Winiker Katharina, Gillman Anna, Guiu Hernandez Esther, Huckabee Maggie-Lee, Gozdzikowska Kristin
Department of Communication Disorders, University of Canterbury, Christchurch, New Zealand.
The University of Canterbury Rose Centre for Stroke Recovery and Research, Leinster Chambers, Level One, 249 Papanui Rd, Private Bag 4737, Christchurch, 8140, New Zealand.
Eur Arch Otorhinolaryngol. 2019 Mar;276(3):631-645. doi: 10.1007/s00405-018-5240-9. Epub 2018 Dec 13.
This systematic review appraises and summaries methodology documented in studies using high resolution pharyngeal manometry (HRM) with and without impedance technology (HRIM) in adult populations.
Four electronic databases CINAHL, EMBASE, MEDLINE, and Cochrane Library were searched up to, and including March 2017. Studies reporting pharyngeal HRM/HRIM for swallowing and/or phonatory assessment, published in peer-reviewed journals in English, German, or Spanish were assessed for the inclusion criteria. Of the selected studies, methodological aspects of data acquisition and analysis were extracted. Publications were graded based on their level of evidence and quality of methodological aspects was assessed.
Sixty-two articles were identified eligible, from which 50 studies reported the use of HRM and 12 studies used HRIM. Of all included manuscripts, the majority utilized the ManoScan™ system (64.5%), a catheter diameter of 4.2 mm was most prevalently documented (30.6%). Most publications reported the application of topical anesthesia (53.2%). For data analysis in studies using HRM, software intrinsic to the recording system was reported most frequently (56%). A minority of the studies using HRM provided data about measurement reliability (10%). This is higher for studies using HRIM (50%).
Considerable methodological variability exists regarding data acquisition and analysis in published studies using HRM/HRIM. Lacking reports of methodology make study replications difficult and reduce the comparability across studies. More data regarding the impact of individual methodological aspects on study outcomes are further required for the development of methodological recommendations.
本系统评价评估并总结了在成年人群中使用高分辨率咽测压法（HRM）以及联合或不联合阻抗技术（HRIM）的研究中所记录的方法。
检索了四个电子数据库CINAHL、EMBASE、MEDLINE和Cochrane图书馆，检索截止至2017年3月，包括该月。对发表在同行评审期刊上的、用英文、德文或西班牙文报道的关于吞咽和/或发声评估的咽HRM/HRIM研究进行纳入标准评估。从选定的研究中提取数据采集和分析的方法学方面。根据证据水平对出版物进行分级，并评估方法学方面的质量。
确定了62篇符合条件的文章，其中50项研究报告使用了HRM，12项研究使用了HRIM。在所有纳入的手稿中，大多数使用了ManoScan™ 系统（64.5%），最常见的导管直径记录为4.2毫米（30.6%）。大多数出版物报告了局部麻醉的应用（53.2%）。对于使用HRM的研究中的数据分析，记录系统固有的软件被报道得最为频繁（56%）。使用HRM的研究中少数提供了测量可靠性的数据（10%）。使用HRIM的研究这一比例更高（50%）。
在已发表的使用HRM/HRIM的研究中，数据采集和分析方面存在相当大的方法学差异。缺乏方法学报告使得研究难以重复，并降低了研究之间的可比性。为了制定方法学建议，还需要更多关于各个方法学方面对研究结果影响的数据。
