Patel Kush J, De Silva Harsha L, Tong Darryl C, Love Robert M
Department of Oral Diagnostic and Surgical Sciences, University of Otago School of Dentistry, Dunedin, New Zealand.
J Oral Maxillofac Surg. 2011 Jan;69(1):125-33. doi: 10.1016/j.joms.2010.07.075. Epub 2010 Oct 25.
To study the epidemiology of oral soft tissue lesions in New Zealand from 2002 to 2006 and to determine the concordance between the clinical diagnosis and the definitive histopathologic diagnosis achieved by general dental practitioners and by specialists.
The details from biopsy referrals and the corresponding histopathologic reports of oral soft tissue lesions were recorded into a statistical software package, and the concordance between the clinical diagnosis and histopathologic diagnosis was determined for all the lesions.
Most biopsies were benign lesions, and both clinician groups achieved a high diagnostic concordance for these lesions. However, when considering all lesion types, the overall concordance for both groups was a moderate 50.6%, with little difference between specialists and general dental practitioners, although specialists were more accurate in diagnosing a malignant or premalignant lesion.
The clinical and histopathologic concordance achieved by oral health practitioners in New Zealand appears to be moderate.
研究2002年至2006年新西兰口腔软组织病变的流行病学，并确定全科牙医和专科医生做出的临床诊断与最终组织病理学诊断之间的一致性。
将口腔软组织病变活检转诊的详细信息及相应的组织病理学报告录入统计软件包，确定所有病变的临床诊断与组织病理学诊断之间的一致性。
大多数活检为良性病变，两组临床医生对这些病变的诊断一致性较高。然而，考虑所有病变类型时，两组的总体一致性为中等的50.6%，专科医生和全科牙医之间差异不大，尽管专科医生在诊断恶性或癌前病变方面更准确。
新西兰口腔健康从业者实现的临床与组织病理学一致性似乎为中等。
