Patient-reported outcome measures for masticatory function in adults: a systematic review

Abstract

Objective The aim of this systematic review was to critically evaluate the Patient-Reported Outcome Measures (PROMs) for masticatory function in adults. Methods 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. Results 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. Conclusions 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).

Subjective and Objective Assessment of Chewing Performance in Older Adults with Different Dental Occlusion

“…Simpler, faster, and more hygienic method for the analysis of changes among chewed test food particle size is the computer-assisted image processing [ 7 , 8 , 9 ]. Subjective patient-reported outcome measures (PROMs), which are extremely important in evidence-based dentistry, include validated questionnaires or interviews for evaluation of a self-perceived masticatory function from the patient's perspective, some of them taking into account only the domain of chewing, while others include social and psychological factors [ 10 , 11 ]. Some studies have reported correlations between objective assessment and self-assessment of masticatory function [ 12 ], but others have not [ 13 ].…”

Patient-reported measures outcomes: modern evaluation of oral health

“…Measuring PROs allows for a patient-centered approach to dental care, where treatment success is defined by the patient’s perspective. Current research highlights the importance of using validated instruments and questionnaires [ 3 , 7 ].…”