2018 年牙周疾病分类:关于本科生考官间一致性的观察研究。

IF 1.4 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE
Majed K Alshehri, Nujud Alamry, Shatha Subhi AlHarthi, Munerah Saleh BinShabaib, Ghaida Alkheraif, Mona Alzahrani, Raghad Bin Rubaian, Shikhah Binnjefan
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引用次数: 0

摘要

目的:本观察性研究旨在评估四年级和五年级本科生使用 2018 年牙周病分类法诊断牙周炎的检查者间一致性。假设四年级和五年级本科生在使用2018年牙周病分类(CPD)对牙周病进行分期和分级时,检查者之间的一致性没有差异:所有参与者都通过牙周病学家主持的牙周病学必修课程接受了 2018 CPD 计划的培训。通过电子邮件向本科生发送了七名身份不明的牙周炎患者的文档,包括病史、牙科病史(包括牙齿缺失)、口内照片和X光片、牙周图表(报告探诊深度、菌斑和探诊出血评分、沟槽受累和临床附着丧失)。病例由一个六分仪组成,参与者被要求假定六分仪是整个牙列的真实代表。对试验数据进行了功率分析,显著性水平设定为 p0.05:大四和大五年级的本科生根据2018 CPD正确识别牙周炎阶段的比例分别为28%至72%和18.5%至77.8%。四年级和五年级本科生正确识别牙周炎等级的比例分别在 40% 至 88% 和 51.8% 至 92.5% 之间。总体分期和分级的比例分别为 22.8% 至 74.1%,45.66% 至 87.4%。本科四年级和五年级学生在对病例文件进行正确诊断方面,无论是分期还是分级,都没有统计学意义上的显著差异:本科四年级和五年级学生在使用 2018 CPD 时表现出较高的考官间一致性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The 2018 Classification of Periodontal Diseases: An Observational Study on Inter-examiner Agreement among Undergraduate Students.

Purpose: The objective of the present observational study was to assess the inter-examiner agreement for the diagnosis of periodontitis using the 2018 CPD among fourth and fifth year undergraduate students. It is hypothesised that there is no difference in the inter-examiner relaibility between fourth- and fifth-year undergraduate students regarding staging and grading periodontal disease using the 2018 Classification of Periodontal Diseases (CPD).

Materials and methods: All participants received training on the 2018 CPD scheme through a mandatory periodontics course conducted by a periodontist. Documentation for seven deidentified periodontitis patients, comprising medical history, dental history including tooth loss, intra-oral photographs and radiographs, periodontal charts reporting probing depth, plaque and bleeding on probing scores, furcation involvement and clinical attachment loss, was sent via e-mail to undergraduate students. The cases consisted of one sextant, and the participants were instructed to assume the sextant to be a true representation of the entire dentition. Power analysis was done on pilot data, and the level of significance was set at p0.05.

Results: The percentage of undergraduate students in the fourth and fifth year that correctly identified the stage of periodontitis according to the 2018 CPD ranged between 28% and 72% and 18.5% and 77.8%, respectively. The percentage of undergraduate students in the fourth and fifth year that correctly identified the grade of periodontitis ranged between 40% and 88% and 51.8% and 92.5%, respectively. The overall staging and grading ranged between 22.8% and 74.1%, and 45.66% and 87.4%, respectively. There was no statistically significant difference between fourth- and fifth-year undergraduate students with regards to assigning the correct diagnoses to case documentation in terms of either stage or grade.

Conclusion: Fourth- and fifth-year undergraduate students demonstrated high inter-examiner agreement using the 2018 CPD.

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来源期刊
Oral health & preventive dentistry
Oral health & preventive dentistry DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
3.00
自引率
0.00%
发文量
51
审稿时长
>12 weeks
期刊介绍: Clinicians, general practitioners, teachers, researchers, and public health administrators will find this journal an indispensable source of essential, timely information about scientific progress in the fields of oral health and the prevention of caries, periodontal diseases, oral mucosal diseases, and dental trauma. Central topics, including oral hygiene, oral epidemiology, oral health promotion, and public health issues, are covered in peer-reviewed articles such as clinical and basic science research reports; reviews; invited focus articles, commentaries, and guest editorials; and symposium, workshop, and conference proceedings.
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