UNIVERSIDADE FEDERAL DE SANTA CATARINA DEPARTAMENTO DE ODONTOLOGIA-­‐CCS PROJETO DE EXTENSÃO: CURSO DE REVISÃO SISTEMÁTICA 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, 31 2015 To: August, 30 2015 Funding: The second author will be supported by the Foundation of Research Support of the State of São Paulo - FAPESP (Number 2013/15496-1). Conflict of interest: None 1 UNIVERSIDADE FEDERAL DE SANTA CATARINA DEPARTAMENTO DE ODONTOLOGIA-­‐CCS PROJETO DE EXTENSÃO: CURSO DE REVISÃO SISTEMÁTICA Research Team members and contact information: Name First author José Stechman Neto Second reviewer André Luís Porporatti Third reviewer Yuri Martins Costa Expert (field) Paulo Cesar Rodrigues Conti Sub-coordinator Graziela De Luca Canto Coordinator Luís André M. Mezzomo Affiliation Faculdade de Ciências Biológicas e da Saúde – Universidade Tuiuti do Paraná Faculdade de Odontologia de Bauru – Universidade de São Paulo Faculdade de Odontologia de Bauru – Universidade de São Paulo Faculdade de Odontologia de Bauru – Universidade de São Paulo Universidade Federal de Santa Catarina UFSC Universidade Federal de Santa Catarina UFSC Email jose.stechmann@utp.br andreporporatti@yahoo.com.br yurimartinscosta@yahoo.com.br pcconti@fob.usp.br delucacanto@gmail.com l.mezzomo@ufsc.br 2 UNIVERSIDADE FEDERAL DE SANTA CATARINA DEPARTAMENTO DE ODONTOLOGIA-­‐CCS PROJETO DE EXTENSÃO: CURSO DE REVISÃO SISTEMÁTICA 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) Adults and elderly patients with TMD-related otologic signs and symptoms Types of interventions (I) Conservative TMD Therapy Comparison (C) None or no therapy Types of outcome measures (O) Changes in Otologic Signs and Symptoms Types of studies (S) RCTs, CCTs, prospective and retrospective studies, case series. 3 UNIVERSIDADE FEDERAL DE SANTA CATARINA DEPARTAMENTO DE ODONTOLOGIA-­‐CCS PROJETO DE EXTENSÃO: CURSO DE REVISÃO SISTEMÁTICA 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 UNIVERSIDADE FEDERAL DE SANTA CATARINA DEPARTAMENTO DE ODONTOLOGIA-­‐CCS PROJETO DE EXTENSÃO: CURSO DE REVISÃO SISTEMÁTICA Search strategy (PubMed): Search #5 #4 #3 #2 #1 Query Search (#3 AND #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] Search (#1 AND #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])) 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])) Items found 180 6391287 489 97978 26298 5 UNIVERSIDADE FEDERAL DE SANTA CATARINA DEPARTAMENTO DE ODONTOLOGIA-­‐CCS PROJETO DE EXTENSÃO: CURSO DE REVISÃO SISTEMÁTICA 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: 667–676. doi: 10.1111/j.1600-051X.2011.01736.x. 6 UNIVERSIDADE FEDERAL DE SANTA CATARINA DEPARTAMENTO DE ODONTOLOGIA-­‐CCS PROJETO DE EXTENSÃO: CURSO DE REVISÃO SISTEMÁTICA 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