J Periodontol:患者自我报告牙周炎的有效性

2020-08-22 MedSci原创 MedSci原创

临床检查是检测牙周炎的金标准,然而,临床检测需要大量资源。已经有研究开发了几种自我报告的方法,并在不同的场景中进行了测试,结果提示,这可能是在不同人群中筛查牙周病的有用工具。

临床检查是检测牙周炎的金标准,然而,临床检测需要大量资源。已经有研究开发了几种自我报告的方法,并在不同的场景中进行了测试,结果提示,这可能是在不同人群中筛查牙周病的有用工具。

研究纳入2018年期间来自巴塞罗那的112名西班牙人参与者,在一次口腔检查中,患者接受了自我报告的问卷调查和全口牙周检查。根据三个分类标准,牙周炎至少为轻度牙周炎。采用ROC曲线(Receiver‐operating characteristics curve)分析来测试自我报告问卷的鉴别能力、敏感性和特异性,并调整逻辑回归模型来估计与牙周炎相关的最少问题集。

自我报告的问卷对检测牙周炎患者(曲线下面积[AUC]=0.85 95% CI 0.78-0.92)具有有效的鉴别力,中/重度牙周炎(AUC=0.86 95% CI 0.79-0.04)的灵敏度和特异性分别为77%和74%,73%和87%;代表中等有效性。其中,四个问题组合的问题集具有较高的准确性(AUC=0.88 95% CI 0.81-0.94)和有效性(敏感性=92.2%),经社会人口因素调整后,与中/重度牙周炎密切相关。

因此,几个自我报告的问题对牙周炎的筛查具有很好的效果;特别是与牙齿松动,牙龈退缩,牙龈增生有关的问题。还需要进行大规模的社区研究,以检验其有效性和预测能力。

原文出处:

Constanza Saka‐Herrán,Validity of a self‐reported questionnaire for periodontitis in a Spanish population,Journal of Periodontology,2020,8.

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    2021-03-01 feather89
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    2020-08-23 ms7000000689223974

    很详细,很赞

    0

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    2020-08-23 ms7000000689223974

    讲的很详细,很有用,赞一个

    0

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