Keller San, Bocell Fraser D, Mangrum Rikki, McLorg Alizée, Logan Dilani, Chen Allen L, Steen Andrew I, Woods Phillip, Weinberg Jessica, Royce Leah, Sansing-Foster Veronica, Tarver Michelle E
American Institutes for Research, Chapel Hill, NC, USA.
U.S. Food and Drug Administration, Silver Spring, MD, USA.
Oral Surg Oral Med Oral Pathol Oral Radiol. 2023 Jan;135(1):65-78. doi: 10.1016/j.oooo.2022.08.002. Epub 2022 Aug 11.
We used consensus-based, systematic protocols to evaluate the reliability and validity of patient-reported outcome measures (PROMs) for use in documenting treatment outcomes for temporomandibular disorders (TMDs).
Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, we conducted a focused search of 5 literature databases resulting in a yield of 445 articles that qualified for full-text review. Our review identified 124 PROMs, from which we selected 19 directly related to symptoms of TMD including temporomandibular joint (TMJ) function.
We abstracted data on 9 Consensus-based Standards of the selection of health Measurements INstruments (COSMIN) measurement properties and analyzed these data according to COSMIN criteria. Only 3 PROMs provided evidence for at least half of the COSMIN properties: Eight-item Jaw Function Limitations Scale, Oral Health Impact Profile (OHIP)-TMD (OHIP-TMD), and TMJ Ankylosis Specific Quality of Life Questionnaire. Only the OHIP-TMD provided evidence for properties essential to evaluating change over time: reliability, measurement error, and responsiveness.
We believe these results can alert clinical practitioners to gaps in our knowledge about the most widely used PROMs in TMD practice, and identify topics requiring further study for clinical researchers.
我们采用基于共识的系统方案，评估患者报告结局测量指标（PROMs）在记录颞下颌关节紊乱病（TMDs）治疗结局方面的可靠性和有效性。
按照系统评价和Meta分析的首选报告项目指南，我们对5个文献数据库进行了针对性检索，共获得445篇符合全文审查条件的文章。我们的综述确定了124个PROMs，从中选择了19个与TMD症状直接相关的指标，包括颞下颌关节（TMJ）功能。
我们提取了关于9项基于共识的健康测量工具选择标准（COSMIN）测量属性的数据，并根据COSMIN标准对这些数据进行了分析。只有3个PROMs为至少一半的COSMIN属性提供了证据：八项下颌功能受限量表、口腔健康影响程度量表（OHIP）-TMD（OHIP-TMD）和TMJ强直特定生活质量问卷。只有OHIP-TMD为评估随时间变化所必需的属性提供了证据：可靠性、测量误差和反应性。
我们认为这些结果可以提醒临床医生注意我们在TMD临床实践中对最广泛使用的PROMs认识上的差距，并为临床研究人员确定需要进一步研究的课题。
