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Accuracy of the Swedish quality registry for caries and periodontal diseases (SKaPa) – evaluation in 6- and 12-year-olds in the region of Värmland, Sweden
Malmö University, Faculty of Odontology (OD). Clinic of Paediatric Dentistry, Region Värmland, Karlstad, Sweden.ORCID iD: 0000-0001-7780-091X
Malmö University, Faculty of Odontology (OD).ORCID iD: 0000-0002-5248-9202
Forsknings- och utvecklingsavdelningen, Folktandvården Stockholms län AB, Stockholm, Sweden.ORCID iD: 0000-0002-3259-2763
Malmö University, Faculty of Odontology (OD). Faculty of OdonSBU Assesses and Knowledge gaps, Swedish Agency for Health Technology Assessment and Assessment of Social Services, Stockholm, Sweden.ORCID iD: 0000-0003-2597-1025
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2023 (English)In: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 81, no 8, p. 615-621Article in journal (Refereed) Published
Abstract [en]

Objectives This study evaluates the agreement of data on dental caries between electronic dental records and data retrieved from the national SKaPa-registry (Swedish Quality Registry for caries and periodontal disease), with special reference to e/M in deft/DMFT.

Methods In a random sample of 500 6- and 12-year-old children having received dental care in 2014 in the county region of Värmland, Sweden, the diagnostic accuracy of data in electronic dental records with corresponding data obtained from the SKaPa-registry was compared by using Cohen’s Kappa and Intraclass correlation coefficient (ICC).

Results For dft/DFT the Kappa was 0.95, and ICC 0.98 (total population). For deft/DMFT in the total population the Kappa was 0.80 and ICC 0.96. For 6-year-olds (deft) the Kappa was 0.89 and ICC 0.99 and for 12-year-olds (DMFT) the Kappa was 0.70, and ICC 0.83. The corresponding figures for Kappa and ICC when excluding individuals without caries (deft/DMFT = 0) were: Total population 0.63 and 0.94; 6-year-olds 0.79 and 0.99; 12-year-olds 0.42 and 0.68.

Conclusion Agreement between data in the dental records and SKaPa was very high for dft/DFT confirming that transfer from the dental records to the SKaPa-registry is safe and correct. As the accuracy of deft/DMFT was considerably lower than for dft/DFT we advise against using deft/DMFT data from SKaPa for research purposes at this point.

Place, publisher, year, edition, pages
Taylor & Francis, 2023. Vol. 81, no 8, p. 615-621
Keywords [en]
data accuracy, registries, child, dental caries
National Category
Dentistry
Identifiers
URN: urn:nbn:se:mau:diva-61741DOI: 10.1080/00016357.2023.2235422ISI: 001032787700001PubMedID: 37470405Scopus ID: 2-s2.0-85165443093OAI: oai:DiVA.org:mau-61741DiVA, id: diva2:1784295
Funder
Region VärmlandAvailable from: 2023-07-26 Created: 2023-07-26 Last updated: 2024-04-08Bibliographically approved
In thesis
1. Dental health and dental care in children in out-of-home care
Open this publication in new window or tab >>Dental health and dental care in children in out-of-home care
2023 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

More than 26,000 children and young people are placed in out-of-home care in Sweden every year. Several studies show that children placed in out of home care have poorer health during childhood and are generally in poorer physical condition later in life. The overall aim of this thesis was to study dental health and dental care in children in out-of-home care (OHC), through registry-based research. Paper I was a registry-based study of dental health care utilisation among young adults who as children had been placed in societal out-of-home care. These young adults had more emergency dental visits and more extractions and fewer regular scheduled dental check-ups than their peers who had never experienced OHC.

Paper II was a systematic review/HTA to evaluate organisational models intended to ensure that children and young people in out-of-home care will receive health and dental care. We were unable to identify any study, of low or medium risk of bias, which examined the effects of organisational models on provision of health and dental care for children and young people in foster care and in institutions.

Papers III and IV were validation studies of the Swedish Quality Registry for Caries and Periodontal Diseases (SKaPa), undertaken to determine the accuracy of the registry and whether it was appropriate for application in the next study (Paper V) and for other research purposes. For dft/DFT, the validation studies showed high agreement between the data in the patient records and the SKaPa registry. However, e/M in deft/DMFT was shown to be uncertain.

Paper V was a registry-based study linking different registries, to investigate dental health and dental care in children in OHC. This study showed that children in OHC have more caries and undergo fewer dental health assessments than those who have never been placed in OHC. There was a difference in dental health examinations before and after the year 2017, with higher frequencies of assessments after the legislative amendment in 2017. However, differences remain.

Place, publisher, year, edition, pages
Malmö: Malmö University Press, 2023. p. 88
Series
Malmö University Odontological Dissertations, ISSN 1650-6065Doctoral Dissertation in Odontology
National Category
Dentistry
Identifiers
urn:nbn:se:mau:diva-63687 (URN)10.24834/isbn.9789178774012 (DOI)978-91-7877-400-5 (ISBN)978-91-7877-401-2 (ISBN)
Public defence
2023-12-14, Faculty of Odontology, Malmö University, Aulan (KL:2370), Smedjeg. 16, Malmö, 09:15 (English)
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Supervisors
Note

Paper V in dissertation as manuscript

Available from: 2023-11-14 Created: 2023-11-14 Last updated: 2024-02-29Bibliographically approved

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Kirkinen, TitaNaimi-Akbar, AronCederlund, AndreasTranæus, SofiaKlingberg, Gunilla

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