Reliability and validity of Axis I of the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) with proposed revisions.
The research diagnostic criteria for temporomandibular disorders (RDC/TMD) have been employed internationally since 1992 for the study of temporomandibular muscle and joint disorders (TMD). This diagnostic protocol incorporates a dual system for assessment of TMD for Axis I physical diagnoses as well as Axis II psychological status and pain-related disability. Because the reliability and criterion validity of RDC/TMD had not yet been comprehensively characterised, the National Institute of Dental and Craniofacial Research funded in 2001 the most definitive research to date on the RDC/TMD as a U01 project entitled, 'Research Diagnostic Criteria: Reliability and Validity'. The results of this multi-site collaboration involving the University of Minnesota, the University of Washington, and the University at Buffalo were first reported at a pre-session workshop of the Toronto general session of the International Association of Dental Research on 2 July 2008. Summaries of five reports from this meeting are presented in this paper including: (i) reliability of RDC/TMD Axis I diagnoses based on clinical signs and symptoms; (ii) reliability of radiographic interpretations used for RDC/TMD Axis I diagnoses; (iii) reliability of self-report data used for RDC/TMD Axis I diagnoses; (iv) validity of RDC/TMD Axis I diagnoses based on clinical signs and symptoms; and (v) proposed revisions of the RDC/TMD Axis I diagnostic algorithms.
Look
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Department of Diagnostic & Biological Sciences, School of Dentistry, University of Minnesota, Minneapolis, MN, USA. lookj@umn.edu
Schiffman
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Truelove
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Ahmad
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D000465:Algorithms; D003226:Congresses as Topic; D032921:Consensus; D003625:Data Collection; D018865:Dental Research; D005157:Facial Pain / Q000503:physiopathology; D006801:Humans; D008279:Magnetic Resonance Imaging; D015588:Observer Variation; D009864:Ontario; D011861:Radiography, Dental; D012015:Reference Standards; D015203:Reproducibility of Results; D035842:Research Subjects; D057566:Self Report; D012680:Sensitivity and Specificity; D013705:Temporomandibular Joint Disorders / Q000175:diagnosis* / Q000503:physiopathology*