The Research Diagnostic Criteria for Temporomandibular Disorders. V: methods used to establish and validate revised Axis I diagnostic algorithms

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The Research Diagnostic Criteria for Temporomandibular Disorders. V: methods used to establish and validate revised Axis I diagnostic algorithms

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dc.contributor.author Schiffman, Eric sv
dc.contributor.author Ohrbach, Richard sv
dc.contributor.author Truelove, Edmund sv
dc.contributor.author Tai, Feng sv
dc.contributor.author Anderson, Gary sv
dc.contributor.author Wei, Pan sv
dc.contributor.author Gonzalez, Yoly sv
dc.contributor.author John, Mik sv
dc.contributor.author Sommers, Earl sv
dc.contributor.author Velly, Ana sv
dc.contributor.author Kang, Wenjun sv
dc.contributor.author Schiffman, Eric
dc.contributor.author Ohrbach, Richard
dc.contributor.author Truelove, Edmund
dc.contributor.author Tai, Feng
dc.contributor.author Anderson, Gary
dc.contributor.author Wei, Pan
dc.contributor.author Gonzalez, Yoly
dc.contributor.author John, Mik
dc.contributor.author Sommers, Earl
dc.contributor.author List, Thomas
dc.contributor.author Velly, Ana
dc.contributor.author Kang, Wenjun
dc.contributor.author Look, John
dc.date.accessioned 2010-12-29T09:13:33Z
dc.date.available 2010-12-29T09:13:33Z
dc.date.issued 2010
dc.identifier.issn 1064-6655 en
dc.identifier.uri http://hdl.handle.net/2043/11354
dc.description.abstract Aims: To derive reliable and valid revised Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) Axis I diagnostic algorithms for clinical TMD diagnoses. Methods: The multisite RDC/TMD Validation Project’s dataset (614 TMD community and clinic cases, and 91 controls) was used to derive revised algorithms for Axis I TMD diagnoses. Validity of diagnostic algorithms was assessed relative to reference standards, the latter based on consensus diagnoses rendered by two TMD experts using criterion examination data, including temporomandibular joint imaging. Cutoff points for target validity were sensitivity ≥ 0.70 and specificity ≥ 0.95. Reliability of revised algorithms was assessed in 27 study participants. Results: Revised algorithm sensitivity and specificity exceeded the target levels for myofascial pain (0.82, 0.99, respectively) and myofascial pain with limited opening (0.93, 0.97). Combining diagnoses for any myofascial pain showed sensitivity of 0.91 and specificity of 1.00. For joint pain, target sensitivity and specificity were observed (0.92, 0.96) when arthralgia and osteoarthritis were combined as “any joint pain.” Disc displacement without reduction with limited opening demonstrated target sensitivity and specificity (0.80, 0.97). For the other disc displacement diagnoses, osteoarthritis and osteoarthrosis, sensitivity was below target (0.35 to 0.53), and specificity ranged from 0.80 to meeting target. Kappa for revised algorithm diagnostic reliability was ≥ 0.63. Conclusion: Revised RDC/TMD Axis I TMD diagnostic algorithms are recommended for myofascial pain and joint pain as reliable and valid. However, revised clinical criteria alone, without recourse to imaging, are inadequate for valid diagnosis of two of the three disc displacements as well as osteoarthritis and osteoarthrosis. en
dc.format.extent 16
dc.language.iso eng en
dc.subject.classification Medicine en
dc.title The Research Diagnostic Criteria for Temporomandibular Disorders. V: methods used to establish and validate revised Axis I diagnostic algorithms en
dc.type Article, peer reviewed scientific en
dc.contributor.department Malmö University. Faculty of Odontology
dc.subject.srsc Research Subject Categories::ODONTOLOGY en
dc.relation.ispartofpublication Journal of orofacial pain;1 en
dc.relation.ispartofpublicationvolume 24 en
dc.format.ePage 78
dc.format.sPage 63
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