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Holtfreter, B.* ; Samietz, S.* ; Hertrampf, K.* ; Aarabi, G.* ; Hagenfeld, D.* ; Kim, T.S.* ; Kocher, T.* ; Koos, B.* ; Schmitter, M.* ; Ahrens, W.* ; Alwers, E.* ; Becher, H.* ; Berger, K.* ; Brenner, H.* ; Damms-Machado, A.* ; Ebert, N.* ; Fischer, B.* ; Franzke, C.W.* ; Frölich, S.* ; Greiser, H.* ; Gies, A.* ; Günther, K.* ; Hassan, L.* ; Hoffmann, W.* ; Jaeschke, L.* ; Keil, T.* ; Kemmling, Y.* ; Krause, G.* ; Krist, L.* ; Legath, N.* ; Lieb, W.* ; Leitzmann, M.* ; Linseisen, J.* ; Loeffler, M.* ; Meinke-Franze, C.* ; Michels, K.B.* ; Mikolajczyk, R.* ; Obi, N.* ; Peters, A. ; Schipf, S.* ; Schmidt, B.* ; Völzke, H.* ; Waniek, S.* ; Wigmann, C.* ; Wirkner, K.* ; Schmidt, C.O.* ; Kühnisch, J.* ; Rupf, S.*

Design und Qualitätskontrolle der zahnmedizinischen Untersuchung in der NAKO Gesundheitsstudie.

Design and quality control of the oral health status examination in the German National Cohort (GNC).

Bundesgesundheitsbl.-Gesund. 63, 426-438 (2020)
Publ. Version/Full Text Research data DOI PMC
Open Access Gold (Paid Option)
Creative Commons Lizenzvertrag
Background Caries and periodontitis are highly prevalent worldwide. Because detailed data on these oral diseases were collected within the framework of the German National Cohort (GNC), associations between oral and systemic diseases and conditions can be investigated. Objectives The study protocol for the oral examination was designed to ensure a comprehensive collection of dental findings by trained non-dental staff within a limited examination time. At the mid-term of the GNC baseline examination, a first quality evaluation was performed to check the plausibility of results and to propose measures to improve the data quality. Materials and methods A dental interview, saliva sampling and oral diagnostics were conducted. As part of the level-1 examination, the number of teeth and prostheses were recorded. As part of the level-2 examination, detailed periodontal, cariological and functional aspects were examined. All examinations were conducted by trained non-dental personnel. Parameters were checked for plausibility and variable distributions were descriptively analysed. Results Analyses included data of 57,967 interview participants, 56,913 level-1 participants and 6295 level-2 participants. Percentages of missing values for individual clinical parameters assessed in level 1 and level 2 ranged between 0.02 and 3.9%. Results showed a plausible distribution of the data; rarely, implausible values were observed, e.g. for measurements of horizontal and vertical overbite (overjet and overbite). Intra-class correlation coefficients indicated differences in individual parameters between regional clusters, study centres and across different examiners. Conclusions The results confirm the feasibility of the study protocol by non-dental personnel and its successful integration into the GNC's overall assessment program. However, rigorous dental support of the study centres is required for quality management.
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Publication type Article: Journal article
Document type Review
Corresponding Author
Keywords Epidemiology ; Cohort Study ; Dentistry ; German National Cohort (gnc); Atherosclerotic Vascular-disease; Partial Recording Protocols; Periodontal-disease; Association
ISSN (print) / ISBN 1436-9990
e-ISSN 1437-1588
Quellenangaben Volume: 63, Issue: 4, Pages: 426-438 Article Number: , Supplement: ,
Publisher Springer
Publishing Place One New York Plaza, Suite 4600, New York, Ny, United States
Non-patent literature Publications
Reviewing status Peer reviewed