著作: [松香 芳三]/Hagiwara Yoshiyuki/Tamaki Katsushi/Takeuchi Hisahiro/Fujisawa Masanori/Ono Takahiro/Tsukiyama Yoshihiro/[永尾 寛]/Tsuga Kazuhiro/Aita Hideki/Kondo Hisatomo/Fueki Kenji/Tsukasaki Hiroaki/[西川 啓介]/Ozawa Shogo/Kuwatsuru Rika/Minakuchi Hajime/Iinuma Toshimitsu/Matsuura Takashi/Ishibashi Kanji/Fujii Shigehisa/Hirai Toshihiro/Sasaki Keiichi/Yatani Hirofumi/Igarashi Yoshimasa/Sato Yuji/[市川 哲雄]/Yamamori Tetsuo/Kuboki Takuo/Baba Kazuyoshi/Koyano Kiyoshi/Sato Hironobu/Hideo Matsumura/Reliability and validity of the patient disability-oriented diagnostic nomenclature system for prosthetic dentistry/[Journal of Prosthodontic Research]
(英) Reliability and validity of the patient disability-oriented diagnostic nomenclature system for prosthetic dentistry
(英) The Japan Prosthodontic Society (JPS) has proposed a new diagnostic nomenclature system (DNS), based on pathogenesis and etiology, to facilitate and improve prosthodontic treatment. This system specifies patient disability and the causative factor (i.e. "B (disability) caused by A (causative factor)"). The purpose of this study was to examine the reliability and validity of this DNS. The JPS Clinical Guideline Committee assessed mock patient charts and formulated disease names using the new DNS. Fifty validators, comprising prosthodontic specialists and dental residents, made diagnoses using the same patient charts. Reliability was evaluated as the consistency of the disease names among the validators, and validity was evaluated using the concordance rate of the disease names with the reference disease names. Krippendorff's α was 0.378 among all validators, 0.370 among prosthodontic specialists, and 0.401 among dental hospital residents. Krippendorff's α for 10 validators (3 specialists and 7 residents) with higher concordance rates was 0.524. Two validators (1 specialist and 1 resident) with the highest concordance rates had a Krippendorff's α of 0.648. Common disease names had higher concordance rates, while uncommon disease names showed lower concordance rates. These rates did not show correlation with clinical experience of the validator or time taken to devise the disease name. High reliability was not found among all validators; however, validators with higher concordance rates showed better reliability. Furthermore, common disease names had higher concordance rates. These findings indicate that the new DNS for prosthodontic dentistry exhibits clinically acceptable reliability and validity.
Journal of Prosthodontic Research([日本補綴歯科学会])
|年月日||必須||2017年 1月 初日|