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Systematic review of measurement properties of methods for objectively assessing masticatory performance

机译：系统评估客观评估咀嚼性能的方法的测量属性

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The objectives of this study is to identify methods for objectively assessing masticatory performance (MP) and to evaluate their measurement properties. A secondary objective was to identify any reported adverse events associated with the methods to assess MP. Bibliographic databases were searched, including MEDLINE, Embase, Web of Science Core Collection, Cochrane, and Cinahl databases. Eligible papers that satisfied predefined inclusion and exclusion criteria were appraised independently by two investigators. Four other investigators independently appraised any measurement properties of the assessment method according to the consensus‐based standards for the selection of health measurement instruments checklist. The qualities of the measurement properties were evaluated using predefined criteria. The level of evidence was rated by using data synthesis for each MP assessment method, where the rating was a product of methodological quality and measurement properties quality. All studies were quality assessed separately, initially, and subsequently for each method. Studies that described the use of identical assessment method received an individual score, and the pooled sum score resulted in an overall evidence synthesis. The level of evidence was synthesized across studies with an overall conclusion, that is, unknown, conflicting, limited, moderate, or strong evidence. Forty‐six out of 9,908 articles were appraised, and the assessment methods were categorized as comminution (n = 21), mixing ability (n = 23), or other methods (n = 2). Different measurement properties were identified, in decreasing order construct validity (n = 30), reliability (n = 22), measurement error (n = 9), criterion validity (n = 6), and responsiveness (n = 4). No adverse events associated with any assessment methods were reported. In a clinical setting or as a diagnostic method, there are no gold standard methods for assessing MP with a strong level of evidence for all measurement properties. All available assessment methods with variable level of evidence require lab‐intensive equipment, such as sieves or digital image software. Clinical trials with sufficient sample size, to infer trueness and precision, are needed for evaluating diagnostic values of available methods for assessing masticatory performance.
机译：这项研究的目的是确定客观评估咀嚼性能（MP）并评估其测量特性的方法。次要目标是确定与MP评估方法相关的任何不良事件。搜索书目数据库，包括MEDLINE，Embase，Web of Science核心合集，Cochrane和Cinahl数据库。满足预定义纳入和排除标准的合格论文由两名研究者独立评估。其他四名研究人员根据用于选择健康测量仪器清单的基于共识的标准，独立评估了评估方法的任何测量属性。使用预定义的标准评估测量属性的质量。通过对每种MP评估方法使用数据综合来对证据级别进行评级，其中评级是方法学质量和测量属性质量的乘积。每种方法的最初和随后均对所有研究进行了质量评估。描述使用相同评估方法的研究获得了单独的评分，汇总总和评分导致了整体证据的综合。证据水平是在各个研究中综合得出的总体结论，即未知，矛盾，有限，中等或强有力的证据。对9,908篇文章中的46篇进行了评估，评估方法分为粉碎（n = 21），混合能力（n = 23）或其他方法（n = 2）。确定了不同的测量属性，以降序构造有效性（n = 30），可靠性（n = 22），测量误差（n = 9），标准有效性（n = 6）和响应度（n = 4）。没有报告与任何评估方法相关的不良事件。在临床环境中或作为诊断方法，目前尚无用于评估MP的金标准方法，该方法对所有测量特性都有很强的证据。所有可用的证据水平可变的评估方法都需要实验室密集型设备，例如筛子或数字图像软件。需要有足够样本量的临床试验来推断真实性和准确性，以评估可用于评估咀嚼性能的方法的诊断价值。

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