Standardization of dental patient-reported outcomes measurement using OHIP-5 – Validation of “Recommendations for use and scoring of Oral Health Impact Profile versions”

2021 ◽  
pp. 101645
Author(s):  
MT John
Keyword(s):  
Oral Health ◽  
Patient Reported Outcomes ◽  
Health Impact ◽  
Oral Health Impact Profile ◽  
Outcomes Measurement ◽  
Dental Patient ◽  
Patient Reported

scholarly journals Patient-Reported and Clinical Outcomes of Implant-Supported Fixed Complete Dental Prostheses: A Comparison of Metal-Acrylic, Milled Zirconia, and Retrievable Crown Prostheses

2018 ◽  
Vol 44 (1) ◽  
pp. 51-61 ◽  
Author(s):  
Virginia Hogsett Box ◽  
Cortino Sukotjo ◽  
Kent L. Knoernschild ◽  
Stephen D. Campbell ◽  
Fatemeh S. Afshari
Keyword(s):  
Patient Satisfaction ◽  
Oral Health ◽  
Patient Reported Outcomes ◽  
Tooth Wear ◽  
Health Impact ◽  
Complication Rates ◽  
Dental Prostheses ◽  
Patient Reported ◽  
Related Quality ◽  
Health Related

The purpose of this retrospective study was to assess the incidence of biologic and technical complications for implant-supported fixed complete dental prostheses (IFCDPs) and their relationship to oral health-related quality of life (OHQoL) and patient-reported outcomes. Metal-acrylic (MA), retrievable crown (RC), monolithic zirconia (MZ), and porcelain veneered zirconia (PVZ) prostheses were included. Patients who received an IFCDP at least 1 year prior to recall were identified. Exclusion criteria were: (1) an opposing complete denture and (2) time in service >70 months. A total of 37 patients with 49 prostheses, including 22 MA, 14 RC, 7 MZ, and 6 PVZ prostheses were recalled. Patient-reported outcomes were assessed via OHIP-49 (Oral Health Impact Profile) and a scripted interview with open-ended questions. All designs had high complication rates (12 of 22 MA, 10 of 14 RC, 2 of 7 MZ, and 5 of 6 PVZ). The most common complications were: (1) MA: posterior tooth wear, (2) RC: chipping and fracturing of the restorations, (3) MZ: wear of opposing restorations, and (4) PVZ: chipping of opposing restorations. Average OHIP-49 scores ranged from 7 to 29, indicating high OHQoL, patient satisfaction, regardless of prosthetic design (P = .16). The standardized interview highlighted that although most patients were extremely satisfied (73%), some continued to be bothered by material bulk (14%) and felt that maintenance of oral hygiene was excessively time-consuming (16%). In the context of this study, despite high complication rates and maintenance needs, all IFCDP designs resulted in high OHQoL and patient satisfaction.

scholarly journals Psychometric properties of North Macedonian version of the oral health impact profile for edentulous subjects

2021 ◽  
pp. 20-20
Author(s):  
Saso Elencevski ◽  
Sonja Apostolska ◽  
Ivica Stancic ◽  
Sanja Persic ◽  
Aleksandra Popovac ◽  
...  
Keyword(s):  
Oral Health ◽  
Psychometric Properties ◽  
Correlation Coefficient ◽  
Intraclass Correlation ◽  
Health Impact ◽  
Summary Score ◽  
Complete Denture ◽  
International Standards ◽  
Oral Health Impact Profile ◽  
Patient Reported

Introduction/Objective. Dental patient-reported outcome measures are very important in a disease specific population such as edentulous subjects. The aim of the study was to adapt the Oral Health Impact Profile for Edentulous Subjects (OHIP-EDENT) in the cultural environment of North Macedonia. Methods. This study adapted the original 19-item version of the OHIP-EDENT. After the forward-backward translation according to international standards, the OHIP-EDENT-MAC was psychometrically tested in 109 complete denture wearers. Results. The Cronbach's alpha coefficient of 0.892 confirmed good internal consistency. Test-retest reliability was confirmed by high intraclass correlation coefficient of the summary scores (0.986; 95% confidence interval 0.968-0.993). The concurrent validity was confirmed by the Spearman's rank correlation coefficient (r = -0.654) between the OHIP-EDENT-MAC summary scores and a single question which rated satisfaction with the existing removable dentures using a 1-5 point scale (1 = unsatisfied, 5 = completely satisfied). Construct validity was confirmed by exploratory factor analysis (EFA). All item loadings were above 0.4. Items grouped in four factors (dimensions), which explained 66.25 % of the variance, in both non-rotated and rotated matrices. Good responsiveness was confirmed in 33 participants after complete denture relining. Their OHIP Summary score (33.09 ? 11.61) decreased significantly (t = 7.68; df = 32; p < 0.001) after treatment (24.39 ? 8.0). The standardized effect size was 0.75, representing moderate to large effect. Conclusion. The OHIP-EDENT-MAC showed satisfactory psychometric properties providing evidence for its use in edentulous population of North Macedonia.

The Patient-Reported Outcomes Measurement Information System in spine surgery: a systematic review

2019 ◽  
Vol 30 (3) ◽  
pp. 405-413 ◽  
Author(s):  
Brittany E. Haws ◽  
Benjamin Khechen ◽  
Mundeep S. Bawa ◽  
Dil V. Patel ◽  
Harmeet S. Bawa ◽  
...  
Keyword(s):  
Systematic Review ◽  
Information System ◽  
Patient Reported Outcomes ◽  
Neck Disability Index ◽  
Measurement Information ◽  
Strong Correlations ◽  
Comprehensive Overview ◽  
Outcomes Measurement ◽  
Patient Reported ◽  
Measurement Information System

OBJECTIVEThe Patient-Reported Outcomes Measurement Information System (PROMIS) was developed to provide a standardized measure of clinical outcomes that is valid and reliable across a variety of patient populations. PROMIS has exhibited strong correlations with many legacy patient-reported outcome (PRO) measures. However, it is unclear to what extent PROMIS has been used within the spine literature. In this context, the purpose of this systematic review was to provide a comprehensive overview of the PROMIS literature for spine-specific populations that can be used to inform clinicians and guide future work. Specifically, the authors aimed to 1) evaluate publication trends of PROMIS in the spine literature, 2) assess how studies have used PROMIS, and 3) determine the correlations of PROMIS domains with legacy PROs as reported for spine populations.METHODSStudies reporting PROMIS scores among spine populations were identified from PubMed/MEDLINE and a review of reference lists from obtained studies. Articles were excluded if they did not report original results, or if the study population was not evaluated or treated for spine-related complaints. Characteristics of each study and journal in which it was published were recorded. Correlation of PROMIS to legacy PROs was reported with 0.1 ≤ |r| < 0.3, 0.3 ≤ |r| < 0.5, and |r| ≥ 0.5 indicating weak, moderate, and strong correlations, respectively.RESULTSTwenty-one articles were included in this analysis. Twelve studies assessed the validity of PROMIS whereas 9 used PROMIS as an outcome measure. The first study discussing PROMIS in patients with spine disorders was published in 2012, whereas the majority were published in 2017. The most common PROMIS domain used was Pain Interference. Assessments of PROMIS validity were most frequently performed with the Neck Disability Index. PROMIS domains demonstrated moderate to strong correlations with the legacy PROs that were evaluated. Studies assessing the validity of PROMIS exhibited substantial variability in PROMIS domains and legacy PROs used for comparisons.CONCLUSIONSThere has been a recent increase in the use of PROMIS within the spine literature. However, only a minority of studies have incorporated PROMIS for its intended use as an outcomes measure. Overall, PROMIS has exhibited moderate to strong correlations with a majority of legacy PROs used in the spine literature. These results suggest that PROMIS can be effective in the assessment and tracking of PROs among spine populations.

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