Diagnostic Accuracy of Self‐Reported Questionnaires for Detecting Periodontitis Across Multiple Cultures and Geographic Locations: A Systematic Review and Meta‐Analysis

作者：Mengning Bi, Yu Xie, Xiaoyu Yu, Hairui Li, Yuan Li, Maurizio S. Tonetti · 发表于：Journal Of Clinical Periodontology · 年份：2025 · DOI：10.1111/jcpe.70002 · 被引用次数：6 · 研究领域：Oral microbiology and periodontitis research、Dental Health and Care Utilization、Dental Research and COVID-19

OBJECTIVE: To evaluate self-reported questionnaires' intrinsic validity and diagnostic accuracy for detecting periodontitis across diverse cultural and geographic contexts. MATERIALS AND METHODS: Electronic searches were conducted in PubMed, Embase and the Cochrane Library until 4 March 2025. Studies included those using the Centers for Disease Control and Prevention and the American Academy of Periodontology (CDC/AAP) criteria or the 2017 World Workshop classifications as reference standards and reporting the diagnostic accuracy of self-reported questionnaire items. The validity of the eight-item questionnaire developed by the CDC/AAP was assessed by analysing the proportion of answers, and bias was evaluated using the QUADAS-2 tool. Owing to the limited number of studies using the 2017 World Workshop classifications, the quantitative synthesis was restricted to those using the CDC/AAP criteria. Sensitivity, specificity, diagnostic odds ratio (DOR) and 95% confidence intervals (CIs) were calculated for total periodontitis (including mild, moderate and severe cases), moderate-to-severe periodontitis and severe periodontitis. RESULTS: Totally, 23 studies (from 22 articles) were included in the systematic review, with 16 studies (from 15 articles) eligible for meta-analysis. The 'Don't know/Refused' option across the eight items of the CDC/AAP questionnaire ranged from 0% to 46.1%, indicating variable comprehension of certain items. Pooled sensitivity and specificity across the...