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

Holtfreter, Birte and Samietz, Stefanie and Hertrampf, Katrin and Aarabi, Ghazal and Hagenfeld, Daniel and Kim, Ti-Sun and Kocher, Thomas and Koos, Bernd and Schmitter, Marc and Ahrens, Wolfgang and Alwers, Elizabeth and Becher, Heiko and Berger, Klaus and Brenner, Hermann and Damms-Machado, Antje and Ebert, Nina and Fischer, Beate and Franzke, Claus-Werner and Froelich, Stefanie and Greiser, Halina and Gies, Anton and Guenther, Kathrin and Hassan, Lamiaa and Hoffmann, W. and Jaeschke, Lina and Keil, Thomas and Kemmling, Yvonne and Krause, Gerard and Krist, Lilian and Legath, Nicole and Lieb, Wolfgang and Leitzmann, Michael and Linseisen, Jakob and Loeffler, Markus and Meinke-Franze, Claudia and Michels, Karin B. and Mikolajczyk, Rafael and Obi, Nadia and Peters, Annette and Pischon, Tobias and Schipf, Sabine and Schmidt, Boerge and Voelzke, Henry and Waniek, Sabina and Wigmann, Claudia and Wirkner, Kerstin and Schmidt, Carsten Oliver and Kuehnisch, Jan and Rupf, Stefan (2020) Design and quality control of the oral health status examination in the German National Cohort (GNC). BUNDESGESUNDHEITSBLATT-GESUNDHEITSFORSCHUNG-GESUNDHEITSSCHUTZ, 63 (4). pp. 426-438. ISSN 1436-9990, 1437-1588

Full text not available from this repository. (Request a copy)

Abstract

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.

Item Type: Article
Uncontrolled Keywords: ATHEROSCLEROTIC VASCULAR-DISEASE; PARTIAL RECORDING PROTOCOLS; PERIODONTAL-DISEASE; ASSOCIATION; Epidemiology; Cohort study; Dentistry; German National Cohort (GNC)
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Institut für Epidemiologie und Präventivmedizin
Depositing User: Dr. Gernot Deinzer
Date Deposited: 29 Mar 2021 07:04
Last Modified: 29 Mar 2021 07:04
URI: https://pred.uni-regensburg.de/id/eprint/44856

Actions (login required)

View Item View Item