected.Results: Using a predefined measure of severity of periodontal disease, we compared patients with severe disease to all others (i.e., those with moderate and no or mild disease). We examined areas under the curve (AUC) of the receiver operating curve to determine the best models, adding one, two, or three dental variables in all possible combinations. The AUC maximized at 0.76, and the combined sensitivity and specificity maximized at 142 and were comparable in both studies.Conclusions: Self-reported measures of periodontal disease are moderately predictive of clinical attachment loss. The demographic variables of age, race, smoking, gender, and diabetes mellitus accounted for much of the predictive power for self-reported periodontal disease; however, increases in sensitivity and specificity in the C statistics occurred when questions, including "Gum surgery in the past?," "Sore gums in the past?," "Scaling in the past?," "Bleeding gums now?," "Periodontal surgery in the past 2 years?," and "Chewing satisfaction?," were added to the model.