Abstract
Background: The aim of this study was to develop a short diagnostic test for pain-related craniomandibular disorders (CMD) based on the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD). Material and Method: Participants included 1,177 CMD patients and 896 general population subjects who were examined according to the RDC/TMD. This new diagnostic short test consisted of a combination of the least amount of RDC/TMD items that distinguished between patients and subjects with a sensitivity of =70% and a specificity of =90%. The diagnostic test items were selected from all available RDC/TMD items using best subset logistic regression. Results: The question about the presence of facial pain achieved a sensitivity of 96% and a specificity of 95%. The lower limits of the confidence interval for test accuracy measures exceeded the postulated thresholds specified for test development. Assuming a CMD pain prevalence of 10% in the general population this short test resulted in a positive predictive value of 80% and a negative predictive value of >99%. Conclusion: A single question about facial pain is a strong predictor for a pain-related CMD disorder and could provide an effective CMD short test.
Translated title of the contribution | An abbreviated version of RDC/TMD |
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Original language | German |
Pages (from-to) | 618-627 |
Number of pages | 10 |
Journal | Schmerz |
Volume | 23 |
Issue number | 6 |
DOIs | |
State | Published - Dec 2009 |
Bibliographical note
Copyright:Copyright 2010 Elsevier B.V., All rights reserved.
Keywords
- Diagnostic test
- Early diagnosis
- Facial pain
- Temporomandibular disorders
- Treatment need