Effect of patient age awareness on diagnostic agreement of chronic or aggressive periodontitis between clinicians; a pilot study

BMC Oral Health

Research Article

Steven Engebretson¹  Edgard El Chaar¹  Sarah Oshman¹  Yoonjung Nicole Lee¹ 

[1] New York University College of Dentistry, Advanced Education Program in Periodontics, 345 East 24th Street, 10016, New York, NY, USA;

关键词: Aggressive periodontitis;    Periodontal diagnosis;    Chronic periodontitis;    Periodontal disease;   

DOI  :  10.1186/s12903-016-0258-0

 received in 2015-09-26, accepted in 2016-07-16,  发布年份 2016

来源: Springer

【 摘 要 】

BackgroundThe aim of this pilot study was to test whether diagnostic agreement of aggressive and chronic periodontitis amongst Board Certified Periodontists, is influenced by knowledge of a patient’s age. In 1999 at the International World Workshop age was removed as a diagnostic criteria for aggressive periodontitis. The impact of this change on the diagnostic reliability amongst clinicians has not yet been assessed.MethodsNine periodontal case reports were twice presented to sixteen board certified periodontists, once with age withheld and again with patient age provided. Participants were instructed to choose a diagnosis of Chronic Periodontitis or Aggressive Periodontitis. Diagnostic agreement was calculated using the Fleiss Kappa test.ResultsIncluding the patients’ age in case report information increased diagnostic agreement (the kappa statistic) from 0.49 (moderate agreement) to 0.61 (substantial agreement).ConclusionThese results suggest that knowledge of a patients’ age influenced clinical diagnosis, when distinguishing between aggressive periodontitis and chronic periodontitis, which may in turn impact treatment decision-making.

【 授权许可】

CC BY   
© The Author(s). 2016