BACKGROUND Regular inspection of the oral cavity is required for prevention, early diagnosis and risk reduction of oral- and general health-related problems. Assessments to inspect the oral cavity have been designed for non-dental healthcare professionals, like nurses. The purpose of this systematic review was to evaluate the content and the measurement properties of oral health assessments for use by non-dental healthcare professionals in assessing older peoples' oral health, in order to provide recommendations for practice, policy, and research. METHODS A systematic search in PubMed, EMBASE.com, and Cinahl (via Ebsco) has been performed. Search terms referring to 'oral health assessments', 'non-dental healthcare professionals' and 'older people (60+)' were used. Two reviewers individually performed title/abstract, and full-text screening for eligibility. The included studies have investigated at least one measurement property (validity/reliability) and were evaluated on their methodological quality using "The Consensus-based Standards for the selection of health Measurement Instruments" (COSMIN) checklist. The measurement properties were then scored using quality criteria (positive/negative/indeterminate). RESULTS Out of 879 hits, 18 studies were included in this review. Five studies showed good methodological quality on at least one measurement property and 14 studies showed poor methodological quality on some of their measurement properties. None of the studies assessed all measurement properties of the COSMIN. In total eight oral health assessments were found: the Revised Oral Assessment Guide (ROAG); the Minimum Data Set (MDS), with oral health component; the Oral Health Assessment Tool (OHAT); The Holistic Reliable Oral Assessment Tool (THROAT); Dental Hygiene Registration (DHR); Mucosal Plaque Score (MPS); The Brief Oral Health Screening Examination (BOHSE) and the Oral Assessment Sheet (OAS). Most frequently assessed items were: lips, mucosa membrane, tongue, gums, teeth, denture, saliva, and oral hygiene. CONCLUSION Taken into account the scarce evidence of the proposed assessments, the OHAT and ROAG are most complete in their included oral health items and are of best methodological quality in combination with positive quality criteria on their measurement properties. Non-dental healthcare professionals, policymakers and researchers should be aware of the methodological limitations of the available oral health assessments and realize that the quality of the measurement properties remains uncertain.

中文翻译：

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老年人非牙科保健专业人员的口腔健康评估的测量属性：系统评价。

背景技术需要定期检查口腔以预防，及早诊断和减少与口腔和一般健康有关的问题的风险。已经针对非牙科保健专业人员（例如护士）设计了检查口腔的评估工具。该系统评价的目的是评估口腔健康评估的内容和测量属性，以供非牙科保健专业人员评估老年人的口腔健康，以便为实践，政策和研究提供建议。方法在PubMed，EMBASE.com和Cinahl（通过Ebsco）中进行了系统搜索。使用了涉及“口腔健康评估”，“非牙科保健专业人员”和“老年人（60岁以上）”的搜索字词。两位审稿人分别进行了标题/摘要，以及全文筛选资格。纳入的研究调查了至少一种测量属性（有效性/可靠性），并使用“基于共识的健康测量仪器选择标准”（COSMIN）清单对其方法学质量进行了评估。然后使用质量标准（正/负/不确定）对测量属性进行评分。结果在879个命中中，有18项研究纳入了该评价。五项研究显示至少一种测量特性的方法学质量良好，而十四项研究表明某些测量特性的方法学质量差。没有研究评估COSMIN的所有测量特性。总共发现八项口腔健康评估：《口腔评估指南修订版》（ROAG）；最小数据集（MDS），具有口腔健康成分；口腔健康评估工具（OHAT）；整体可靠的口头评估工具（THROAT）；牙科卫生注册（DHR）；粘膜斑评分（MPS）; 简短的口腔健康筛查考试（BOHSE）和口腔评估表（OAS）。评估最频繁的项目是：嘴唇，粘膜，舌头，牙龈，牙齿，假牙，唾液和口腔卫生。结论考虑到提议的评估的稀少证据，OHAT和ROAG在其包括的口腔健康项目中是最完整的，并且具有最佳的方法学质量，并结合其测量性质的积极质量标准。非牙科保健专业人员