Effect of patient age awareness on diagnostic agreement of chronic or aggressive periodontitis between clinicians; a pilot study
Autor: | Edgard El Chaar, Steven P. Engebretson, Sarah Oshman, Yoonjung Nicole Lee |
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Rok vydání: | 2016 |
Předmět: |
0301 basic medicine
medicine.medical_specialty Periodontal diagnosis Dentistry Pilot Projects Fleiss' kappa Medical Records Diagnosis Differential 03 medical and health sciences 0302 clinical medicine Cohen's kappa Patient age Internal medicine medicine Humans Aggressive periodontitis General Dentistry Dentistry(all) business.industry Medical record Age Factors Reproducibility of Results 030206 dentistry medicine.disease Chronic periodontitis 030104 developmental biology Chronic Periodontitis Oral and maxillofacial surgery Periodontal disease Differential diagnosis business Research Article |
Zdroj: | BMC Oral Health |
ISSN: | 1472-6831 |
DOI: | 10.1186/s12903-016-0258-0 |
Popis: | Background The aim of this pilot study was to test whether diagnostic agreement of aggressive and chronic periodontitis amongst Board Certified Periodontists, is influenced by knowledge of a patient’s age. In 1999 at the International World Workshop age was removed as a diagnostic criteria for aggressive periodontitis. The impact of this change on the diagnostic reliability amongst clinicians has not yet been assessed. Methods Nine periodontal case reports were twice presented to sixteen board certified periodontists, once with age withheld and again with patient age provided. Participants were instructed to choose a diagnosis of Chronic Periodontitis or Aggressive Periodontitis. Diagnostic agreement was calculated using the Fleiss Kappa test. Results Including the patients’ age in case report information increased diagnostic agreement (the kappa statistic) from 0.49 (moderate agreement) to 0.61 (substantial agreement). Conclusion These results suggest that knowledge of a patients’ age influenced clinical diagnosis, when distinguishing between aggressive periodontitis and chronic periodontitis, which may in turn impact treatment decision-making. |
Databáze: | OpenAIRE |
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