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A COnsensus-based Standards for the selection of health Measurement INstruments systematic review of orthognathic patient-reported outcome measures

Lookup NU author(s): Dr Ryan KennyORCiD


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© 2023 American Association of OrthodontistsIntroduction: 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. Methods: 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. Results: 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. Conclusions: 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.

Publication metadata

Author(s): Nagar N, Wade N, Kenny RPW, Paul N, Rolland S, Germain P, Robson S

Publication type: Review

Publication status: Published

Journal: American Journal of Orthodontics and Dentofacial Orthopedics

Year: 2023

Volume: 164

Issue: 4

Pages: 476-490

Print publication date: 01/10/2023

Online publication date: 05/07/2023

Acceptance date: 01/06/2023

ISSN (print): 0889-5406

ISSN (electronic): 1097-6752

Publisher: Elsevier Inc.


DOI: 10.1016/j.ajodo.2023.06.007