D R Reissmann1, M T John, O Schierz, C Hirsch. 1. Poliklinik für Zahnärztliche Prothetik, Zentrum für Zahn-, Mund- und Kieferheilkunde, Universitätsklinikum Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Deutschland. d.reissmann@uke.de
Abstract
BACKGROUND: The aim of this study was to develop a short diagnostic test for pain-related craniomandibular disorders (CMD) based on the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD). MATERIAL AND METHOD: Participants included 1,177 CMD patients and 896 general population subjects who were examined according to the RDC/TMD. This new diagnostic short test consisted of a combination of the least amount of RDC/TMD items that distinguished between patients and subjects with a sensitivity of > or =70% and a specificity of > or =90%. The diagnostic test items were selected from all available RDC/TMD items using best subset logistic regression. RESULTS: The question about the presence of facial pain achieved a sensitivity of 96% and a specificity of 95%. The lower limits of the confidence interval for test accuracy measures exceeded the postulated thresholds specified for test development. Assuming a CMD pain prevalence of 10% in the general population this short test resulted in a positive predictive value of 80% and a negative predictive value of >99%. CONCLUSION: A single question about facial pain is a strong predictor for a pain-related CMD disorder and could provide an effective CMD short test.
BACKGROUND: The aim of this study was to develop a short diagnostic test for pain-related craniomandibular disorders (CMD) based on the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD). MATERIAL AND METHOD:Participants included 1,177 CMDpatients and 896 general population subjects who were examined according to the RDC/TMD. This new diagnostic short test consisted of a combination of the least amount of RDC/TMD items that distinguished between patients and subjects with a sensitivity of > or =70% and a specificity of > or =90%. The diagnostic test items were selected from all available RDC/TMD items using best subset logistic regression. RESULTS: The question about the presence of facial pain achieved a sensitivity of 96% and a specificity of 95%. The lower limits of the confidence interval for test accuracy measures exceeded the postulated thresholds specified for test development. Assuming a CMD pain prevalence of 10% in the general population this short test resulted in a positive predictive value of 80% and a negative predictive value of >99%. CONCLUSION: A single question about facial pain is a strong predictor for a pain-related CMD disorder and could provide an effective CMD short test.
Authors: Frank Lobbezoo; Maurits K A van Selms; Mike T John; Kimberly Huggins; Richard Ohrbach; Corine M Visscher; Jacques van der Zaag; Marylee J van der Meulen; Machiel Naeije; Samuel F Dworkin Journal: J Orofac Pain Date: 2005
Authors: Daniel R Reissmann; Guido Heydecke; Oliver Schierz; Birgit Marré; Stefan Wolfart; Joerg R Strub; Helmut Stark; Peter Pospiech; Torsten Mundt; Wolfgang Hannak; Sinsa Hartmann; Bernd Wöstmann; Ralph G Luthardt; Klaus W Böning; Matthias Kern; Michael H Walter Journal: Clin Oral Investig Date: 2014-01-23 Impact factor: 3.573
Authors: Yoly M Gonzalez; Eric Schiffman; Sharon M Gordon; Bradley Seago; Edmond L Truelove; Gary Slade; Richard Ohrbach Journal: J Am Dent Assoc Date: 2011-10 Impact factor: 3.634