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The association of responsiveness in oral and general health-related quality of life with patients’ satisfaction of new complete dentures

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Abstract

Purpose

The objective was to determine the responsiveness properties of the Oral Health Impact Profile (OHIP) short-forms and 36-item Short-Form (SF-36) in complete denture treatment, and further to evaluate the association between patients’ satisfaction and improvements in oral and general health-related quality of life (OHRQoL and HRQoL) after fitting of new, complete dentures.

Methods

Study data were obtained from the ‘Dentures for the Elders through Public Funding’ study conducted in Kaohsiung County. A total of 224 subjects received denture treatments with 6-month follow-up and pre-/post-treatment interviews by questionnaire. The OHIP and SF-36 were used to measure OHRQoL and HRQoL. In addition, specific questions investigating seven aspects of patients’ satisfaction were used to measure the patients’ perceptions of complete denture success. The responsiveness of all outcome measures and their dimensions were assessed by effect size (ES). Multivariable analysis was used to examine the association between patients’ satisfaction and OHIP/SF-36 while adjusting for demographic characteristics.

Results

There were improvements with regard to the ‘physical pain’ (ES = 0.19) and ‘psychological discomfort’ (ES = 0.42) dimensions of the Taiwanese short-form OHIP (OHIP-14T) after new complete denture treatment, but only improvement in the ‘general health’ (ES = 0.17) dimension in the SF-36 measure. Patients satisfied with ‘comfort’ and ‘ease of cleaning’ of their new dentures were significantly associated with the improvement of the OHIP-49 and OHIP-14T.

Conclusions

This study suggests that denture treatments are associated with improvements of OHRQoL, but not in HRQoL. Furthermore, patients’ satisfaction was significantly associated with responsiveness of OHRQoL but less significantly associated with responsiveness of HRQoL.

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Abbreviations

OHRQoL:

Oral health-related quality of life

HRQoL:

General health-related quality of life

OHIP:

Oral Health Impact Profile

OHIP-49:

49-item Oral Health Impact Profile

OHIP-14T:

Taiwanese version of short-form Oral Health Impact Profile

OHIP-14S:

Original English version of short-form Oral Health Impact Profile

OHIP-EDENT:

Shortened version of the Oral Health Impact Profile appropriate for use in edentulous patients

SF-36:

36-item Short-Form

WHOQOL-BREF:

World Health Organization Quality of Life Scale-Brief

ES:

Effect size

ANOVA:

One-way analysis of variance

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Acknowledgments

All authors have made substantive contribution to this study, and all have reviewed the final paper prior to its submission. The study was supported in part by a grant from the Health Bureau of Kaohsiung County Government (ROC) Taiwan.

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Authors and Affiliations

  1. School of Dentistry, College of Dental Medicine, Kaohsiung Medical University, Kaohsiung Medical University Hospital, No. 100 Shih-Chuan 1st Rd, Kaohsiung, 807, Taiwan

    Hsiao-Ching Kuo & Jen-Chyan Wang

  2. Health Promotion Division, The Health Bureau of Kaohsiung County, Kaohsiung, Taiwan

    Ying-Se Kuo

  3. Graduate Institute of Healthcare Administration, Kaohsiung Medical University, Kaohsiung, Taiwan

    I-Chen Lee

  4. School of Pharmacy, College of Pharmacy, Kaohsiung Medical University, No. 100 Shih-Chuan 1st Rd, Kaohsiung, 807, Taiwan

    Yi-Hsin Yang

  5. Division of Statistical Analysis, Department of Clinical Research, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan

    Yi-Hsin Yang

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  1. Hsiao-Ching Kuo
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  2. Ying-Se Kuo
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  3. I-Chen Lee
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  4. Jen-Chyan Wang
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Correspondence to Jen-Chyan Wang or Yi-Hsin Yang.

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Kuo, HC., Kuo, YS., Lee, IC. et al. The association of responsiveness in oral and general health-related quality of life with patients’ satisfaction of new complete dentures. Qual Life Res 22, 1665–1674 (2013). https://doi.org/10.1007/s11136-012-0320-6

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  • DOI: https://doi.org/10.1007/s11136-012-0320-6

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