Bolin A K, Bolin A, Koch G, Alfredsson L
Department of Medicine, Karolinska Institutet, Stockholm, Sweden.
Swed Dent J. 1995;19(5):183-93.
An epidemiological investigation has been initiated from Sweden with the aim to study and compare dental health, dental treatment needs and attitudes to dental care in two well-defined age-groups, children of 5 and 12 years of age, in eight EU countries. To ensure comparability of the clinical registrations, data collection was preceded by clinical calibrations of the examiners from the participating countries. All the examiners participated in a workshop with initial calibration exercises. Agreement, expressed as sensitivity, was measured between the Swedish examiner acting as the reference examiner and each of the other examiners in turn, and assessed separately for the two age-groups. For DMFS/dmfs, agreement ranged from 44.3% to 82.2%. These results were discussed and where necessary the criteria were modified and/or made more stringent, so that they were clearcut and could be adhered to consistently. In a second calibration between the Swedish and the national examiner undertaken in each of the seven countries, the inter-examiner agreement (sensitivity) varied between 85.4% and 100%. The mean sensitivity for DMFS/dmfs after the total calibration procedures was 89.5% for the 12-year olds and 91.7 for the 5-year olds. The mean sensitivity for both age-groups together was 90.6% and the corresponding value for specificity was 98.9%.
瑞典已启动一项流行病学调查，旨在研究和比较八个欧盟国家中两个明确界定的年龄组（5岁和12岁儿童）的口腔健康、口腔治疗需求以及对口腔护理的态度。为确保临床登记的可比性，在数据收集之前，对参与国的检查人员进行了临床校准。所有检查人员都参加了一个包含初始校准练习的研讨会。以瑞典检查人员作为参考检查人员，依次与其他每位检查人员之间测量以敏感度表示的一致性，并针对两个年龄组分别进行评估。对于DMFS/dmfs，一致性范围为44.3%至82.2%。对这些结果进行了讨论，并在必要时对标准进行了修改和/或使其更加严格，以便它们清晰明确且能够始终如一地遵循。在七个国家中每个国家的瑞典检查人员与本国检查人员之间进行的第二次校准中，检查人员之间的一致性（敏感度）在85.4%至100%之间变化。经过全部校准程序后，12岁儿童DMFS/dmfs的平均敏感度为89.5%，5岁儿童为91.7%。两个年龄组合计的平均敏感度为90.6%，相应的特异度值为98.9%。
