[An abbreviated version of RDC/TMD]
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[An abbreviated version of RDC/TMD]. / Reißmann, Daniel; John, M T; Schierz, O; Hirsch, C.
In: SCHMERZ, Vol. 23, No. 6, 6, 2009, p. 618-627.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - [An abbreviated version of RDC/TMD]
AU - Reißmann, Daniel
AU - John, M T
AU - Schierz, O
AU - Hirsch, C
PY - 2009
Y1 - 2009
N2 - BACKGROUND: The aim of this study was to develop a short diagnostic test for pain-related craniomandibular disorders (CMD) based on the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD). MATERIAL AND METHOD: Participants included 1,177 CMD patients and 896 general population subjects who were examined according to the RDC/TMD. This new diagnostic short test consisted of a combination of the least amount of RDC/TMD items that distinguished between patients and subjects with a sensitivity of > or =70% and a specificity of > or =90%. The diagnostic test items were selected from all available RDC/TMD items using best subset logistic regression. RESULTS: The question about the presence of facial pain achieved a sensitivity of 96% and a specificity of 95%. The lower limits of the confidence interval for test accuracy measures exceeded the postulated thresholds specified for test development. Assuming a CMD pain prevalence of 10% in the general population this short test resulted in a positive predictive value of 80% and a negative predictive value of >99%. CONCLUSION: A single question about facial pain is a strong predictor for a pain-related CMD disorder and could provide an effective CMD short test.
AB - BACKGROUND: The aim of this study was to develop a short diagnostic test for pain-related craniomandibular disorders (CMD) based on the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD). MATERIAL AND METHOD: Participants included 1,177 CMD patients and 896 general population subjects who were examined according to the RDC/TMD. This new diagnostic short test consisted of a combination of the least amount of RDC/TMD items that distinguished between patients and subjects with a sensitivity of > or =70% and a specificity of > or =90%. The diagnostic test items were selected from all available RDC/TMD items using best subset logistic regression. RESULTS: The question about the presence of facial pain achieved a sensitivity of 96% and a specificity of 95%. The lower limits of the confidence interval for test accuracy measures exceeded the postulated thresholds specified for test development. Assuming a CMD pain prevalence of 10% in the general population this short test resulted in a positive predictive value of 80% and a negative predictive value of >99%. CONCLUSION: A single question about facial pain is a strong predictor for a pain-related CMD disorder and could provide an effective CMD short test.
M3 - SCORING: Zeitschriftenaufsatz
VL - 23
SP - 618
EP - 627
JO - SCHMERZ
JF - SCHMERZ
SN - 0932-433X
IS - 6
M1 - 6
ER -