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TMD 诊断:Fonseca 病史指数的灵敏度和特异性。

TMD diagnosis: Sensitivity and specificity of the Fonseca Anamnestic Index.

机构信息

Dentist, Private Practice, Gramado, RS, Brazil.

Post-graduate Student in Dental Sciences, Federal University of Santa Maria, RS, Brazil.

出版信息

Cranio. 2023 May;41(3):199-203. doi: 10.1080/08869634.2020.1839724. Epub 2020 Oct 27.

Abstract

OBJECTIVE

To verify whether the Fonseca Anamnestic Index (FAI) has adequate sensitivity and specificity to be used in the diagnosis of temporomandibular disorder (TMD).

METHODS

Two hundred-sixty-five participants with symptoms of TMDs were assessed through the FAI and through the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) and then classified as sick or non-sick. The sensitivity, specificity, and predictive values of the FAI in relation to the RDC/TMD were calculated using the STATA 14.0 software.

RESULTS

Most of the patients were female, white, without a steady job, and the average age was 37.57 years. The FAI showed high sensitivity (97.21%) but obtained a low specificity (26.00%). The positive and negative predictive values were 84.96% and 68.42%, respectively.

CONCLUSION

The FAI is very sensitive in identifying patients who actually have TMD but not very specific in identifying non-TMD patients, being indicated only for initial screening of patients.

摘要

目的

验证 Fonseca 病史指数(FAI)是否具有足够的灵敏度和特异性,可用于诊断颞下颌关节紊乱(TMD)。

方法

通过 FAI 和研究性诊断标准颞下颌关节紊乱(RDC/TMD)评估了 265 名有 TMD 症状的参与者,然后将他们分为患病组和非患病组。使用 STATA 14.0 软件计算 FAI 与 RDC/TMD 的灵敏度、特异性和预测值。

结果

大多数患者为女性、白人、无稳定工作,平均年龄为 37.57 岁。FAI 显示出很高的灵敏度(97.21%),但特异性较低(26.00%)。阳性和阴性预测值分别为 84.96%和 68.42%。

结论

FAI 非常敏感,可用于识别确实患有 TMD 的患者,但特异性不高,无法用于识别非 TMD 患者,仅适用于患者的初步筛查。

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