The influence of diagnostic information format on orthodontic treatment planning : a feasibility study
type: CreativeWork
description: Aims: The aims of this feasibility study were to assess intra-observer reproducibility of treatment plans when developed from clinical examination, hard copy records and digital records. Inter-observer reproducibility of treatment plans was also assessed when using hard copy and digital records. The aim was also to assess subject satisfaction with the conventional consultation system and to identify any differences of opinion between urban and rural subjects in the use of digital records for new patient consultations. Materials and Methods: Twenty-seven subjects attended orthodontic consultations where two of four observers assessed them clinically and developed a treatment plan. Also at this consultation, records were taken enabling the construction of hard copy and digital records. Subjects were also asked to complete a questionnaire regarding their satisfaction with the consultation and perceived benefits of teleorthodontics. Following a one month wash out period all observers were asked to develop treatment plans for every subject using hard copy records, then repeated after a further month using digital records. Results and Conclusions: Cohen’s kappa coefficient was used to show intra-observer reproducibility for clinical vs hard copy, hard copy vs digital and clinical vs digital treatment plans. Observer 1 showed good levels of agreement (?=0.686, 0.692, 0.633). Observer 2 showed good levels of agreement when comparing clinical with hard copy records and hard copy with digital records, but only fair levels of agreement when comparing clinical and digital records (?=0.681, 0.637, 0.362). Observer 3 showed fair agreement when comparing clinical and hard copy records and hard copy with digital records, but poor agreement between clinical and digital records(?=0.317, 0.326, 0.153). Observer 4 showed moderate agreement for each comparison of diagnostic record format (?=0.543, 0.498, 0.592). Inter-observer agreement using hard copy records was moderate and using dig…
abstract: Aims: The aims of this feasibility study were to assess intra-observer reproducibility of treatment plans when developed from clinical examination, hard copy records and digital records. Inter-observer reproducibility of treatment plans was also assessed when using hard copy and digital records. The aim was also to assess subject satisfaction with the conventional consultation system and to identify any differences of opinion between urban and rural subjects in the use of digital records for new patient consultations. Materials and Methods: Twenty-seven subjects attended orthodontic consultations where two of four observers assessed them clinically and developed a treatment plan. Also at this consultation, records were taken enabling the construction of hard copy and digital records. Subjects were also asked to complete a questionnaire regarding their satisfaction with the consultation and perceived benefits of teleorthodontics. Following a one month wash out period all observers were asked to develop treatment plans for every subject using hard copy records, then repeated after a further month using digital records. Results and Conclusions: Cohen’s kappa coefficient was used to show intra-observer reproducibility for clinical vs hard copy, hard copy vs digital and clinical vs digital treatment plans. Observer 1 showed good levels of agreement (?=0.686, 0.692, 0.633). Observer 2 showed good levels of agreement when comparing clinical with hard copy records and hard copy with digital records, but only fair levels of agreement when comparing clinical and digital records (?=0.681, 0.637, 0.362). Observer 3 showed fair agreement when comparing clinical and hard copy records and hard copy with digital records, but poor agreement between clinical and digital records(?=0.317, 0.326, 0.153). Observer 4 showed moderate agreement for each comparison of diagnostic record format (?=0.543, 0.498, 0.592). Inter-observer agreement using hard copy records was moderate and using dig…
author: Dunbar, A. Craig
language: eng
date published: 2013
date modified: 2026-07-24T02:07:46Z
provider: University of Dundee
publisher: Networked Digital Library of Theses and Dissertations
type: WebPage
source organization: University of Dundee