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Oral health-related quality of life in youth receiving cleft-related surgery: self-report and proxy ratings.
- Source :
- Quality of Life Research; Apr2017, Vol. 26 Issue 4, p859-867, 9p, 4 Charts, 1 Graph
- Publication Year :
- 2017
-
Abstract
- <bold>Purpose: </bold>This paper evaluated the impact of cleft-related surgery on the oral health-related quality of life (OHRQoL) of youth with cleft over time.<bold>Methods: </bold>Data were derived from a 5-year, multi-center, prospective, longitudinal study of 1196 youth with cleft lip and/or palate and their caregivers. Eligible youth were between 7.5 and 18.5 years old, spoke English or Spanish, and were non-syndromic. During each observational period, which included baseline, and 1- and 2-year post-baseline follow-up visits, youths and their caregivers completed the Child Oral Health Impact Profile, a validated measure of OHRQoL. Multilevel mixed-effects models were used to analyze the effects of receipt of craniofacial surgery on OHRQoL over time.<bold>Results: </bold>During the course of this study a total of 516 patients (43 %) received at least one surgery. Youth in the surgery recommendation group had lower self- (β = -2.18, p < 0.05) and proxy-rated (β = -2.92, p < 0.02) OHRQoL when compared to non-surgical self- and proxy-rated OHRQoL at baseline. Both surgical and non-surgical youth (β = 3.73, p < 0.001) and caregiver (β = 1.91, p < 0.05) ratings of OHRQoL improved over time. There was significant incremental improvement (time × surgery interaction) in self-reported OHRQoL for youth postsurgery (β = 1.04, p < 0.05), but this postsurgery increment was not seen in the caregiver proxy ratings.<bold>Conclusions: </bold>Surgical intervention impacts OHRQoL among youth with cleft. Youth who were surgical candidates had lower baseline self- and caregiver-rated OHRQoL when compared to non-surgical youth. Youth who underwent cleft-related surgery had significant incremental improvements in self-rated but not caregiver (proxy)-rated OHRQoL after surgery. [ABSTRACT FROM AUTHOR]
- Subjects :
- CLEFT lip
CAREGIVERS
QUALITY of life
CHILDREN'S health
SELF-evaluation
FOLLOW-up studies (Medicine)
LONGITUDINAL method
CHILD health services
CLEFT palate
COMPARATIVE studies
GUARDIAN & ward
RESEARCH methodology
MEDICAL cooperation
ORAL hygiene
QUESTIONNAIRES
RESEARCH
RESEARCH funding
EVALUATION research
SURGERY
PSYCHOLOGY
Subjects
Details
- Language :
- English
- ISSN :
- 09629343
- Volume :
- 26
- Issue :
- 4
- Database :
- Complementary Index
- Journal :
- Quality of Life Research
- Publication Type :
- Academic Journal
- Accession number :
- 121518901
- Full Text :
- https://doi.org/10.1007/s11136-016-1420-5