World Workshop on Oral Medicine VI: Patient-reported outcome measures and oral mucosal disease : current status and future direction

Objective: This systematic review aimed (i) to explore the Patient-Reported Outcome Measures (PROMs) currently used in the oral mucosal disease literature and to report on the type and context of the use of these instruments and (ii) to provide a future direction for PROMs in oral medicine practice and research. Study Design: A systematic review of published English-language articles relating to the use of PROMs in the oral mucosal diseases literature was performed in November 2013. Results: One hundred and thirty one articles met the inclusion criteria, which addressed the following oral mucosal conditions: 75 lichen planus; 30 recurrent aphthous stomatitis; 14 mucous membrane pemphigoid/pemphigus vulgaris; 1 orofacial granulomatosis and 11 articles addressed multiple oral mucosal diseases. The most commonly used instruments were Visual Analogue Scales (VAS) and the Oral Health Impact Profile (OHIP). Conclusions: Limited progress has been achieved with use of PROMs in oral medicine in the last few decades in both clinical practice and a research setting. With the engagement of allied medical disciplines in PROM usage and the promotion of PROMs by national healthcare bodies globally, advancement of PROMs is imperative for oral medicine. Exposure through the World Workshop on Oral Medicine (WWOM), along with potential involvement in the Core Outcome Measures in Effectiveness Trials (COMET) or other such initiatives, will enable worldwide collaboration to promote the development and utilization of valid and reliable PROMs in oral medicine, and improve patient care