Reliability and validity of the patient disability-oriented diagnostic nomenclature system for prosthetic dentistry
The Japan Prosthodontic Society (JPS) has proposed a new diagnostic nomenclature system (DNS), based on pathogenesis and etiology, to facilitate and improve prosthodontic treatment. This system specifies patient disability and the causative factor (i.e. “B (disability) caused by A (causative factor)...
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creator | Matsuka, Yoshizo Hagiwara, Yoshiyuki Tamaki, Katsushi Takeuchi, Hisahiro Fujisawa, Masanori Ono, Takahiro Tsukiyama, Yoshihiro Nagao, Kan Tsuga, Kazuhiro Aita, Hideki Kondo, Hisatomo Fueki, Kenji Tsukasaki, Hiroaki Nishigawa, Keisuke Ozawa, Shogo Kuwatsuru, Rika Minakuchi, Hajime Iinuma, Toshimitsu Matsuura, Takashi Ishibashi, Kanji Fujii, Shigehisa Hirai, Toshihiro Sasaki, Keiichi Yatani, Hirofumi Igarashi, Yoshimasa Sato, Yuji Ichikawa, Tetsuo Yamamori, Tetsuo Kuboki, Takuo Baba, Kazuyoshi Koyano, Kiyoshi Sato, Hironobu Matsumura, Hideo |
description | The Japan Prosthodontic Society (JPS) has proposed a new diagnostic nomenclature system (DNS), based on pathogenesis and etiology, to facilitate and improve prosthodontic treatment. This system specifies patient disability and the causative factor (i.e. “B (disability) caused by A (causative factor)”). The purpose of this study was to examine the reliability and validity of this DNS.
The JPS Clinical Guideline Committee assessed mock patient charts and formulated disease names using the new DNS. Fifty validators, comprising prosthodontic specialists and dental residents, made diagnoses using the same patient charts. Reliability was evaluated as the consistency of the disease names among the validators, and validity was evaluated using the concordance rate of the disease names with the reference disease names.
Krippendorff's α was 0.378 among all validators, 0.370 among prosthodontic specialists, and 0.401 among dental hospital residents. Krippendorff's α for 10 validators (3 specialists and 7 residents) with higher concordance rates was 0.524. Two validators (1 specialist and 1 resident) with the highest concordance rates had a Krippendorff's α of 0.648. Common disease names had higher concordance rates, while uncommon disease names showed lower concordance rates. These rates did not show correlation with clinical experience of the validator or time taken to devise the disease name.
High reliability was not found among all validators; however, validators with higher concordance rates showed better reliability. Furthermore, common disease names had higher concordance rates. These findings indicate that the new DNS for prosthodontic dentistry exhibits clinically acceptable reliability and validity. |
doi_str_mv | 10.1016/j.jpor.2016.06.005 |
format | Article |
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The JPS Clinical Guideline Committee assessed mock patient charts and formulated disease names using the new DNS. Fifty validators, comprising prosthodontic specialists and dental residents, made diagnoses using the same patient charts. Reliability was evaluated as the consistency of the disease names among the validators, and validity was evaluated using the concordance rate of the disease names with the reference disease names.
Krippendorff's α was 0.378 among all validators, 0.370 among prosthodontic specialists, and 0.401 among dental hospital residents. Krippendorff's α for 10 validators (3 specialists and 7 residents) with higher concordance rates was 0.524. Two validators (1 specialist and 1 resident) with the highest concordance rates had a Krippendorff's α of 0.648. Common disease names had higher concordance rates, while uncommon disease names showed lower concordance rates. These rates did not show correlation with clinical experience of the validator or time taken to devise the disease name.
High reliability was not found among all validators; however, validators with higher concordance rates showed better reliability. Furthermore, common disease names had higher concordance rates. These findings indicate that the new DNS for prosthodontic dentistry exhibits clinically acceptable reliability and validity.</description><identifier>ISSN: 1883-1958</identifier><identifier>EISSN: 2212-4632</identifier><identifier>DOI: 10.1016/j.jpor.2016.06.005</identifier><identifier>PMID: 27514568</identifier><language>eng</language><publisher>Netherlands: Elsevier Ltd</publisher><subject>Dentistry ; Diagnosis, Oral - methods ; Diagnostic nomenclature system ; Humans ; Japan ; Prosthodontic treatment ; Prosthodontics - methods ; Reliability ; Reproducibility of Results ; Validity</subject><ispartof>Journal of prosthodontic research, 2017-01, Vol.61 (1), p.20-33</ispartof><rights>2016 The Authors</rights><rights>Copyright © 2016 The Authors. Published by Elsevier Ltd.. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c523t-f7ad1b68fe6755e7bf9a4c7cc6eaa670cd1512bfffdeb7f9e4b34e9ef63307303</citedby><cites>FETCH-LOGICAL-c523t-f7ad1b68fe6755e7bf9a4c7cc6eaa670cd1512bfffdeb7f9e4b34e9ef63307303</cites><orcidid>0000-0002-3174-3187</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27514568$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Matsuka, Yoshizo</creatorcontrib><creatorcontrib>Hagiwara, Yoshiyuki</creatorcontrib><creatorcontrib>Tamaki, Katsushi</creatorcontrib><creatorcontrib>Takeuchi, Hisahiro</creatorcontrib><creatorcontrib>Fujisawa, Masanori</creatorcontrib><creatorcontrib>Ono, Takahiro</creatorcontrib><creatorcontrib>Tsukiyama, Yoshihiro</creatorcontrib><creatorcontrib>Nagao, Kan</creatorcontrib><creatorcontrib>Tsuga, Kazuhiro</creatorcontrib><creatorcontrib>Aita, Hideki</creatorcontrib><creatorcontrib>Kondo, Hisatomo</creatorcontrib><creatorcontrib>Fueki, Kenji</creatorcontrib><creatorcontrib>Tsukasaki, Hiroaki</creatorcontrib><creatorcontrib>Nishigawa, Keisuke</creatorcontrib><creatorcontrib>Ozawa, Shogo</creatorcontrib><creatorcontrib>Kuwatsuru, Rika</creatorcontrib><creatorcontrib>Minakuchi, Hajime</creatorcontrib><creatorcontrib>Iinuma, Toshimitsu</creatorcontrib><creatorcontrib>Matsuura, Takashi</creatorcontrib><creatorcontrib>Ishibashi, Kanji</creatorcontrib><creatorcontrib>Fujii, Shigehisa</creatorcontrib><creatorcontrib>Hirai, Toshihiro</creatorcontrib><creatorcontrib>Sasaki, Keiichi</creatorcontrib><creatorcontrib>Yatani, Hirofumi</creatorcontrib><creatorcontrib>Igarashi, Yoshimasa</creatorcontrib><creatorcontrib>Sato, Yuji</creatorcontrib><creatorcontrib>Ichikawa, Tetsuo</creatorcontrib><creatorcontrib>Yamamori, Tetsuo</creatorcontrib><creatorcontrib>Kuboki, Takuo</creatorcontrib><creatorcontrib>Baba, Kazuyoshi</creatorcontrib><creatorcontrib>Koyano, Kiyoshi</creatorcontrib><creatorcontrib>Sato, Hironobu</creatorcontrib><creatorcontrib>Matsumura, Hideo</creatorcontrib><title>Reliability and validity of the patient disability-oriented diagnostic nomenclature system for prosthetic dentistry</title><title>Journal of prosthodontic research</title><addtitle>J Prosthodont Res</addtitle><description>The Japan Prosthodontic Society (JPS) has proposed a new diagnostic nomenclature system (DNS), based on pathogenesis and etiology, to facilitate and improve prosthodontic treatment. This system specifies patient disability and the causative factor (i.e. “B (disability) caused by A (causative factor)”). The purpose of this study was to examine the reliability and validity of this DNS.
The JPS Clinical Guideline Committee assessed mock patient charts and formulated disease names using the new DNS. Fifty validators, comprising prosthodontic specialists and dental residents, made diagnoses using the same patient charts. Reliability was evaluated as the consistency of the disease names among the validators, and validity was evaluated using the concordance rate of the disease names with the reference disease names.
Krippendorff's α was 0.378 among all validators, 0.370 among prosthodontic specialists, and 0.401 among dental hospital residents. Krippendorff's α for 10 validators (3 specialists and 7 residents) with higher concordance rates was 0.524. Two validators (1 specialist and 1 resident) with the highest concordance rates had a Krippendorff's α of 0.648. Common disease names had higher concordance rates, while uncommon disease names showed lower concordance rates. These rates did not show correlation with clinical experience of the validator or time taken to devise the disease name.
High reliability was not found among all validators; however, validators with higher concordance rates showed better reliability. Furthermore, common disease names had higher concordance rates. These findings indicate that the new DNS for prosthodontic dentistry exhibits clinically acceptable reliability and validity.</description><subject>Dentistry</subject><subject>Diagnosis, Oral - methods</subject><subject>Diagnostic nomenclature system</subject><subject>Humans</subject><subject>Japan</subject><subject>Prosthodontic treatment</subject><subject>Prosthodontics - methods</subject><subject>Reliability</subject><subject>Reproducibility of Results</subject><subject>Validity</subject><issn>1883-1958</issn><issn>2212-4632</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kEtLAzEUhYMotj7-gAvJ0s3UJDNJZsCNiC8QBNF1yCQ3NmUeNUmF_nsztLoULiT35juHm4PQBSULSqi4Xi1W6zEsWL4vSC7CD9CcMcqKSpTsEM1pXZcFbXg9QycxrggRFaXNMZoxyWnFRT1H8Q06r1vf-bTFerD4W3feTs3ocFoCXuvkYUjY-rjHijFME7B5pj-HMSZv8DD2MJhOp00AHLcxQY_dGPA65PclTIjNIh9T2J6hI6e7COf78xR9PNy_3z0VL6-Pz3e3L4XhrEyFk9rSVtQOhOQcZOsaXRlpjACthSTGUk5Z65yz0ErXQNWWFTTgRFkSWZLyFF3tfPMSXxuISfU-Gug6PcC4iYrWvJG0YlxklO1Qk_eNAZxaB9_rsFWUqClstVJT2GoKW5FchGfR5d5_0_Zg_yS_6WbgZgdA_uW3h6CiydEZsD6AScqO_j__H2fmlRk</recordid><startdate>201701</startdate><enddate>201701</enddate><creator>Matsuka, Yoshizo</creator><creator>Hagiwara, Yoshiyuki</creator><creator>Tamaki, Katsushi</creator><creator>Takeuchi, Hisahiro</creator><creator>Fujisawa, Masanori</creator><creator>Ono, Takahiro</creator><creator>Tsukiyama, Yoshihiro</creator><creator>Nagao, Kan</creator><creator>Tsuga, Kazuhiro</creator><creator>Aita, Hideki</creator><creator>Kondo, Hisatomo</creator><creator>Fueki, Kenji</creator><creator>Tsukasaki, Hiroaki</creator><creator>Nishigawa, Keisuke</creator><creator>Ozawa, Shogo</creator><creator>Kuwatsuru, Rika</creator><creator>Minakuchi, Hajime</creator><creator>Iinuma, Toshimitsu</creator><creator>Matsuura, Takashi</creator><creator>Ishibashi, Kanji</creator><creator>Fujii, Shigehisa</creator><creator>Hirai, Toshihiro</creator><creator>Sasaki, Keiichi</creator><creator>Yatani, Hirofumi</creator><creator>Igarashi, Yoshimasa</creator><creator>Sato, Yuji</creator><creator>Ichikawa, Tetsuo</creator><creator>Yamamori, Tetsuo</creator><creator>Kuboki, Takuo</creator><creator>Baba, Kazuyoshi</creator><creator>Koyano, Kiyoshi</creator><creator>Sato, Hironobu</creator><creator>Matsumura, Hideo</creator><general>Elsevier Ltd</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-3174-3187</orcidid></search><sort><creationdate>201701</creationdate><title>Reliability and validity of the patient disability-oriented diagnostic nomenclature system for prosthetic dentistry</title><author>Matsuka, Yoshizo ; Hagiwara, Yoshiyuki ; Tamaki, Katsushi ; Takeuchi, Hisahiro ; Fujisawa, Masanori ; Ono, Takahiro ; Tsukiyama, Yoshihiro ; Nagao, Kan ; Tsuga, Kazuhiro ; Aita, Hideki ; Kondo, Hisatomo ; Fueki, Kenji ; Tsukasaki, Hiroaki ; Nishigawa, Keisuke ; Ozawa, Shogo ; Kuwatsuru, Rika ; Minakuchi, Hajime ; Iinuma, Toshimitsu ; Matsuura, Takashi ; Ishibashi, Kanji ; Fujii, Shigehisa ; Hirai, Toshihiro ; Sasaki, Keiichi ; Yatani, Hirofumi ; Igarashi, Yoshimasa ; Sato, Yuji ; Ichikawa, Tetsuo ; Yamamori, Tetsuo ; Kuboki, Takuo ; Baba, Kazuyoshi ; Koyano, Kiyoshi ; Sato, Hironobu ; Matsumura, Hideo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c523t-f7ad1b68fe6755e7bf9a4c7cc6eaa670cd1512bfffdeb7f9e4b34e9ef63307303</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Dentistry</topic><topic>Diagnosis, Oral - methods</topic><topic>Diagnostic nomenclature system</topic><topic>Humans</topic><topic>Japan</topic><topic>Prosthodontic treatment</topic><topic>Prosthodontics - methods</topic><topic>Reliability</topic><topic>Reproducibility of Results</topic><topic>Validity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Matsuka, Yoshizo</creatorcontrib><creatorcontrib>Hagiwara, Yoshiyuki</creatorcontrib><creatorcontrib>Tamaki, Katsushi</creatorcontrib><creatorcontrib>Takeuchi, Hisahiro</creatorcontrib><creatorcontrib>Fujisawa, Masanori</creatorcontrib><creatorcontrib>Ono, Takahiro</creatorcontrib><creatorcontrib>Tsukiyama, Yoshihiro</creatorcontrib><creatorcontrib>Nagao, Kan</creatorcontrib><creatorcontrib>Tsuga, Kazuhiro</creatorcontrib><creatorcontrib>Aita, Hideki</creatorcontrib><creatorcontrib>Kondo, Hisatomo</creatorcontrib><creatorcontrib>Fueki, Kenji</creatorcontrib><creatorcontrib>Tsukasaki, Hiroaki</creatorcontrib><creatorcontrib>Nishigawa, Keisuke</creatorcontrib><creatorcontrib>Ozawa, Shogo</creatorcontrib><creatorcontrib>Kuwatsuru, Rika</creatorcontrib><creatorcontrib>Minakuchi, Hajime</creatorcontrib><creatorcontrib>Iinuma, Toshimitsu</creatorcontrib><creatorcontrib>Matsuura, Takashi</creatorcontrib><creatorcontrib>Ishibashi, Kanji</creatorcontrib><creatorcontrib>Fujii, Shigehisa</creatorcontrib><creatorcontrib>Hirai, Toshihiro</creatorcontrib><creatorcontrib>Sasaki, Keiichi</creatorcontrib><creatorcontrib>Yatani, Hirofumi</creatorcontrib><creatorcontrib>Igarashi, Yoshimasa</creatorcontrib><creatorcontrib>Sato, Yuji</creatorcontrib><creatorcontrib>Ichikawa, Tetsuo</creatorcontrib><creatorcontrib>Yamamori, Tetsuo</creatorcontrib><creatorcontrib>Kuboki, Takuo</creatorcontrib><creatorcontrib>Baba, Kazuyoshi</creatorcontrib><creatorcontrib>Koyano, Kiyoshi</creatorcontrib><creatorcontrib>Sato, Hironobu</creatorcontrib><creatorcontrib>Matsumura, Hideo</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of prosthodontic research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Matsuka, Yoshizo</au><au>Hagiwara, Yoshiyuki</au><au>Tamaki, Katsushi</au><au>Takeuchi, Hisahiro</au><au>Fujisawa, Masanori</au><au>Ono, Takahiro</au><au>Tsukiyama, Yoshihiro</au><au>Nagao, Kan</au><au>Tsuga, Kazuhiro</au><au>Aita, Hideki</au><au>Kondo, Hisatomo</au><au>Fueki, Kenji</au><au>Tsukasaki, Hiroaki</au><au>Nishigawa, Keisuke</au><au>Ozawa, Shogo</au><au>Kuwatsuru, Rika</au><au>Minakuchi, Hajime</au><au>Iinuma, Toshimitsu</au><au>Matsuura, Takashi</au><au>Ishibashi, Kanji</au><au>Fujii, Shigehisa</au><au>Hirai, Toshihiro</au><au>Sasaki, Keiichi</au><au>Yatani, Hirofumi</au><au>Igarashi, Yoshimasa</au><au>Sato, Yuji</au><au>Ichikawa, Tetsuo</au><au>Yamamori, Tetsuo</au><au>Kuboki, Takuo</au><au>Baba, Kazuyoshi</au><au>Koyano, Kiyoshi</au><au>Sato, Hironobu</au><au>Matsumura, Hideo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Reliability and validity of the patient disability-oriented diagnostic nomenclature system for prosthetic dentistry</atitle><jtitle>Journal of prosthodontic research</jtitle><addtitle>J Prosthodont Res</addtitle><date>2017-01</date><risdate>2017</risdate><volume>61</volume><issue>1</issue><spage>20</spage><epage>33</epage><pages>20-33</pages><issn>1883-1958</issn><eissn>2212-4632</eissn><abstract>The Japan Prosthodontic Society (JPS) has proposed a new diagnostic nomenclature system (DNS), based on pathogenesis and etiology, to facilitate and improve prosthodontic treatment. This system specifies patient disability and the causative factor (i.e. “B (disability) caused by A (causative factor)”). The purpose of this study was to examine the reliability and validity of this DNS.
The JPS Clinical Guideline Committee assessed mock patient charts and formulated disease names using the new DNS. Fifty validators, comprising prosthodontic specialists and dental residents, made diagnoses using the same patient charts. Reliability was evaluated as the consistency of the disease names among the validators, and validity was evaluated using the concordance rate of the disease names with the reference disease names.
Krippendorff's α was 0.378 among all validators, 0.370 among prosthodontic specialists, and 0.401 among dental hospital residents. Krippendorff's α for 10 validators (3 specialists and 7 residents) with higher concordance rates was 0.524. Two validators (1 specialist and 1 resident) with the highest concordance rates had a Krippendorff's α of 0.648. Common disease names had higher concordance rates, while uncommon disease names showed lower concordance rates. These rates did not show correlation with clinical experience of the validator or time taken to devise the disease name.
High reliability was not found among all validators; however, validators with higher concordance rates showed better reliability. Furthermore, common disease names had higher concordance rates. These findings indicate that the new DNS for prosthodontic dentistry exhibits clinically acceptable reliability and validity.</abstract><cop>Netherlands</cop><pub>Elsevier Ltd</pub><pmid>27514568</pmid><doi>10.1016/j.jpor.2016.06.005</doi><tpages>14</tpages><orcidid>https://orcid.org/0000-0002-3174-3187</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Dentistry Diagnosis, Oral - methods Diagnostic nomenclature system Humans Japan Prosthodontic treatment Prosthodontics - methods Reliability Reproducibility of Results Validity |
title | Reliability and validity of the patient disability-oriented diagnostic nomenclature system for prosthetic dentistry |
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