系统性审查:电气气度计的有效性,可靠性和诊断准确性
Esther E Blijleven1,2, Denise Fuchten1,2, Max J Dullaart1
1Department of Otorhinolaryngology-Head and Neck Surgery University Medical Center Utrecht Utrecht The Netherlands.
Laryngoscope investigative otolaryngology
|August 25, 2023
概括
电气口味计 (EGM) 显示出良好的测试重复测试可靠性,但在评估味觉时的有效性较弱. 目前的证据不支持其作为临床查味觉障碍的临床查工具.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 神经科学是一个神经科学.
- 感官科学 感官科学
背景情况:
- 评估味觉对于诊断各种疾病至关重要.
- 电味计 (EGM) 是一种用于测量味觉功能的设备.
- 了解EGM的心理测量特性对于其临床应用至关重要.
研究的目的:
- 系统地评估电气口味计 (EGM) 在评估成人味觉时的有效性,可靠性和诊断准确性.
- 为了比较EGM的表现与已建立的味道测试方法.
主要方法:
- 在2022年12月20日,在PubMed,Embase和Cochrane图书馆数据库中进行了系统的文献搜索.
- 包括随机对照试验和观察性研究与原始数据,涉及成年人接受电气口腔测量.
- 如果缺乏对有效性,可靠性或诊断准确性的分析,则将研究排除在外.
主要成果:
- 从18项研究中分析了19篇文章,并指出存在偏见的高风险.
- EGM与参考味道测试之间的关联通常为中度至弱 (相关系数-0.51至0.40).
- 试验复试可靠性很好 (0.78-1.0),但诊断准确度指标 (灵敏度,特异性,PPV,NPV) 差异很大.
结论:
- 包含的研究缺乏足够的方法严格来确定EGM的有效性,可靠性和诊断准确性.
- 需要进一步进行高质量的研究来验证EGM的测量特性.
- 在临床实践中,由于目前的证据有限,不建议使用EGM作为检测味觉障碍的查工具.
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