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      Development and validation of a condition-specific measure for chronic periodontitis: Oral health impact profile for chronic periodontitis

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          Abstract

          The aim of this study was to develop and validate the first condition-specific tool to assess oral health-related quality of life (OHRQoL) impairment in association with chronic periodontitis and to use it as an outcome measure in clinical trials.

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          Most cited references29

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          The intraclass correlation coefficient as a measure of reliability.

          J J Bartko (1966)
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            Applying item response theory (IRT) modeling to questionnaire development, evaluation, and refinement.

            Health outcomes researchers are increasingly applying Item Response Theory (IRT) methods to questionnaire development, evaluation, and refinement efforts. To provide a brief overview of IRT, to review some of the critical issues associated with IRT applications, and to demonstrate the basic features of IRT with an example. Example data come from 6,504 adolescent respondents in the National Longitudinal Study of Adolescent Health public use data set who completed to the 19-item Feelings Scale for depression. The sample was split into a development and validation sample. Scale items were calibrated in the development sample with the Graded Response Model and the results were used to construct a 10-item short form. The short form was evaluated in the validation sample by examining the correspondence between IRT scores from the short form and the original, and by comparing the proportion of respondents identified as depressed according to the original and short form observed cut scores. The 19 items varied in their discrimination (slope parameter range: .86-2.66), and item location parameters reflected a considerable range of depression (-.72-3.39). However, the item set is most discriminating at higher levels of depression. In the validation sample IRT scores generated from the short and long forms were correlated at .96 and the average difference in these scores was -.01. In addition, nearly 90% of the sample was classified identically as at risk or not at risk for depression using observed score cut points from the short and long forms. When used appropriately, IRT can be a powerful tool for questionnaire development, evaluation, and refinement, resulting in precise, valid, and relatively brief instruments that minimize response burden.
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              Diagnosis and classification of periodontal disease.

              Periodontal diseases have been recognized and treated for at least 5000 years. Clinicians have recognized for many years that there are apparent differences in the presentation of periodontal diseases and have attempted to classify these diseases. Systems of classifications of disease have arisen allowing clinicians to develop structures which can be used to identify diseases in relation to aetiology, pathogenesis and treatment. It allows us to organize effective treatment of our patients' diseases. Once a disease has been diagnosed and classified, the aetiology of the condition and appropriate evidence-based treatment is suggested to the clinician. Common systems of classification also allow effective communication between health care professionals using a common language. Early attempts at classification were made on the basis of the clinical characteristics of the diseases or on theories of their aetiology. These attempts were unsupported by any evidence base. As scientific knowledge expanded, conventional pathology formed the basis of classification. More recently, this has been followed by systems of classification based upon our knowledge of the various periodontal infections and the host response to them. Classification of periodontal diseases has, however, proved problematic. Over much of the last century clinicians and researchers have grappled with the problem and have assembled periodically to review or develop the classification of the various forms of periodontal disease as research has expanded our knowledge of these diseases. This has resulted in frequent revisions and changes. A classification, however, should not be regarded as a permanent structure. It must be adaptable to change and evolve with the development of new knowledge. It is expected that systems of classification will change over time. This review examines the past and present classifications of the periodontal diseases.
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                Author and article information

                Journal
                Journal of Clinical Periodontology
                J Clin Periodontol
                Wiley
                03036979
                June 2017
                June 2017
                May 05 2017
                : 44
                : 6
                : 591-600
                Affiliations
                [1 ]College of Stomatology; Chongqing Medical University; Chongqing China
                [2 ]Chongqing Key Laboratory of Oral Diseases and Biomedical Sciences; Chongqing China
                [3 ]Chongqing Municipal Key Laboratory of Oral Biomedical Engineering of Higher Education; Chongqing China
                [4 ]Center for Biomedical Materials and Tissue Engineering; Academy for Advanced Interdisciplinary Studies; Peking University; Beijing China
                [5 ]Department of Oral and Maxillofacial Surgery; Laboratory of Interdisciplinary Studies; Peking University School and Hospital of Stomatology; Beijing China
                Article
                10.1111/jcpe.12716
                28278366
                440e3fca-cc15-4444-9834-a7e6cbfb5d02
                © 2017

                http://doi.wiley.com/10.1002/tdm_license_1

                http://onlinelibrary.wiley.com/termsAndConditions

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