Self-reported Measures for Surveillance of Periodontitis
Self-reported Measures for Surveillance of Periodontitis
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DOI：
10.1177/0022034513505621
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发表时间：
2013-11-01
影响因子：
7.6
通讯作者：
Genco, R. J.
中科院分区：
文献类型：
--
作者：
Eke, P. I.;Dye, B. A.;Genco, R. J.
本研究的目的是基于2009-2010年美国国家健康与营养调查（NHANES）数据，评估自我报告方法在预测牙周炎方面的表现。在家庭访谈中获得了自我报告的牙龈健康和治疗史、牙齿松动、牙齿周围骨质流失、牙齿不正常、牙线和漱口水的使用情况，并对3743名30岁及以上的美国成年人进行了全口牙周炎临床评估。所有自我报告的测量（bbb95 %的项目回答率）与牙周炎相关，这些问题的回答之间的双变量相关性很弱，表明冗余度低。在多变量logistic回归模型中，人口统计学测量和对5个自我报告问题的回答在预测轻度或更严重牙周炎方面的综合效应为85%的敏感性和58%的特异性，并产生接受者操作者特征曲线（AUROCC）下的面积为0.81。4个问题的敏感性为95%，特异性为30%，预测一个或多个部位临床附着缺失3毫米的发生率的AUROCC为0.82。总之，自我报告测量在预测美国成年人牙周炎方面表现良好。当首选的基于临床的监测无法实现时，这些自我报告措施的局部适应变化可能是牙周炎监测的一个有希望的替代方案。
The purpose of this study was to evaluate the performance of self-reported measures in predicting periodontitis in a representative US adult population, based on 2009-2010 National Health and Nutrition Examination Survey (NHANES) data. Self-reported gum health and treatment history, loose teeth, bone loss around teeth, tooth not looking right, and use of dental floss and mouthwash were obtained during in-home interviews and validated against full-mouth clinically assessed periodontitis in 3,743 US adults 30 years and older. All self-reported measures (> 95% item response rates) were associated with periodontitis, and bivariate correlations between responses to these questions were weak, indicating low redundancy. In multivariable logistic regression modeling, the combined effects of demographic measures and responses to 5 self-reported questions in predicting periodontitis of mild or greater severity were 85% sensitive and 58% specific and produced an area under the receiver operator characteristic curve' (AUROCC) of 0.81. Four questions were 95% sensitive and 30% specific, with an AUROCC of 0.82 in predicting prevalence of clinical attachment loss 3 mm at one or more sites. In conclusion, self-reported measures performed well in predicting periodontitis in US adults. Where preferred clinically based surveillance is unattainable, locally adapted variations of these self-reported measures may be a promising alternative for surveillance of periodontitis.