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在多种文化和地理位置检测牙周炎的自我报告问卷的诊断准确性:系统性审查和元分析
Mengning Bi1,2, Yu Xie1,2, Xiaoyu Yu1,2
1Shanghai PerioImplant Innovation Center, Institute for Oral, Craniofacial and Sensory Research, Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Journal of clinical periodontology
|August 9, 2025
概括
自我报告问卷可以帮助全球监测牙周炎,但其准确性各不相同. 需要进一步的研究来提高文化有效性和诊断精度,以进行有效的查.
科学领域:
- 牙周病学 牙周病学
- 公共卫生 公共卫生
- 诊断的准确性 诊断的准确性
背景情况:
- 自我报告问卷越来越多地用于牙周病监测.
- 评估它们在不同人群中的有效性和准确性对于全球卫生倡议至关重要.
研究的目的:
- 系统地评估牙周炎检测自我报告问卷的内在有效性和诊断准确性.
- 评估他们在不同文化和地理环境中的表现.
主要方法:
- 进行了对23项研究的系统审查和元分析,搜索了PubMed,Embase和Cochrane图书馆.
- 用疾病控制和预防中心和美国牙周学会 (CDC/AAP) 标准或2017年世界研讨会分类作为参考标准来评估诊断准确性.
- 计算了灵敏度,特异性和诊断几率比率 (DOR),并使用QUADAS-2评估偏差.
主要成果:
- 在所有问卷项目中,聚合灵敏度在17%至82%之间,特异性在23%至97%之间.
- "不知道/拒绝"的回复率差异很大 (0%至46.1%),表明潜在的理解问题.
- 观察到显著的异质性,这表明问卷表现的变化.
结论:
- 自我报告的问卷显示了牙周炎监测的潜力,但在敏感性和跨文化有效性方面存在局限性.
- 建议采用标准化验证协议和文化适应性设计,以提高全球诊断准确性和查有效性.
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