Systematic Review Protocol

Transcrição

1 Systematic Review Protocol Title: Effect of Temporomandibular Disorder Therapy on Otologic Signs and Symptoms: a Systematic Review Keywords: Otologic signs and symptoms; temporomandibular joint disorders; systematic review. Actual start date/ Anticipated completion date: From: March, To: August, Funding: The second author will be supported by the Foundation of Research Support of the State of São Paulo - FAPESP (Number 2013/ ). Conflict of interest: None 1

2 Research Team members and contact information: Name Affiliation First author José Stechman Neto Faculdade de Ciências Biológicas e da Saúde Universidade Tuiuti do Paraná jose.stechmann@utp.br Second reviewer André Luís Porporatti Faculdade de Odontologia de Bauru Universidade de São Paulo andreporporatti@yahoo.com.br Third reviewer Yuri Martins Costa Faculdade de Odontologia de Bauru Universidade de São Paulo yurimartinscosta@yahoo.com.br Expert (field) Paulo Cesar Rodrigues Conti Faculdade de Odontologia de Bauru Universidade de São Paulo pcconti@fob.usp.br Sub-coordinator Graziela De Luca Canto Universidade Federal de Santa Catarina - UFSC delucacanto@gmail.com Coordinator Luís André M. Mezzomo Universidade Federal de Santa Catarina - UFSC l.mezzomo@ufsc.br 2

3 Methods Question: In patients with Temporomandibular Disorders (TMD), what is the effect of conservative TMD therapies on the reduction of otologic signs and symptoms? Inclusion criteria We will include studies reporting on non-infant (>19 yrs) patients diagnosed with temporomandibular disorders (TMD) and with TMD-related otologic signs and symptoms. TMD studies (from both temporomandibular joint and masticatory muscles) should be assessed through Research Diagnostic Criteria (RDC/TMD) (Dworkin & LeResche, 1992) or Diagnostic Criteria (DC/TMD) (Schiffman, 2014) or using similar criteria. Otologic signs and symptoms should be assessed by patient s self-report, questionnaires and appropriated examination. Drug therapy, physiotherapy, cognitive behavioral therapy, manual therapy, speech therapy, acupuncture or another kind of conservative therapy will be evaluated. No language restrictions will be applied. PICOS Types of participants (P) Types of interventions (I) Comparison (C) Types of outcome measures (O) Types of studies (S) Adults and elderly patients with TMD-related otologic signs and symptoms Conservative TMD Therapy None or no therapy Changes in Otologic Signs and Symptoms RCTs, CCTs, prospective and retrospective studies, case series. 3

4 Exclusion criteria 1. Studies that included subjects under 19 years old 2. Studies assessing patients without otologic signs and symptoms 3. Reviews, letter, case reports, conference abstracts. 4

5 Search strategy (PubMed): Search Query Items found #5 Search (#3 AND #4) 180 #4 Search ("therapy"[all Fields] OR "therapeutics"[mesh Terms] OR "therapeutics"[all Fields] OR "treatment outcome"[mesh Terms] OR "treatment outcome"[all Fields] OR "treatment outcomes"[all Fields]) OR "management"[all Fields] OR "disease management"[mesh Terms] OR "disease management"[all Fields] #3 Search (#1 AND #2) 489 #2 Search ("earache"[mesh Terms] OR "earache"[all Fields] OR "otalgia"[all Fields]) OR ("earache"[mesh Terms] OR "earache"[all Fields]) OR "ear disease"[all Fields] OR "ear diseases"[all Fields] OR "ear pain"[all Fields] OR vertido[all Fields] OR ("vertigo"[mesh Terms] OR "vertigo"[all Fields] OR "dizziness"[all Fields] OR "dizziness"[mesh Terms]) OR "severe vertigo"[all Fields] OR "tinnitus"[mesh Terms] OR "tinnitus"[all Fields] OR "ear fullness"[all Fields] OR "hypoacusis"[all Fields] OR "diminished hearing"[all Fields] OR "hearing loss"[all Fields] OR "hearing disorder"[all Fields] OR "hearing disorders"[all Fields] OR "hearing complications"[all Fields] OR "hearing impairments"[all Fields] OR "aural symptoms"[all Fields] OR (aural[all Fields] AND ("diagnosis"[subheading] OR "diagnosis"[all Fields] OR "signs"[all Fields] OR "diagnosis"[mesh Terms] OR "signs"[all Fields])) OR "otologic symptoms"[all Fields] OR "otologic signs"[all Fields] OR (aural[all Fields] AND symptom[all Fields]) OR "aural sign"[all Fields] OR "otologic symptom"[all Fields] OR (otologic[all Fields] AND ("Sign"[Journal] OR "sign"[all Fields])) #1 Search (("temporomandibular joint disorders"[mesh Terms] OR "temporomandibular joint disorders"[all Fields] OR "temporomandibular disorder"[all Fields] OR "temporomandibular disorders"[all Fields] OR "Temporomandibular dysfunction"[all Fields] OR "Temporomandibular dysfunctions"[all Fields] OR "temporomandibular joint disorders"[mesh Terms] OR "temporomandibular joint disorders"[all Fields] OR "temporomandibular joint disorder"[all Fields] OR "temporomandibular joint dysfunction syndrome"[all Fields] OR "costen's syndrome"[all Fields] OR TMD[All Fields] OR "temporomandibular joint"[mesh Terms] OR TMJD[All Fields] OR "craniomandibular disorders"[mesh Terms] OR "craniomandibular disorders"[all Fields] OR "craniomandibular disorder"[all Fields] OR "Craniomandibular dysfunction"[all Fields] OR "Craniomandibular dysfunctions"[all Fields] OR "temporomandibular joint Dysfunctions"[All Fields] OR "temporomandibular joint Dysfunction"[All Fields] OR "temporomandibular joint pain dysfunction syndrome"[all Fields] OR "myofacial pain dysfunction syndrome"[all Fields])) 5

6 Search methods for identification of studies Databases: 1. PubMed ( x ) 2.Cochrane ( x ) 3. LILACS ( x ) 4. Web of Science ( x ) 5. Scopus ( x ) 6.Science Direct ( ) 7. Other Additional Literature 1. Google Scholar web search ( x ) 2. Hand searches of bibliographies from included studies ( ) 3. Experts ( x ) 4. Proquest ( x ) 5. Journals ( ) Risk of bias assessment tool Cochrane Risk of Assessment Tool Cochrane adapted for CCT and RCT. Telleman G, Raghoebar GM, Vissink A, den Hartog L, Huddleston Slater JJR, Meijer HJA. A systematic review of the prognosis of short (o10 mm) dental implants placed in the partially edentulous patient. J Clin Periodontol 2011; 38: doi: /j X x. 6

7 Analysis of subgroups or subsets (Give any planned exploration of subgroups or subsets within the review. None planned is a valid response if no subgroup analyses are planned) None planned Type of review ( )Epidemiologic ( ) Prevention ( X ) Intervention ( ) Diagnostic ( ) Prognostic Previous systematic reviews about the same subject: ( ) yes ( x ) no Suggest 3 journals in which this research can be published: Journal Impact Factor Qualis/area BMJ. British Medical Journal 2,063 A1/Odonto A1/Medicina Audiology & Neuro-Otology 1,852 A1/21 - B1/Med The Journal of Prosthetic Dentistry. 1,1419 A2/Odonto B2 Medicina The International Journal of Prosthodontics 1,185 A1/Odonto B1 Interdisciplinar 7