Reliability and validity of diagnostic nomenclature system of prosthetic dentistry

  • Matsuka Yoshizo
    Clinical Guideline Committee, Japan Prosthodontic Society Department of Fixed Prosthodontics, Institute of Health Biosciences, The University of Tokushima Graduate School
  • Hagiwara Yoshiyuki
    Clinical Guideline Committee, Japan Prosthodontic Society Department of Fixed Prosthodontics, Nihon University School of Dentistry
  • Tamaki Katsushi
    Clinical Guideline Committee, Japan Prosthodontic Society Department of Prosthodontic Dentistry for Function of TMJ and Occlusion, Kanagawa Dental College
  • Takeuchi Hisahiro
    Department of General Dentistry, Fixed Prosthodontics, Tokushima University Hospital
  • Fujisawa Masanori
    Clinical Guideline Committee, Japan Prosthodontic Society Division of Fixed Prosthodontics, School of Dentistry, Meikai Universty
  • Ono Takahiro
    Clinical Guideline Committee, Japan Prosthodontic Society Department of Prosthodontics, Gerodontology and Oral Rehabilitation, Osaka University Graduate School of Dentistry
  • Tsukiyama Yoshihiro
    Section of Implant and Rehabilitative Dentistry, Department of Oral Rehabilitation, Faculty of Dental Science, Kyushu University
  • Nagao Kan
    Department of Oral & Maxillofacial Prosthodontics, Institute of Health Biosciences, The University of Tokushima Graduate School
  • Tsuga Kazuhiro
    Department of Advanced Proshodontics, Institute of Biomedical & Health Sciences, Hiroshima University
  • Aita Hideki
    Clinical Guideline Committee, Japan Prosthodontic Society Department of Occlusion and Removable Prosthodontics, Health Sciences University of Hokkaido School of Dentistry
  • Kondo Hisatomo
    Clinical Guideline Committee, Japan Prosthodontic Society Department of Prosthodontics and Oral Implantology, School of Dentistry, Iwate Medical University
  • Fueki Kenji
    Clinical Guideline Committee, Japan Prosthodontic Society Removable Partial Denture Prosthodontics, Tokyo Medical and Dental University
  • Tsukasaki Hiroaki
    Clinical Guideline Committee, Japan Prosthodontic Society Department of Prosthodontics, Showa University School of Dentistry
  • Ishibashi Kanji
    Iwate Medical University
  • Fujii Shigehisa
    Department of Partial and Complete Denture, The Nippon Dental University School of Life Dentistry
  • Hirai Toshihiro
    Health Sciences University of Hokkaido School of Dentistry
  • Sasaki Keiichi
    Division of Advanced Prosthetic Dentistry, Tohoku University Graduate School of Dentistry
  • Yatani Hirofumi
    Department of Fixed Prosthodontics, Osaka University Graduate School of Dentistry
  • Igarashi Yoshimasa
    Removable Partial Denture Prosthodontics, Tokyo Medical and Dental University
  • Sato Yuji
    Department of Geriatric Dentistry, Showa University School of Dentistry
  • Ichikawa Tetsuo
    Department of Oral & Maxillofacial Prosthodontics, Institute of Health Biosciences, The University of Tokushima Graduate School
  • Matsumura Hideo
    Department of Fixed Prosthodontics, Nihon University School of Dentistry
  • Yamamori Tetsuo
    Department of Prosthetic Dentistry, Ohu University School of Dentistry
  • Kuboki Takuo
    Department of Oral Rehabilitation and Regenerative Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
  • Baba Kazuyoshi
    Clinical Guideline Committee, Japan Prosthodontic Society Department of Prosthodontics, Showa University School of Dentistry
  • Koyano Kiyoshi
    Section of Implant and Rehabilitative Dentistry, Department of Oral Rehabilitation, Faculty of Dental Science, Kyushu University

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Other Title
  • 補綴歯科治療病名システムの信頼性と妥当性の検討

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Abstract

Purpose: The Japan Prosthodontic Society (a public interest incorporated association) proposed a new diagnostic nomenclature system method that is based on pathogenesis and etiology for providing adequate prosthodontic treatment to patients. This diagnostic nomenclature system is based on “factor” and “disability”, and assumes that a disability is caused by a factor. The aim of this study was to analyze the reliability and validity of several dentists’ diagnoses on mock patient charts.<br>Methods: The Clinical Guideline Committee of the Japan Prosthodontic Society made mock patient charts and decided the disease name with the new diagnosis system. Fifty evaluators (prosthodontic specialists and hospital residents) answered the disease name with the new diagnosis system. The reliability and validity of the diagnoses were analyzed.<br>Results: Krippendorff’s α, which evaluates the reliability, was 0.378 (prosthodontic specialists) and 0.401 (hospital residents). The value was 0.524 with the top 10 evaluators, and 0.628 with the top 2 evaluators. There was no difference between the prosthodontic specialists and hospital residents in the correct answer rate. The correct answer rate for common dental diseases was high and that for uncommon dental diseases was low. Moreover, there was no relation between the correct answer rate and answering time or years of experience.<br>Conclusion: The reliability of the answers among all evaluators was not high, but it was high among the evaluators who showed a high correct answer rate in this study. The correct answer rate for common dental diseases was high and that for uncommon dental diseases was low.

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