Are photographic records reliable for orthodontic screening?

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 - https://www.scopus.com/pages/publications/0036598251

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 -