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Validation of reported dentoalveolar relationships in the Swedish Quality Registry for Cleft Lip and Palate.

瑞典唇腭裂质量登记处报告的牙槽关系的验证。

  • 影响因子:1.83
  • DOI:10.1093/ejo/cjz069
  • 作者列表:"Pegelow M","Klintö K","Stålhand G","Lemberger M","Vesterbacka M","Rizell S","Chalien MN","Björnström L","Becker M","Lindberg M","Marcusson A","Karsten A
  • 发表时间:2020-01-27
Abstract

OBJECTIVES:The present study validated data that had been reported to the Swedish Quality Registry for Cleft Lip and Palate (CLP) under new requirements from 2016, when use of the 5-year-old (5YO) and the Modified Huddart and Bodenham (MHB) indices for rating occlusion in children born with unilateral CLP (UCLP) was introduced. MATERIALS AND METHODS:The sample included blinded study casts (n = 97) and photos (n = 4) of 5-year-old children who had been born with UCLP in 2009-2011 and were enrolled at one of six cleft centres in Sweden. Fourteen orthodontists from the centres assessed the patients (n = 101) using the 5YO and the MHB indices. Median 5YO and MHB scores of the 14 assessments were compared with original registry data (n = 61). Each centre devised code keys to protect the identities of their patients in the registry. RESULTS:Interrater agreement among the 14 orthodontists was good for the 5YO index (quadratic-weighted kappa: 0.72-0.92) and the MHB index (intraclass correlation coefficient: 0.991-0.994). Comparisons of median 5YOs for each identifiable child with their registry data (n = 61) found total agreement for 70.5 per cent. Comparisons between median MHBs and registry data showed very good or good agreement in 93.4 per cent of the cases. LIMITATIONS:Two teams lost their code keys, which reduced the sample to 61 patients. CONCLUSIONS:The dentoalveolar outcome data in the CLP registry was trustworthy. There was good agreement among the Swedish cleft teams assessing the 5YO and MHB indices in children born with UCLP at age 5 years.

摘要

目的: 本研究验证了 2016 年新要求下向瑞典唇腭裂质量登记处 (CLP) 报告的数据,当使用 5 岁 (5YO) 和改良的Huddart和Bodenham (MHB) 指数对单侧CLP (UCLP) 出生的儿童进行咬合评级时。 材料和方法: 样本包括盲法研究模型 (n = 97) 和照片 (n = 4) 在 2009-2011 年出生的 5 岁儿童中,在瑞典的 6 个腭裂中心之一入组。来自各中心的 14 名正畸医生使用 5YO和MHB指数评估患者 (n = 101)。将 14 项评估的中位 5YO和MHB评分与原始注册数据 (n = 61) 进行比较。每个中心都设计了代码密钥来保护他们在注册中心的患者的身份。 结果: 14 名正畸医生的评定者间一致性良好,5YO指数 (二次加权kappa: 0.72-0.92) 和MHB指数 (组内相关系数: 0.991-0.994)。将每个可识别儿童的中位数 5YOs与其登记数据 (n = 61) 进行比较,发现总一致性为 70.5。Mhbb中位数与登记数据之间的比较显示,93.4 的病例非常好或一致性良好。 限制: 两个团队失去了他们的代码键,这使得样本减少到 61 名患者。 结论: CLP登记处的牙槽结局数据值得信赖。瑞典rash团队评估出生时UCLP患儿 5 岁时的 5YO和MHB指数有很好的一致性。

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影响因子:0.95
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影响因子:2.43
发表时间:2020-01-15
DOI:10.5435/JAAOS-D-16-00918
作者列表:["Grigoryan G","Korcek L","Eidelman M","Paley D","Nelson S"]

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