Reliability and validity of the patient disability-oriented diagnostic nomenclature system for prosthetic dentistry

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Author(s)

    • Matsuka Yoshizo
    • Clinical Guideline Committee, Japan Prosthodontic Society|Department of Stomatognathic Function and Occlusal Reconstruction, Graduate School of Biomedical Sciences, Tokushima 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
    • Department of Prosthodontics and Oral Implantology, School of Dentistry, Iwate Medical University
    • Fueki Kenji
    • Removable Partial Denture Prosthodontics, Tokyo Medical and Dental University
    • Nishigawa Keisuke
    • Department of Stomatognathic Function and Occlusal Reconstruction, Graduate School of Biomedical Sciences, Tokushima University
    • Ozawa Shogo
    • Clinical Guideline Committee, Japan Prosthodontic Society|Department of Removable Prosthodontics, School of Dentistry, Aichi Gakuin University
    • Kuwatsuru Rika
    • Clinical Guideline Committee, Japan Prosthodontic Society|Section of Implant and Rehabilitative Dentistry, Faculty of Dental Science, Kyushu University
    • Minakuchi Hajime
    • Clinical Guideline Committee, Japan Prosthodontic Society|Department of Oral Rehabilitation and Regenerative Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
    • Iinuma Toshimitsu
    • Clinical Guideline Committee, Japan Prosthodontic Society|Department of Complete Denture Prosthodontics, Nihon University School of Dentistry
    • Matsuura Takashi
    • Clinical Guideline Committee, Japan Prosthodontic Society|Section of Fixed Prosthodontics, Department of Oral Rehabilitation, Fukuoka Dental College
    • Fujii Shigehisa
    • Department of Partial and Complete Denture, The Nippon Dental University School of Life 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
    • Sato Yuji
    • Department of Geriatric Dentistry, Showa University School of Dentistry
    • Ichikawa Tetsuo
    • Department of Oral & Maxillofacial Prosthodontics, Graduate School of Biomedical Sciences, Tokushima University
    • 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
    • Tamaki Katsushi
    • Department of Prosthodontic Dentistry for Function of TMJ and Occlusion, Kanagawa Dental University
    • Baba Kazuyoshi
    • Department of Prosthodontics, Showa University School of Dentistry
    • Koyano Kiyoshi
    • Section of Implant and Rehabilitative Dentistry, Faculty of Dental Science, Kyushu University
    • Sato Hironobu
    • Clinical Guideline Committee, Japan Prosthodontic Society|Section of Fixed Prosthodontics, Department of Oral Rehabilitation, Fukuoka Dental College
    • Matsumura Hideo
    • Department of Fixed Prosthodontics, Nihon University School of Dentistry
    • Takeuchi Hisahiro
    • Department of Stomatognathic Function and Occlusal Reconstruction, Graduate School of Biomedical Sciences, Tokushima University
    • Fujisawa Masanori
    • Clinical Guideline Committee, Japan Prosthodontic Society|Division of Fixed Prosthodontics, Meikai University School of Dentistry
    • Ono Takahiro
    • Division of Comprehensive Prosthodontics, Niigata University Graduate School of Medical and Dental Sciences
    • Tsukiyama Yoshihiro
    • Section of Implant and Rehabilitative Dentistry, Faculty of Dental Science, Kyushu University
    • Nagao Kan
    • Department of Oral & Maxillofacial Prosthodontics, Graduate School of Biomedical Sciences, Tokushima University
    • Tsuga Kazuhiro
    • Department of Advanced Prosthodontics, Institute of Biomedical & Health Sciences, Hiroshima University

Abstract

<p><i>Purpose:</i> The Japan Prosthodontic Society (JPS) has proposed a new diagnostic nomenclature system (DNS), based on pathogenesis and etiology, to facilitate and improve prosthodontic treatment. This system specifies patient disability and the causative factor (i.e. "<i>B</i> (disability) caused by <i>A</i> (causative factor)"). The purpose of this study was to examine the reliability and validity of this DNS.</p><p><i>Study selection:</i> The JPS Clinical Guideline Committee assessed mock patient charts and formulated disease names using the new DNS. Fifty validators, comprising prosthodontic specialists and dental residents, made diagnoses using the same patient charts. Reliability was evaluated as the consistency of the disease names among the validators, and validity was evaluated using the concordance rate of the disease names with the reference disease names.</p><p><i>Results:</i> Krippendorff's <i>α</i> was 0.378 among all validators, 0.370 among prosthodontic specialists, and 0.401 among dental hospital residents. Krippendorff's <i>α</i> for 10 validators (3 specialists and 7 residents) with higher concordance rates was 0.524. Two validators (1 specialist and 1 resident) with the highest concordance rates had a Krippendorff's <i>α</i> of 0.648. Common disease names had higher concordance rates, while uncommon disease names showed lower concordance rates. These rates did not show correlation with clinical experience of the validator or time taken to devise the disease name.</p><p><i>Conclusions:</i> High reliability was not found among all validators; however, validators with higher concordance rates showed better reliability. Furthermore, common disease names had higher concordance rates. These findings indicate that the new DNS for prosthodontic dentistry exhibits clinically acceptable reliability and validity.</p>

Journal

  • Journal of Prosthodontic Research

    Journal of Prosthodontic Research 61(1), 20-33, 2017

    Japan Prosthodontic Society

Codes

  • NII Article ID (NAID)
    130005465199
  • NII NACSIS-CAT ID (NCID)
    AA12395171
  • Text Lang
    ENG
  • Article Type
    journal article
  • ISSN
    1883-1958
  • Data Source
    IR  J-STAGE 
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