Synthesis of temporomandibular disorders management intervention outcomes for development of core outcome sets: A systematic review

N R Ferreira; C M Marto; B M de Sousa; M Loureiro; A T Oliveira; M F DosSantos; M J Rodrigues

doi:10.1111/joor.13692

Synthesis of temporomandibular disorders management intervention outcomes for development of core outcome sets: A systematic review

J Oral Rehabil. 2024 Apr 4. doi: 10.1111/joor.13692. Online ahead of print.

Authors

N R Ferreira¹, C M Marto^{2

3

4

5

6}, B M de Sousa¹, M Loureiro¹, A T Oliveira⁷, M F DosSantos^{7

8}, M J Rodrigues¹

Affiliations

¹ Faculty of Medicine, Institute of Occlusion and Orofacial Pain, University of Coimbra, Coimbra, Portugal.
² Faculty of Medicine, Institute of Experimental Pathology, University of Coimbra, Coimbra, Portugal.
³ Faculty of Medicine, Institute of Integrated Clinical Practice, University of Coimbra, Coimbra, Portugal.
⁴ Coimbra Institute for Clinical and Biomedical Research (iCBR), Area of Environment Genetics and Oncobiology (CIMAGO), University of Coimbra, Coimbra, Portugal.
⁵ Center for Innovative Biomedicine and Biotechnology (CIBB), University of Coimbra, Coimbra, Portugal.
⁶ Clinical Academic Center of Coimbra, CACC, Coimbra, Portugal.
⁷ Postgraduate Program in Radiology, Faculty of Medicine, Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro, Brazil.
⁸ Laboratory of Mechanical Properties and Cell Biology (PropBio) School of Dentistry, Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro, Brazil.

PMID: 38572886
DOI: 10.1111/joor.13692

Abstract

Introduction: The selection of appropriate outcomes in clinical trials and systematic reviews is a crucial factor in determining the results that are useful, reliable, and relevant for both patients and healthcare professionals. Clinicians and researchers have been encouraged to develop and apply core outcome sets (COS) to minimise the discrepancy between studies.

Aim: This systematic review is the first phase of the COS development project for clinical trials in temporomandibular disorders (COS-TMD). It aims to identify and synthesise the outcomes used in the randomised controlled trials (RCT) that evaluated the effectiveness of interventions used in TMD management.

Materials and methods: An electronic search was performed in several databases: MEDLINE (via PubMed), Scopus, Web of Science, Cochrane Library and EMBASE. The eligibility criteria comprised RCT that applied any intervention to treat temporomandibular joint disorders or masticatory muscle disorders. The identified outcomes were categorised according to domains of the Initiative on Methods, Measurement and Pain Assessment in Clinical Trials (IMMPACT).

Results: The electronic search resulted in 1606 studies. After removing duplicates and applying the eligibility criteria, 106 RCT were included. A total of 43 studies evaluated masticatory muscle disorders, 27 evaluated temporomandibular joint disorders, and 36 analysed mixed TMD.

Conclusions: The evaluation showed significant variability in the types of outcomes and their measurement instruments. In addition, some domains such as physical and emotional functioning, participant ratings of global improvement and adverse events have been neglected when determining the effectiveness of treatments for TMD.

Keywords: TMJ disorders; core outcome sets; randomized controlled trials; systematic review; temporomandibular disorders.

Publication types

Review