Objectives: To investigate the correlation between the four dimensions of Oral Health-Related Quality of Life (OHRQoL) and Health-Related Quality of Life (HRQoL) constructs in a dental patient population.
Methods: A cross-sectional study carried out at HealthPartners, Minnesota, USA. This study is a secondary data analysis of available adult dental patients' data. The instruments used to assess the OHRQoL and HRQoL constructs were the Oral Health Impact Profile-version with 49 items (OHIP-49) and Patient-Reported Outcome Measures Information System (PROMIS) measures v.1.1 Global Health instruments Patient Reported Outcome Measures (PROMs), respectively. We used Structural Equation Modeling to determine the correlation between OHRQoL and HRQoL.
Results: Two thousand and seventy-six dental patients participated in the study. OHRQoL and HRQoL scores correlated with 0.56 (95%CI:0.52-0.60). The OHRQoL and Physical Health dimension of HRQoL correlated with 0.55 (95%CI:0.51-0.59). The OHRQoL and Mental Health dimension of HRQoL correlated with 0.51 (95%CI:0.47-0.55). When adjusted for age, gender, and depression, the correlation coefficients changed only slightly and resulted in 0.52 between OHRQoL and HRQoL Physical Health, and 0.47 between OHRQoL and HRQoL Mental Health. Model fit statistics for all analyses were adequate and indicated a good fit.
Conclusions: OHRQoL and HRQoL overlap greatly. For dental practitioners, the OHRQoL score is informative for their patients' general health status and vice versa. Study results indicate that effective therapeutic interventions by dentists improve patients' OHRQoL as well as HRQoL.
Namen: Določiti korelacijo med štirimi dimenzijami konstrukta z oralnim zdravjem povezana kakovost življenja (ang. Oral Health-Related Quality of Life ali krajše OHRQoL) in konstruktom z zdravjem povezana kakovost življenja (ang. Health-Related Quality of Life ali krajše HRQoL) pri zobozdravstvenih pacientih.
Metode: Podatki zobozdravstvenih pacientov so bili v tej presečni raziskavi pridobljeni s klinike HealthPartners, Minnesota, ZDA. Ta študija je sekundarna analiza podatkov o razpoložljivih podatkih o zobozdravnikih za odrasle. Za oceno konstruktov OHRQoL in HRQoL sta bila uporabljena instrumenta Oral Health Impact Profile, ki sestoji iz 49 vprašanj (OHIP-49) in Patient-Reported Outcome Measures Information System (PROMIS) v.1.1 Global Health. Korelacija med konstruktoma je bila izračunana na podlagi modeliranja strukturnih enačb.
Rezultati: V raziskavo je bilo vključenih 2.076 zobozdravstvenih pacientov. Korelacijski koeficient med konstruktoma OHRQoL in HRQoL je znašal 0,56 (95 % CI:0,51–0,59). Korelacijski koeficient med oceno telesnega zdravja po OHRQoL in HRQoL (ang. HRQoL Physical Health) je znašal 0,55 (95 % CI:0,51–0,59). Korelacijski koeficient med oceno duševnega zdravja OHRQoL in HRQoL (ang. HRQoL Mental Health) je znašal 0,51 (95 % CI:0,47–0,55). Ob upoštevanju motečih dejavnikov, kot so starost, spol in depresija, je korelacijski koeficient med OHRQoL in telesnim zdravjem znašal 0,52 ter med OHRQoL in duševnim zdravjem 0,47. Pokazatelji stopnje prileganja modelov so bili ustrezni in so pokazali dobro prileganje.
Zaključek: Konstrukta OHRQoL in HRQoL se zelo prekrivata. Zobozdravstveni delavci lahko na osnovi pacientove ocene OHRQoL pridobijo tudi koristne informacije o njihovem sistemskem zdravju, drugi zdravstveni delavci pa informacije o njihovem oralnem zdravju. Rezultati raziskave dokazujejo, da učinkovito zobozdravniško zdravljenje ne izboljša samo pacientove z oralnim zdravjem povezane kakovosti življenja, ampak tudi s sistemskim zdravjem povezano kakovost življenja.
Keywords: correlation of data; depressive disorder; evidence-based dentistry; health; oral health; public health; quality of life; self report; structural equation modeling; surveys and questionnaires.
© 2020 Stella Sekulić et al., published by Sciendo.