Evidence map›Paper›PMID 38970385›Full record

SynthesisDento maxillo facial radiology2024

Influence of examiner calibration on clinical and MRI diagnosis of temporomandibular joint disc displacement: a systematic review and meta-analysis.

Lucas Machado Maracci, Gleica Dal Ongaro Savegnago, Raquel Pippi Antoniazzi, Mariana Marquezan, Tatiana Bernardon Silva, Gabriela Salatino Liedke

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Dento maxillo facial radiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Lucas Machado MaracciDental Sciences Post-Graduation Program, Federal University of Santa Maria, Santa Maria, 97105-900, Brazil.ORCID 0000-0003-4668-8130
Gleica Dal Ongaro SavegnagoDental Sciences Post-Graduation Program, Federal University of Santa Maria, Santa Maria, 97105-900, Brazil.ORCID 0000-0002-5972-0876
Raquel Pippi AntoniazziDental Sciences Post-Graduation Program, Department of Stomatology, Federal University of Santa Maria, Santa Maria, 97105-900, Brazil.ORCID 0000-0003-0282-6896
Mariana MarquezanDental Sciences Post-Graduation Program, Department of Stomatology, Federal University of Santa Maria, Santa Maria, 97105-900, Brazil.ORCID 0000-0001-6078-5194
Tatiana Bernardon SilvaDepartment of Restorative Dentistry, Federal University of Santa Maria, Santa Maria, 97105-900, Brazil.ORCID 0000-0001-7280-5068
Gabriela Salatino LiedkeDental Sciences Post-Graduation Program, Department of Stomatology, Federal University of Santa Maria, Santa Maria, 97105-900, Brazil.ORCID 0000-0002-0967-9617

Funding

Coordination for Funding and Support of Tertiary Education 88887.722621/2022-00Coordination for Funding and Support of Tertiary Education 88887.722713/2022-00
6 · The paper itself

Abstract

objectivesThis study aimed to verify the accuracy of clinical protocols for the diagnosis of disc displacement (DD) compared with MRI, considering examiners' calibration.

methodsPubMed, Cochrane (Central), Scopus, Web of Science, LILACS, Embase, Science Direct, Google Scholar, and DANS EASY Archive databases were searched. Two reviewers independently screened and selected the studies. A meta-analysis was conducted using the R Statistical software. Results are shown using sensitivity and specificity, and 95% confidence intervals.

resultsOf the 20 studies included in the systematic review, only three were classified as low risk of bias. Seventeen studies were included in the meta-analysis. Compared to MRI, clinical protocols showed overall sensitivity and specificity of 0.75 (0.63-0.83) and 0.73 (0.59-0.84) for DD diagnosis, respectively. For DD with reduction, sensitivity was 0.64 (0.48-0.77) and specificity was 0.72 (0.48-0.87). For DD without reduction, sensitivity was 0.58 (0.39-0.74) and specificity 0.93 (0.83-0.97). Only 8 studies reported examiner calibration when performing clinical and/or MRI evaluation; nevertheless, calibration showed a tendency to improve the diagnosis of DD.

conclusionThe sensitivity and specificity of clinical protocols in the diagnosis of DD are slightly below the recommended values, as well as the studies lack calibration of clinical and MRI examiners. Examiner calibration seems to improve the diagnosis of DD.

Indexed as

Joint DislocationsMagnetic Resonance ImagingTemporomandibular Joint DiscTemporomandibular Joint DisordersCalibrationHumansSensitivity and Specificityclinical protocolsMRItemporomandibular joint disctemporomandibular joint disorders

Identifiers

PMID38970385
PMCPMC11358637

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.