Türp J C, John M, Nilges P, Jürgens J
Zahn-, Mund- und Kieferklinik, Universitätsklinikum Freiburg im Breisgau.
Schmerz. 2000 Dec;14(6):416-28. doi: 10.1007/s004820000013.
Due to the considerable degree of variation that exists among care providers with respect to the assessment of patients suffering from painful temporomandibular disorders (TMDs), an interdisciplinary working group for the study of orofacial pain aimed at developing recommendations for the evaluation and diagnostic classification of such patients.
Following an extensive literature search (computer-based search and handsearch), several working sessions were needed to develop a standardized diagnostic protocol. It was a prerequisite that recommended measures and instruments should have acceptable reliability and validity. Three independent reviewers - well-known experts in the pain field - critically reviewed the contents of our recommendations.
A two-axis approach is recommended to assess the somatic and psychosocial parameters of the pain experience. Our concept closely follows the Research Diagnostic Criteria for Temporomandibular Disorders. In addition, we distinguish a minimal, a standard, and an extended evaluation.
The recommendations appear to be useful to enhance the diagnostic quality in the evaluation of patients with painful TMDs.
由于在颞下颌关节紊乱病（TMD）疼痛患者的评估方面，医疗服务提供者之间存在相当程度的差异，一个旨在为这类患者的评估和诊断分类制定建议的口腔面部疼痛研究跨学科工作组应运而生。
在进行广泛的文献检索（基于计算机的检索和手工检索）之后，需要多次工作会议来制定标准化的诊断方案。推荐的措施和工具应具有可接受的信度和效度，这是一个先决条件。三位独立评审员——疼痛领域的知名专家——对我们建议的内容进行了严格审查。
建议采用双轴方法来评估疼痛体验的躯体和心理社会参数。我们的概念紧密遵循颞下颌关节紊乱病的研究诊断标准。此外，我们区分了最小评估、标准评估和扩展评估。
这些建议似乎有助于提高对TMD疼痛患者评估的诊断质量。
