Nagar Nathan, Wade Nicola, Kenny Ryan P W, Paul Ninu, Rolland Sarah, Germain Peter, Robson Sarah
Cumberland Infirmary, Carlisle, United Kingdom.
Cumberland Infirmary, Carlisle, United Kingdom.
Am J Orthod Dentofacial Orthop. 2023 Oct;164(4):476-490. doi: 10.1016/j.ajodo.2023.06.007. Epub 2023 Jul 5.
This systematic review aimed to identify and appraise the validity studies of patient-reported outcome measures (PROMs) reporting the outcomes of combined orthodontic-orthognathic surgery in treating dentofacial deformity.
The search strategy was conducted using the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) Systematic Review methodology. The following databases were searched for original studies outlining the development and/or validation of PROMs produced to measure the outcomes of combined orthognathic-orthodontic treatment: EMBASE, MEDLINE, PsycInfo and Scopus. Publications were limited to the English language. Eligibility criteria were applied when considering the studies. Primarily, the psychometric properties and quality of orthognathic-specific PROMs were investigated. Screening of eligible studies was conducted independently by 2 reviewers. Assessment of the methodological quality of the studies and data extraction was conducted by 1 reviewer and assisted by a second reviewer. The COSMIN methodology guided data extraction and analysis, which were divided into 3 stages-a synopsis of studies, evaluation of methodological quality, and summary of evidence.
A total of 8695 papers were found; 12 studies met the criteria for inclusion. Regarding the COSMIN Checklist for Assessing Study Qualities, there was evidence that the Orthognathic Quality of Life Questionnaire was the most extensively tested orthognathic-specific PROM in the current literature. The reported evidence was incomplete, as not all psychometric properties had been reliably tested.
Clinicians must use validated PROMs when analyzing patient-reported outcomes. The Orthognathic Quality of Life Questionnaire was shown to be the highest quality orthognathic-specific PROM in the literature but requires contemporary evaluation to suitably reflect the COSMIN guidance.
本系统评价旨在识别和评估患者报告结局测量指标（PROMs）的效度研究，这些指标报告了正畸 - 正颌联合手术治疗牙颌面畸形的结局。
采用基于共识的健康测量工具选择标准（COSMIN）系统评价方法进行检索策略。在以下数据库中搜索概述为测量正畸 - 正颌联合治疗结局而产生的PROMs的开发和/或验证的原始研究：EMBASE、MEDLINE、PsycInfo和Scopus。出版物限于英文。在考虑研究时应用纳入标准。主要研究正颌特异性PROMs的心理测量特性和质量。由2名评审员独立进行符合条件研究的筛选。由1名评审员进行研究方法质量评估和数据提取，并由第二名评审员协助。COSMIN方法指导数据提取和分析，分为3个阶段——研究概述、方法质量评估和证据总结。
共找到8695篇论文；12项研究符合纳入标准。关于评估研究质量的COSMIN清单，有证据表明正颌生活质量问卷是当前文献中测试最广泛的正颌特异性PROM。报告的证据不完整，因为并非所有心理测量特性都经过可靠测试。
临床医生在分析患者报告的结局时必须使用经过验证的PROMs。正颌生活质量问卷在文献中被证明是质量最高的正颌特异性PROM，但需要当代评估以适当反映COSMIN指南。
