Abstract
Background
The aim of the present study was to evaluate the validity of the German version of the Oral Health Impact Profile (OHIP-G) in comparison with the Visual Analogue Scale (VAS) and to evaluate whether gender has a potential influence on OHIP scores and dimensions in oral lichen planus (OLP) patients.
Methods
Patients diagnosed with OLP between 2011 and 2013 at the Department of Oral Surgery, Medical University Vienna, were included in this cross-sectional prospective study. Patients were evaluated using the Clinical Severity Index (CSI) and OHIP.
Results
Out of 62 patients, 69 % were women with a mean age of 59 ± 11 years and 31 % men with a mean age of 59 ± 15 years. The mean CSI score was 2.6 ± 1.3 in women and 2.5 ± 1.3 in men. The OHIP-G score for women was 59.42 ± 39.26 and 37.84 ± 27.15 for men. Linear regression analysis showed a significant impact of disease severity and gender on total scores, the subscore physical pain, and the dimension orofacial pain. The four additional items in the German version were significantly influenced by gender.
Conclusions
Beside clinical severity, gender influences the perception of pain significantly. Therefore pain measures should be used to compare intraindividual changes.
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References
Sischo L, Broder HL. Oral health-related quality of life: what, why, how, and future implications. J Dent Res. 2011. doi:10.1177/0022034511399918.
Riordain RN, McCreary C. Validity and reliability of a newly developed quality of life questionnaire for patients with chronic oral mucosal diseases. J Oral Pathol Med. 2011;40(8):604–9.
Sampogna F, Soderfeldt B, Axtelius B, Bergamo F, Gisondi P, Di Pietro C, et al. Comparison of patients’ and providers’ severity evaluation of oral mucosal conditions. J Am Acad Dermatol. 2011;65(1):69–76.
Zuo W, Li X, Chen Y, Peng H. Oral health-related quality of life in patients with oral lichen planus. Hua Xi Kou Qiang Yi Xue Za Zhi. 30(1):40–4.
Lopez-Jornet P, Camacho-Alonso F. Quality of life in patients with oral lichen planus. J Eval Clin Pract. 2010;16(1):111–3.
Le Cleach L, Chosidow O. Clinical practice. Lichen planus. N Engl J Med. 2012;366(8):723–32.
Lodi G, Carrozzo M, Furness S, Thongprasom K. Interventions for treating oral lichen planus. Br J Dermatol. 2012;166(5):938–47.
Lopez-Jornet P, Camacho-Alonso F, Salazar-Sanchez N. Topical tacrolimus and pimecrolimus in the treatment of oral lichen planus: an update. J Oral Pathol Med. 2010;39(3):201–5.
Thongprasom K, Carrozzo M, Furness S, Lodi G. Interventions for treating oral lichen planus. Cochrane Database Syst Rev. 2011;(7):CD001168. doi:10.1002/14651858.CD001168.pub2.
van der Waal I. Potentially malignant disorders of the oral and oropharyngeal mucosa; terminology, classification and present concepts of management. Oral Oncol. 2009;45(4–5):317–23.
Riordain RN, McCreary C. Validity and reliability of a newly developed quality of life questionnaire for patients with chronic oral mucosal diseases. J Oral Pathol Med. 2012;40(8):604–9.
Thongprasom K, Chaimusig M, Korkij W, Sererat T, Luangjarmekorn L, Rojwattanasirivej S. A randomized-controlled trial to compare topical cyclosporin with triamcinolone acetonide for the treatment of oral lichen planus. J Oral Pathol Med. 2007;36(3):142–6.
Hegarty AM, McGrath C, Hodgson TA, Porter SR. Patient-centred outcome measures in oral medicine: are they valid and reliable? Int J Oral Maxillofac Surg. 2002;31(6):670–4.
Lopez-Jornet P, Camacho-Alonso F, Lucero Berdugo M. Measuring the impact of oral mucosa disease on quality of life. Eur J Dermatol. 2009;19(6):603–6.
Salazar-Sanchez N, Lopez-Jornet P, Camacho-Alonso F, Sanchez-Siles M. Efficacy of topical Aloe vera in patients with oral lichen planus: a randomized double-blind study. J Oral Pathol Med. 2010;39(10):735–40.
Caglayan F, Altun O, Miloglu O, Kaya MD, Yilmaz AB. Correlation between oral health-related quality of life (OHQoL) and oral disorders in a Turkish patient population. Med Oral Patol Oral Cir Bucal. 2009;14(11):e573–8.
Walter MH, Woronuk JI, Tan HK, Lenz U, Koch R, Boening KW, et al. Oral health related quality of life and its association with sociodemographic and clinical findings in 3 northern outreach clinics. J Can Dent Assoc. 2007;73(2):153.
Yoke PC, Tin GB, Kim MJ, Rajaseharan A, Ahmed S, Thongprasom K, et al. A randomized controlled trial to compare steroid with cyclosporine for the topical treatment of oral lichen planus. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006;102(1):47–55.
John, M, Patrick, DL, Slade, GD. The German version of the Oral Health Impact Profile - translation and psychometric properties. Eur J Oral Sci. 2002;110:425–33.
John MT, Hujoel P, Miglioretti DL, LeResche L, Koepsell TD, Micheelis W. Dimensions of oral-health-related quality of life. J Dent Res. 2004;83(12):956–60.
Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics. 1977 Mar;33(1):159–74.
McGrath C, Hegarty AM, Hodgson TA, Porter SR. Patient-centred outcome measures for oral mucosal disease are sensitive to treatment. Int J Oral Maxillofac Surg. 2003;32(3):334–6.
Leresche L. Defining gender disparities in pain management. Clin Orthop Relat Res. 2011;469(7):1871–7.
Alabas OA, Tashani OA, Tabasam G, Johnson MI. Gender role affects experimental pain responses: a systematic review with meta-analysis. Eur J Pain. 2012;16(9):1211–23.
Gisler V, Bassetti R, Mericske-Stern R, Bayer S, Enkling N. A cross-sectional analysis of the prevalence of dental anxiety and its relation to the oral health-related quality of life in patients with dental treatment needs at a university clinic in Switzerland. Gerodontology. 2012;29(2):e290–6.
Tabolli S, Bergamo F, Alessandroni L, Di Pietro C, Sampogna F, Abeni D. Quality of life and psychological problems of patients with oral mucosal disease in dermatological practice. Dermatology. 2009;218(4):314-20.
Cleanthous S, Newman SP, Shipley M, Isenberg DA, Cano SJ. What constitutes uncertainty in systemic lupus erythematosus and rheumatoid arthritis? Psychol Health. 2013;28(2):171–88.
Lehmann R, Denissen JJ, Allemand M, Penke L. Age and gender differences in motivational manifestations of the big five from age 16 to 60. Dev Psychol. 2013;49(2):365–83.
Sanders AE, Slade GD, John MT, Steele JG, Suominen-Taipale AL, Lahti S, et al. A cross-national comparison of income gradients in oral health quality of life in four welfare states: application of the Korpi and Palme typology. J Epidemiol Community Health. 2009;63(7):569–74.
Vikum E, Krokstad S, Holst D, Westin S. Socioeconomic inequalities in dental services utilisation in a Norwegian county: the third Nord-Trondelag Health Survey. Scand J Public Health. 2012;40(7):648–55.
Sanders AE, Spencer AJ. Why do poor adults rate their oral health poorly? Aust Dent J. 2005;50(3):161–7.
Johansson V, Axtelius B, Soderfeldt B, Sampogna F, Paulander J, Sondell K. Multivariate analyses of patient financial systems and oral health-related quality of life. Community Dent Oral Epidemiol. 2010;38(5):436–44.
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G. Dvorak, B. Monshi, M. Hof, T. Bernhart, C. Bruckmann, and K. Rappersberger state that there are no conflicts of interest. All studies on humans described in the present manuscript were carried out with the approval of the responsible ethics committee and in accordance with national law and the Helsinki Declaration of 1975 (in its current, revised form). Informed consent was obtained from all patients included in studies.
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Dvorak, G., Monshi, B., Hof, M. et al. Gender aspects in oral health-related quality of life of oral lichen planus patients. J. Stomat. Occ. Med. 8, 33–40 (2015). https://doi.org/10.1007/s12548-015-0123-9
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DOI: https://doi.org/10.1007/s12548-015-0123-9