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使用当代复杂度分级系统评估根管治疗的病例复杂性:临床服务评估

Nour Ghazi¹, Har-Amrit Singh¹, Edward Longbottom¹

¹School of Dentistry, College of Biomedical and Lifesciences, Cardiff University, Cardiff, UK.

International endodontic journal

|October 6, 2025

概括

大多数根管治疗在CUDH是复杂的. 内牙复杂性评估工具 (E-CAT) 和英语恢复性牙科临床标准 (ECS) 显示出中等的一致性,而牙科实用性指数 (DPI) 表示需要专家转诊,得分为3.

科学领域:

牙周内脏病学牙周内脏病学
牙科教育牙科教育
临床评估工具临床评估工具

背景情况:

评估内牙治疗的复杂性对于研究生培训和患者护理至关重要.
存在各种工具来评估内牙科病例的复杂性,但它们的比较性能尚未完全理解.
卡迪夫大学牙科医院 (CUDH) 使用研究生内牙科实习生进行根管治疗.

研究的目的:

为了比较CUDH的研究生内牙科实习生分配的根管治疗的复杂性.
评估四个复杂性评估系统的性能:恢复性牙科的英语临床标准 (ECS),牙科实用性指数 (DPI),EndoApp (EA) 和内牙复杂性评估工具 (E-CAT).
为了确定这些评估工具的相互审查者和内部审查者的可靠性.

主要方法:

两个校准审查员使用ECS,DPI,EA和E-CAT评估了211个病例记录.
通过使用科恩的卡帕系数来计算考察者间和考察者内部的变化.
统计分析比较了来自不同系统的得分,包括加权卡帕和斯皮尔曼相关性.

主要成果:

大多数病例被ECS (82%),EA (92%) 和E-CAT (74.1%) 分类为高度复杂 (3级). 在78.6%的案件中,DPI分配了3-5到78.6%的得分.
EA始终比ECS和E-CAT更高的复杂度得分. E-CAT的分数低于ECS的分数.
在E-CAT和ECS之间发现了适度的协议 (kappa=0.647),EA和ECS之间的公平协议 (kappa=0.290),EA和E-CAT之间的公平协议 (kappa=0.385). 观察到与DPI的微弱正相关性.

结论:

在CUDH的大多数根管治疗都是高度复杂的.
E-CAT,ECS和EA显示不同程度的同意,DPI建议在3分的专家推门.
导致复杂性的特定因素无法与EA和E-CAT相识别,因为它们的专有算法.

关键词:

复杂性的复杂性复杂性的复杂性困难困难困难困难牙周内科牙周内科是指牙周内科.评级系统的分级系统.根管治疗治疗根管治疗

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