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Bader JD, Shugars DA, Rozier G, et al. Diagnosis and Management of Dental Caries. Rockville (MD): Agency for Healthcare Research and Quality (US); 2001 Jun. (Evidence Reports/Technology Assessments, No. 36.)
This publication is provided for historical reference only and the information may be out of date.
Data Abstraction Form-Common Data for NCL Studies
Administrative Information
- abstractor:____________________
- date:_________________________
- abbreviated study citation: ________________________________________________________
first author journal abbr. year volume pages
Study Information
- study design: RCT non-randomized CT case-control prospective cohort
retrospective cohort other__________________________________________________ (circle one) - duration of evaluation period: ______months
- country: __________________________________
- site type(s): rural (<5,000) town (5,000-20,000) city (20,001-100,000) urban area (<100,000)
- intervention(s): fluoride rinse/gel fluoride varnish chlorhexidine rinse/gel (circle all that apply)
chlorhexidine varnish sealant other___________________________________
combination 1 ______________________________________________________
combination 2 ______________________________________________________ - blinding: examiners blind subjects blind both blind no blinding/unknown
- treatment assignment method: random-intra individual paired lesions random-individual
random-group non-random group other ____________________
Sample Information
- description of population sampled: ___________________________________________________
- subject sample selection: random systematic cluster convenience specific criteria unknown
(If specific criteria, describe)_______________________________________________________________ - subject age: mean:____________ range: _________
- exclusion criteria: ________________________________________________________________
- response rate: ___________% unknown
- sample size:
_____number of subjects involved
_____number of lesions included (including control lesions) - background prevention exposure water fluoridation school rinsing school brushing
school/community education other________________________
combination __________________________________________
Examiner Information
- number of examiners: ____
- examiner professional training: DDS DH other unknown (circle one)
- examiner(s) had previous experience in diagnostic task: yes no unknown (circle one)
- examiner(s) received: training calibration standardization for this study? yes no unknown
Analysis Information
- type of analysis: intention to treat all at final exam only full participants
- exclusion from analysis criteria: _____________________________________________________
- compliance estimate for those included in analysis: _________% unknown
Lesions Information
- tooth type: permanent primary both
- tooth location: posterior anterior both
- tooth surfaces: occlusal occlusal+ pit/fissures proximal root other____________________
- initial precavitated lesion designation:
detection method: radiograph visual tactile other _____________ (circle all that apply)
criteria: ___________________________________________________________________ - change in precavitated lesion
assessment method: radiograph visual tactile other _____________ (circle all that apply)
criteria for arrested/no change: ________________________________________________
criteria for reversed:_________________________________________________________
criteria for progressed:_______________________________________________________
Data Collection Form -- Intervention for NCL Studies
Control Information
- control intervention: nil placebo "active" _____________________(conc___________)
Varnish Information
- varnish type: fluoride (conc_____) chlorhexidine (conc_____)
both (fl conc__________) (ch conc____________) - brand name: _____________________
- varnish vehicle: ________________________________________________________________
- application method:______________________________________________________________
- application pattern/frequency: _____________________________________________________
- application personnel: DDS DH other_________________
Gel/Rinse Information
- gel/rinse type: fluoride (conc_____) chlorhexidine (conc_____)
both (fl conc__________) (ch conc____________) - brand name: __________________________
- delivery method:
gel: custom tray stock tray brushing other____________________________________
rinse: swish and swallow swish and spit other_________________________________ - application time: _________minutes
- application pattern/frequency: ____________________________________________________
- application personnel: DDS DH other_________________
Sealant Information
- brand/type: _______________________________
- application personnel:
background: DDS DH other______________
previous experience: yes no unknown
training for this intervention: yes no unknown - repair/replacement procedure: none as needed unknown other ___________________________
Other Intervention
- describe: _________________________________________________________________________
Data Abstraction Form -- Results for NCL Studies
- intra-examiner reliability: ________ not reported (fill in mean percent, kappa score, or ICC, or circle not reported)
- inter-examiner reliability: : ________ not reported (fill in percent, kappa score, or ICC, or circle not reported)
- subject attrition (percent lost from initial sample):
experimental ______%
control ___________%
statistical test:_________________ value_______ p value_______ - percent sites arrested/no change:
experimental ______%
control ___________%
statistical test:_________________ value_______ p value_______ - percent sites reversed:
experimental ______%
control ___________%
statistical test:_________________ value_______ p value_______ - percent sites progressed: experimental ______%
control ___________%
statistical test:_________________ value_______ p value_______ - adverse reactions/harms: none __________________________________________________
Data Abstraction Form-Common Data for Diagnostic Studies
Administrative Information
- abstractor:____________________
- date:_________________________
- Abbreviated study citation: ________________________________________________________
first author journal abbr. year volume pages
Study Type
- setting: in vivo in vitro (circle one)
- general description of diagnostic method(s) evaluated:
Validation Information
- method: microscopy stereomicroscopy microradiography visual other_____ (circle one)
- validation reliability: ________ not reported (fill in %, kappa, or ICC score, or circle not reported)
- validation criteria for caries: into enamel to DEJ into dentin cavitation other ___________
Sample Information
- population sampled, if known (age, etc)______________________________________________
- sample selection: random systematic cluster convenience specific criteria unknown (circle one)
(If specific criteria, describe)____________________________________________________________ - sample size:
_____number of teeth included
Data Abstraction Form-Data for Radiographic Method
Radiographic Methods Information
- film/screen type: D E CCD SPS other_________ unknown (circle one)
- projection: bitewing periapical other__________unknown (circle one)
Criteria
- general diagnostic criteria set cited ________________________________
- extent of caries to be identified: into enamel to DEJ into dentin cavitation other ___________
- special instructions to examiners :
Examiners
- number of examiners (observers): ____
- examiner professional training: DDS DH other unknown (circle one)
- examiner(s) had previous experience in diagnostic task yes no unknown (circle one)
- examiner(s) received: training calibration standardization for this study? yes no unknown
(circle one, if yes, circle applicable activity)
Site Description
- tooth type: permanent primary (circle one, if both are included, abstract results separately)
- tooth location: posterior anterior (circle one, if both are included, abstract results separately)
- tooth surfaces:
trial A: N=___ Surfaces: occlusal occlusal+ pit/fissures, proximal root other________
trial B: N=___ Surfaces: occlusal occlusal+ pit/fissures, proximal root other________
trial C: N=___ Surfaces: occlusal occlusal+ pit/fissures, proximal root other________ - caries prevalence in sample (as determined by the validation method. Express in units used in the analysis, i.e., percent of surfaces examined. Report for level of caries being identified)
trial A: _____ unreported
trial B: _____ unreported
trial C: _____ unreported
Results
- intra-examiner reliability: ________ not reported (fill in mean percent or kappa score, or circle not reported)
- inter-examiner reliability: : ________ not reported (fill in percent or kappa score, or circle not reported)
- mean (across examiners) sensitivity:
trial A: _____
trial B: _____
trial C: _____ - mean (across examiners) specificity:
trial A: _____
trial B: _____
trial C: _____ - adverse reactions/harms: none __________________________________________________
Data Abstraction Form-Data for Conductance Method
Instrument
- machine: Vanguard ECM I ECM II Caries Meter L other_________ (circle one)
Criteria
- extent of caries to be identified: into enamel to DEJ into dentin cavitation other ___________
- general approach to setting criteria for classification: ________________________________
- special instructions to examiners :
Examiners
- number of examiners (observers): ____
- examiner professional training: DDS DH other unknown (circle one)
- examiner(s) had previous experience in diagnostic task yes no unknown (circle one)
- examiner(s) received: training calibration standardization for this study? yes no unknown (circle one, if yes, circle applicable activity)
Site Description
- tooth type: permanent primary (circle one, if both are included, abstract results separately)
- tooth location: posterior anterior (circle one, if both are included, abstract results separately)
- tooth surfaces:
trial A: N=___ Surfaces: occlusal occlusal+ pit/fissures, proximal root other________
trial B: N=___ Surfaces: occlusal occlusal+ pit/fissures, proximal root other________
trial C: N=___ Surfaces: occlusal occlusal+ pit/fissures, proximal root other________ - caries prevalence in sample (as determined by the validation method. Express in units used in the analysis, i.e., percent of surfaces examined. Report for level of caries being identified)
trial A: _____ unreported
trial B: _____ unreported
trial C: _____ unreported
Results
- intra-examiner reliability: ________ not reported (fill in mean percent or kappa score, or circle not reported
- inter-examiner reliability: : ________ not reported (fill in percent or kappa score, or circle not reported)
- mean (across examiners) sensitivity:
trial A: _____
trial B: _____
trial C: _____ - mean (across examiners) specificity:
trial A: _____
trial B: _____
trial C: _____ - adverse reactions/harms: none __________________________________________________
Data Abstraction Form-Data for Visual-Tactile Method
General Method
- probe used: yes no (circle one)
- probe description:
Criteria
- general diagnostic criteria set cited ________________________________
- extent of caries to be identified: into enamel to DEJ into dentin cavitation other ___________
- special instructions to examiners :
Examiners
- number of examiners (observers): ____
- examiner professional training: DDS DH other unknown (circle one)
- examiner(s) had previous experience in diagnostic task yes no unknown (circle one)
- examiner(s) received: training calibration standardization for this study? yes no unknown (circle one, if yes, circle applicable activity)
Site Description
- tooth type: permanent primary (circle one, if both are included, abstract results separately)
- tooth location: posterior anterior (circle one, if both are included, abstract results separately)
- tooth surfaces:
trial A: N=___ Surfaces: occlusal occlusal+ pit/fissures, proximal root other________
trial B: N=___ Surfaces: occlusal occlusal+ pit/fissures, proximal root other________
trial C: N=___ Surfaces: occlusal occlusal+ pit/fissures proximal root other________ - caries prevalence in sample (as determined by the validation method. Express in units used in the analysis, i.e., percent of surfaces examined. Report for level of caries being identified)
trial A: _____ unreported
trial B: _____ unreported
trial C: _____ unreported
Results
- intra-examiner reliability: ________ not reported (fill in mean percent or kappa score, or circle not reported)
- inter-examiner reliability: : ________ not reported (fill in percent or kappa score, or circle not reported)
- mean (across examiners) sensitivity:
trial A: _____
trial B: _____
trial C: _____ - mean (across examiners) specificity:
trial A: _____
trial B: _____
trial C: _____ - adverse reactions/harms: none __________________________________________________
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