Diagnostic Tool Using the Diagnostic Criteria for Temporomandibular Disorders: A Randomized Crossover-Controlled, Double-Blinded, Two-Center Study.

IF 1.9 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Oral & Facial Pain and Headache Pub Date : 2021-06-01 DOI:10.11607/ofph.3008

Andrew Young, Samantha Gallia, John F Ryan, Atsushi Kamimoto, Olga A Korczeniewska, Mythili Kalladka, Junad Khan, Noboru Noma

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引用次数: 4

Abstract

Aims: To assess the speed and accuracy of a checklist user interface for the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD).

Methods: A diagnostic tool formatted as a checklist was developed and compared to an existing diagnostic tool, the DC/TMD diagnsostic decision trees. Both types of tools use the DC/TMD and were tested by dental students, interns, and residents in the USA and Japan for diagnosis of hypothetical patients. The comparisons were done in a randomized, crossover, controlled, double-blinded trial.

Results: Overall, subjects using the experimental tool answered 25% more correct diagnoses (P < .001) and missed 27% fewer diagnoses (P < .01). They were also able to finalize their diagnoses faster than those using the control tool, in 16% less time (P < .05). The difference in accuracy was more pronounced in complex cases, while the difference in speed was more pronounced in simple cases.

Conclusion: This checklist is an alternative user interface for the DC/TMD.

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使用颞下颌疾病诊断标准的诊断工具:一项随机交叉对照、双盲、双中心研究。

目的:评估颞下颌疾病诊断标准(DC/TMD)检查表用户界面的速度和准确性。方法:开发了一种格式为检查表的诊断工具，并与现有的诊断工具DC/TMD诊断决策树进行了比较。两种类型的工具都使用DC/TMD，并由美国和日本的牙科学生、实习生和住院医生进行测试，以诊断假设的患者。比较采用随机、交叉、对照、双盲试验。结果:总体而言，使用实验工具的受试者诊断正确率提高25% (P < 0.001)，漏诊率降低27% (P < 0.01)。他们还能够比使用对照工具的患者更快地完成诊断，缩短16%的时间(P < 0.05)。在复杂的情况下，准确性的差异更为明显，而在简单的情况下，速度的差异更为明显。结论:该检查表是DC/TMD的替代用户界面。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Oral & Facial Pain and Headache DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

5.10

自引率

4.00%

发文量

期刊介绍： Founded upon sound scientific principles, this journal continues to make important contributions that strongly influence the work of dental and medical professionals involved in treating oral and facial pain, including temporomandibular disorders, and headache. In addition to providing timely scientific research and clinical articles, the journal presents diagnostic techniques and treatment therapies for oral and facial pain, headache, mandibular dysfunction, and occlusion and covers pharmacology, physical therapy, surgery, and other pain-management methods.