TY - JOUR
T1 - Are photographic records reliable for orthodontic screening?
AU - Mandall, N. A.
AU - Bearn, D.
AU - Chadwick, S.
AU - Hegarty, D.
AU - Lewis, D. H.
AU - Mattick, C. R.
AU - Sandler, J.
AU - Trenouth, M.
AU - O'Brien, K. D.
PY - 2002/6
Y1 - 2002/6
N2 - Aim: The aim of the study was to evaluate the reliability of a panel of orthodontists for accepting new patient referrals based on clinical photographs. Sample: Eight orthodontists from Greater Manchester, Lancashire, Chester, and Derbyshire observed clinical photographs of 40 consecutive new patients attending the orthodontic department, Hope Hospital, Salford. Method: They recorded whether or not they would accept the patient, as a new patient referral, in their department. Each consultant was asked to take into account factors, such as oral hygiene, dental development, and severity of the malocclusion. Statistics: Kappa statistic for multiple-rater agreement and kappa statistic for intra-observer reliability were calculated. Results: Inter-observer panel agreement for accepting new patient referrals based on photographic information was low (multiple rater kappa score 0.37). Intra-examiner agreement was better (kappa range 0.34-0.90). Conclusion: Clinician agreement for screening and accepting orthodontic referrals based on clinical photographs is comparable to that previously reported for other clinical decision making.
AB - Aim: The aim of the study was to evaluate the reliability of a panel of orthodontists for accepting new patient referrals based on clinical photographs. Sample: Eight orthodontists from Greater Manchester, Lancashire, Chester, and Derbyshire observed clinical photographs of 40 consecutive new patients attending the orthodontic department, Hope Hospital, Salford. Method: They recorded whether or not they would accept the patient, as a new patient referral, in their department. Each consultant was asked to take into account factors, such as oral hygiene, dental development, and severity of the malocclusion. Statistics: Kappa statistic for multiple-rater agreement and kappa statistic for intra-observer reliability were calculated. Results: Inter-observer panel agreement for accepting new patient referrals based on photographic information was low (multiple rater kappa score 0.37). Intra-examiner agreement was better (kappa range 0.34-0.90). Conclusion: Clinician agreement for screening and accepting orthodontic referrals based on clinical photographs is comparable to that previously reported for other clinical decision making.
KW - Clinical photographs
KW - Consultant reliability
KW - Inappropriate referrals
KW - New patient referrals
UR - http://www.scopus.com/inward/record.url?scp=0036598251&partnerID=8YFLogxK
U2 - 10.1093/ortho/29.2.125
DO - 10.1093/ortho/29.2.125
M3 - Article
C2 - 2002149056
AN - SCOPUS:0036598251
SN - 1465-3125
VL - 29
SP - 125
EP - 127
JO - Journal of Orthodontics
JF - Journal of Orthodontics
IS - 2
ER -