...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Pediatric dentistry >A performance measurement plan for pediatric dentists: Using accuracy of caries diagnosis from intraoral radiographs
【24h】

A performance measurement plan for pediatric dentists: Using accuracy of caries diagnosis from intraoral radiographs

机译：儿科医师的绩效评估计划：使用口内X线片诊断龋齿的准确性

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Purpose: The purpose of this study was to develop a metric for measuring (1) an individual pediatric dentist's performance against peer performance and (2) aggregate group performance, using accuracy of caries diagnosis. Methods: A total of 3,985 tooth surfaces (from 174 patients) on intraoral bitewing radiographs were assessed by 9 precalibrated attending pediatric dentists at Children's Hospital Boston over a 3-year period. Each surface was reviewed by 3 pediatric dentists (the operating dentist and 2 peer reviewers) using a score card. An accurate diagnosis was defined as agreement between the operating dentist and at least 1 peer reviewer as to the presence or absence of caries. Results: Average percentage diagnostic accuracy within the group over the course of the project was approximately 95% (95% confidence interval=94.0-95.4). Individual dentist scores ranged from approximately 89% to 96%. Group average rose steadily over time, from approximately 93% in 2008 to 97% by 2010. Unacceptable diagnosis (～5% of surfaces assessed) did not directly translate into unfavorable treatment (～4% of surfaces with unacceptable diagnosis). Conclusions: Interexaminer reliability as a proxy for accuracy of caries diagnoses from bitewing radiographs is a viable metric for improving and assessing the quality of care provided by pediatric dentists.
机译：目的：本研究的目的是开发一种度量标准，用于利用龋齿诊断的准确性来衡量（1）儿科牙医相对于同伴的表现以及（2）集体的表现。方法：在3年的时间里，由波士顿儿童医院的9位经过预校准的主治儿科牙医对口腔内咬合片上的3,985齿表面（来自174例患者）进行了评估。 3位儿科牙医（操作牙医和2位同行评审员）使用计分卡对每个表面进行了评估。准确的诊断定义为手术牙医和至少一位同行评审员就龋齿的存在或不存在达成一致。结果：在整个项目过程中，该组中诊断准确性的平均百分比约为95％（95％置信区间= 94.0-95.4）。牙医个人评分范围从大约89％到96％。随着时间的推移，组平均数稳步上升，从2008年的约93％上升到2010年的97％。不可接受的诊断（约占所评估表面的5％）并未直接转化为不利的治疗（约4％的诊断所不可接受的表面）。结论：检验员间的可靠性作为咬合射线照相所得出的龋齿诊断准确性的替代指标，是改善和评估儿科牙医提供的护理质量的可行指标。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号