Faculty of Dentistry, The University of Hong Kong, 1/F, Prince Philip Dental Hospital, 34 Hospital Road, Sai Ying Pun, Hong Kong, China.
BMC Oral Health. 2021 Nov 23;21(1):603. doi: 10.1186/s12903-021-01949-7.
The aim of this systematic review was to critically evaluate the Patient-Reported Outcome Measures (PROMs) for masticatory function in adults.
Five electronic databases (Medline, Embase, Web of Science Core Collection, CINAHL Plus and APA PsycINFO) were searched up to March 2021. Studies reporting development or validation of PROMs for masticatory function on adults were identified. Methodological quality of the included studies was evaluated using the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) risk of bias checklist. Psychometric properties of the PROM in each included study were rated against the criteria for good measurement properties based on the COSMIN guideline.
Twenty-three studies investigating 19 PROMs were included. Methodological qualities of these studies were diverse. Four types of PROMs were identified: questions using food items to assess masticatory function (13 PROMs), questions on chewing problems (3 PROMs), questions using both food items and chewing problems (2 PROMs) and a global question (1 PROM). Only a few of these PROMs, namely chewing function questionnaire-Chinese, Croatian or Albanian, food intake questionnaire-Japanese, new food intake questionnaire-Japanese, screening for masticatory disorders in older adults and perceived difficulty of chewing-Tanzania demonstrated high or moderate level of evidence in several psychometric properties.
Currently, there is no PROM for masticatory function in adults with high-level evidence for all psychometric properties. There are variations in the psychometric properties among the different reported PROMs. Trial Registration PROSPERO (CRD42020171591).
本系统评价旨在批判性地评估成人咀嚼功能的患者报告结局测量（PROMs）。
检索了 5 个电子数据库（Medline、Embase、Web of Science Core Collection、CINAHL Plus 和 APA PsycINFO），截至 2021 年 3 月。确定了报告成人咀嚼功能 PROM 开发或验证的研究。使用共识基于标准选择健康测量工具（COSMIN）偏倚风险检查表评估纳入研究的方法学质量。根据 COSMIN 指南，针对良好测量特性的标准，对每个纳入研究中的 PROM 的心理测量特性进行评分。
共纳入 23 项研究，涉及 19 种 PROM。这些研究的方法学质量参差不齐。确定了 4 种类型的 PROM：使用食物项目评估咀嚼功能的问题（13 种 PROM）、咀嚼问题的问题（3 种 PROM）、同时使用食物项目和咀嚼问题的问题（2 种 PROM）和一个整体问题（1 种 PROM）。只有少数几种 PROM，即咀嚼功能问卷-中文、克罗地亚语或阿尔巴尼亚语、食物摄入问卷-日语、新食物摄入问卷-日语、老年人咀嚼障碍筛查和坦桑尼亚咀嚼困难感知度，在几个心理测量特性方面具有高水平或中等水平的证据。
目前，尚无具有所有心理测量特性的高水平证据的成人咀嚼功能的 PROM。不同报告的 PROM 之间的心理测量特性存在差异。试验注册 PROSPERO（CRD42020171591）。
