Shelswell, J.D., Kelly, B.M., Hodge, T.M. et al. (1 more author) (2024) Orthodontic treatment protocol versus Peer Assessment Rating: Assessing the quality of orthodontic treatment. Journal of Orthodontics. ISSN 1465-3125
Abstract
Objective:
To apply the Peer Assessment Rating (PAR) to cases that have been assessed by the NHS Business Service Authority (NHSBSA) using the orthodontic treatment protocol (OTO), then compare the NHSBSA outcome assessment with weighted (W) and unweighted (U) PAR scores.
Design:
Cross-sectional study.
Setting:
UK.
Cases:
Anonymised orthodontic cases submitted to the NHSBSA.
Methods:
A sample of 30 reports from 2021/2022 were randomly selected to include different standard of treatment grades. The records were de-identified and the pre- and post-treatment study models were PAR scored by a calibrated assessor.
Results:
The mean percentage change in PAR was higher in cases from green reports (W: 78%; U: 79%) than amber (W: 68%; U: 67%) and red reports (W: 65%; U: 65%). Alignment and poor buccal segment interdigitation were the most reported concerns for cases included in the red and amber graded reports. A residual increased overjet was the most common occlusal feature leading to PAR scores not being more than 70% improved. Only slight agreement was shown between OTP and PAR using the kappa statistic, and the chi-square statistical test found that outcome measures are statistically significantly different.
Conclusion:
There are fundamental differences between OTP and PAR, and general agreement between them has not been demonstrated. The NHSBSA Report provides a more critical outcome assessment than PAR, identifying elements that are not assessed or measured by the PAR index.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © The Author(s) 2024. This article is distributed under the terms of the Creative Commons Attribution 4.0 License (https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
Keywords: | epidemiology in orthodontics (including occlusal indices), health services and quality of life aspects, economics of orthodontic delivery systems, risk/benefit assessment |
Dates: |
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Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Dentistry (Leeds) > Orthodontics (Leeds) |
Depositing User: | Symplectic Publications |
Date Deposited: | 19 Sep 2024 10:38 |
Last Modified: | 19 Sep 2024 10:39 |
Published Version: | https://journals.sagepub.com/doi/10.1177/146531252... |
Status: | Published online |
Publisher: | SAGE Publications |
Identification Number: | 10.1177/14653125241268763 |
Related URLs: | |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:217379 |
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