van der Meer Hedwig A, Bakke Merete, Schytz Henrik W, Madsen Bjarne Kjeldgaard
J Oral Facial Pain Headache. 2021;35(2):150-156. doi: 10.11607/ofph.2787.
To investigate the sensitivity and specificity of the TMD pain screener in a headache population.
A cross-sectional study was conducted at the Danish Headache Center (DHC). Patients were included if they had primary or secondary headache, trigeminal neuralgia, or facial pain. The pain screener was compared to the outcome of a full Diagnostic Criteria for TMD (DC/TMD) examination.
A total of 62 headache patients were included (77% women). The sensitivity of the pain screener short version (three questions) was 85% (95% CI: 70% to 94%), and the specificity was 64% (95% CI: 41% to 83%). In the full version (six questions), the sensitivity was 83% (95% CI: 67% to 93%), and the specificity was 82% (95% CI: 60% to 95%).
The TMD pain screener seems to be a valid tool to accurately screen for the presence of TMD to provide the most optimal treatment for headache patients. These findings should however be confirmed in a larger sample with migraine, tension-type headache, and trigeminal neuralgia.
研究颞下颌关节紊乱病（TMD）疼痛筛查工具在头痛患者群体中的敏感性和特异性。
在丹麦头痛中心（DHC）开展了一项横断面研究。纳入患有原发性或继发性头痛、三叉神经痛或面部疼痛的患者。将疼痛筛查工具与全面的颞下颌关节紊乱病诊断标准（DC/TMD）检查结果进行比较。
共纳入62例头痛患者（77%为女性）。疼痛筛查工具简短版（三个问题）的敏感性为85%（95%置信区间：70%至94%），特异性为64%（95%置信区间：41%至83%）。完整版（六个问题）的敏感性为83%（95%置信区间：67%至93%），特异性为82%（95%置信区间：60%至95%）。
TMD疼痛筛查工具似乎是一种有效的工具，可准确筛查TMD的存在，为头痛患者提供最优化治疗。然而，这些发现应在包含偏头痛、紧张型头痛和三叉神经痛的更大样本中得到证实。
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