Evidence map›Paper›PMID 41070537›Full record

ArticleJournal of oral & facial pain and headache2025

High diagnostic accuracy of chronic facial pain conditions via remote consultation.

Tathyane H N Teshima, Roddy S McMillan

Abstract read
In one paragraph

Article in Journal of oral & facial pain and headache, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

2 authors.

Tathyane H N TeshimaDepartment of Oral Medicine, UCL Eastman Dental Institute, WC1E 6DE London, UK.
Roddy S McMillanDepartment of Oral Medicine, UCL Eastman Dental Institute, WC1E 6DE London, UK.

Funding

Health Education England (HEE)/National Institute for Health Research (NIHR) CL-2019-18-009
6 · The paper itself

Abstract

backgroundThis study aims to evaluate the diagnostic accuracy of chronic facial pain conditions through telephone consultations.

methodsRetrospective cross-sectional service evaluation of diagnosis during remote against face-to-face consultations were compared, based on international classification of orofacial pain. Clinical data from consecutive new patients were assessed from March-May 2020 at University College London Hospitals (UCLH)-Eastman Dental Hospital, UK, reviewed independently by two specialists. Exclusion criteria included non-English speakers, patients unable to engage in consultation, unrelated pain diagnoses at assessment and inadequate documentation. Accuracy test of sensitivity, specificity and predictive values were employed.

resultsA total of 93 patients were included, and 6 orofacial pain diagnoses met. Nearly 25% had at least one imaging test, however none demonstrated underlying cause or change of diagnosis. Overall diagnostic accuracy was 97.85% with 100% sensitivity and specificity with perfect inter-rater agreement (kappa = 1). Only persistent idiopathic facial pain and post-traumatic neuropathic pain had reduced accuracy (98.9%) and positive predictive value (75% and 50% respectively), being 100% for all other conditions.

conclusionsThis study showed high diagnostic accuracy for diagnosing facial pain remotely, corroborating previous reports. Further investigations and physical examinations have not changed the diagnosis or management plan. This study evidenced that remote structured consultations represent a safe strategy for accurate facial pain diagnosis that may improve clinical efficiency.

Indexed as

Chronic PainFacial PainRemote ConsultationAdultAgedCross-Sectional StudiesFemaleHumansMaleMiddle AgedRetrospective StudiesSensitivity and SpecificityDiagnosisFacial painSensitivityTelephone consultation

Identifiers

PMID41070537
PMCPMC12520444

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