Emeritus, Schools of Medicine and Dentistry, University of Washington, Lake Forest Park, WA, USA.
J Oral Rehabil. 2010 Oct;37(10):734-43. doi: 10.1111/j.1365-2842.2010.02090.x. Epub 2010 May 31.
The Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD), published in 1992, was based on international expert recommendations and available empirical data. The major rationale was to offer a putative diagnostic and classification system whose reliability, validity and clinical usefulness for TMD diagnosis and classification could be scientifically evaluated and then revised using an evidence-based model for successive iterations. The present journal issue attests to the accomplishment of that major objective: the RDC/TMD has been translated into 18 languages and used very extensively in international research. One important component of that research has been to yield reliable and valid data resulting in an evidence-based revision of the RDC/TMD now available for continuing research and clinical application. The present article offers recommendations and speculations regarding how the RDC/TMD may continue to serve the function of guiding future research and, most importantly, serve as an evidence-based diagnostic and classification system to aid in the rational choice of clinical care for TMD sufferers around the world.
《颞下颌关节紊乱病研究诊断标准(RDC/TMD)》于 1992 年出版,该标准基于国际专家建议和现有经验数据。其主要原理是提供一个假设的诊断和分类系统,该系统的可靠性、有效性和临床实用性可用于 TMD 诊断和分类,并可使用循证模型进行科学评估,然后进行连续迭代修订。本期杂志证明了这一主要目标的实现:RDC/TMD 已被翻译成 18 种语言,并在国际研究中得到广泛应用。该研究的一个重要组成部分是产生可靠和有效的数据,从而基于循证对 RDC/TMD 进行修订,为持续的研究和临床应用提供依据。本文就 RDC/TMD 如何继续发挥指导未来研究的作用提出了建议和推测,最重要的是,它可以作为一个循证诊断和分类系统,帮助世界各地的 TMD 患者做出合理的临床治疗选择。