Dental Health State Utility Values Associated with Compromised First Permanent Molar Teeth

Abstract Background The aim of this study was to generate utility data to support economic evaluation of interventions for compromised first permanent molars (cFPMs) and to assess the reliability of responses using alternative elicitation methods.MethodsFifty adult respondents attending a Paediatric Dentistry department with their child completed a questionnaire to elicit utility values for eight clinical treatment scenarios for a compromised first permanent molar tooth (cFPM). These scenarios included restorations, prosthetic replacements or presence of a gap (missing tooth). The question formats included a ranking, a visual analogue scale (VAS) and a time trade off (TTO) exercise.ResultsMean utility values for each health state were generated using the VAS and TTO data. A white filling generated the highest utility (0.786 [VAS], 0.763 [TTO]) and was ranked as the most favourable treatment option. An open gap generated the lowest utility (0.344 [VAS], 0.523 [TTO]). A closed gap (0.6392 [VAS]) was rated below various tooth restorations but above a traditional bridge (0.5944 [VAS]) or denture (0.4312 [VAS]), according to mean VAS scores. VAS responses showed better agreement (kappa=0.48) with the ranking exercise compared to TTO responses (kappa= -0.003).ConclusionsPlausible and broadly consistent values were generated with VAS and TTO, but TTO data seemed to be less reliable. These data allow comparison of treatment options involving extraction and gap closure or restoration of cFPMs using a single measure of patient preference.

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The shortened dental arch — an assessment of patients’ dental health state utility values

International Dental Journal ◽

10.1111/j.1875-595x.2005.tb00328.x ◽

2005 ◽

Vol 55 (5) ◽

pp. 307-312 ◽

Cited By ~ 17

Author(s):

Mohammad Zakaria Nassani ◽

Hugh Devlin ◽

J Fraser McCord ◽

Elizabeth J Kay

Keyword(s):

Dental Health ◽

Health State Utility ◽

Dental Arch ◽

Health State ◽

Utility Values ◽

Shortened Dental Arch ◽

Health State Utility Values

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Dental health state utility values associated with tooth loss in two contrasting cultures

Journal of Oral Rehabilitation ◽

10.1111/j.1365-2842.2009.01975.x ◽

2009 ◽

Vol 36 (8) ◽

pp. 601-609 ◽

Cited By ~ 9

Author(s):

M. Z. NASSANI ◽

D. LOCKER ◽

A. A. ELMESALLATI ◽

H. DEVLIN ◽

T. M. MOHAMMADI ◽

...

Keyword(s):

Tooth Loss ◽

Dental Health ◽

Health State Utility ◽

Health State ◽

Utility Values ◽

Health State Utility Values

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Sealant Effectiveness for Children Receiving a Combination of Preventive Methods in a Fluoridated Community: Two-Year Results

Journal of Dental Research ◽

10.1177/00220345770560121801 ◽

1977 ◽

Vol 56 (12) ◽

pp. 1511-1519 ◽

Cited By ~ 10

Author(s):

Robert A. Bagramian ◽

Richard C. Graves ◽

Sujan Srivastava

Keyword(s):

First Graders ◽

Dental Health ◽

Sixth Graders ◽

Occlusal Caries ◽

Permanent Molar ◽

Occlusal Surfaces ◽

Molar Teeth ◽

Permanent Molars ◽

Preventive Methods ◽

Sealant Retention

A series of preventive methods in combination have been used to reduce dental caries in children including dental health education, prophylaxes, pit and fissure sealants, topical application of fluoride and restorative care. Prophylaxes, sealant, and fluoride procedures are repeated every six months. Two-year results show reductions of occlusal caries increments of 74.3% for first graders and 77.1% for sixth graders. Sealant loss, as defined in this study, varied from 33% to 90% with the highest loss occurring in the newly erupted permanent molars during the first six months of the project. These high sealant loss rates are thought to be related to the age of the population which was designed to include children at the ages of peak eruption of permanent molar teeth (ages six and twelve). These teeth were often only minimally erupted and maintaining the dry field required for sealant retention was extremely difficult. However, in spite of these high rates of sealant loss, caries reduction on occlusal surfaces was highly significant in comparison to that of children who did not receive sealants.

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Health-related quality of life of patients with HIV/AIDS at a tertiary care teaching hospital in Ethiopia

Health and Quality of Life Outcomes ◽

10.1186/s12955-021-01670-7 ◽

2021 ◽

Vol 19 (1) ◽

Author(s):

Yared Belete Belay ◽

Eskinder Eshetu Ali ◽

Beate Sander ◽

Gebremedhin Beedemariam Gebretekle

Keyword(s):

Health State Utility ◽

Health State ◽

Aids Patients ◽

Utility Values ◽

Related Quality ◽

Health Related ◽

Vas Scores ◽

Health State Utility Values ◽

Eq Vas ◽

Hiv Aids

Abstract Background Patients’ health-related quality of life (HRQoL) and health state utility values are critical inputs in the clinical and economic evaluation of treatments for human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS). However, information on health state utility values is lacking in the context of Ethiopia. Here, we aimed to assess HRQoL and determine health state utility values and factors that influence the values among HIV/AIDS patients in Ethiopia. Methods A cross-sectional study was conducted among 511 HIV/AIDS patients at Tikur Anbessa Specialized Hospital in Ethiopia. Patients aged 18 years or older were eligible for the interview and those who were mentally unstable and with hearing impairment were excluded from the study. We performed face-to-face interviews using EuroQol-5 Dimensions-5 Levels (EQ-5D-5L) in combination with EuroQol-Visual Analog Scales (EQ-VAS). Level-specific disutility coefficients obtained from the general population were used for computing utility values. Patients’ health profiles were described using percentages and different statistical analysis were conducted to determine factors associated with the EQ-5D index and EQ-VAS scores. Results A total of 511 patients participated in the study. A higher proportion of patients reported slight or more severe problems on the anxiety/depression (55.2%) and pain/discomfort (51.3%) dimensions. The overall median utility value of HIV/AIDS patients was 0.94 (IQR = 0.87, 1) from the EQ-5D index and 80% (IQR = 70%, 90%) from the EQ-VAS scores. Demographic characteristics including age, occupational status, and household monthly income significantly affected patient’s utility values. Moreover, statistically significant (p < 0.001) differences were seen between the EQ-5D index values of patients with different CD4 count intervals. Furthermore, number of medicines that the patients were taking at the time of the study and comorbidities were significantly associated with the EQ-5D utility index and EQ-VAS score, p < 0.001. Conclusions The anxiety/depression and pain/ discomfort dimensions were identified to have critical influence in reducing the HRQoL of adult HIV/AIDS patients in the context of Ethiopia. The study is also the first to use the EQ-5D-5L tool to identify health state utility values for Ethiopian adult HIV/AIDS patients. Future economic evaluations of HIV/AIDS interventions are encouraged to employ the identified utility values.

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Tooth loss - an assessment of dental health state utility values

Community Dentistry And Oral Epidemiology ◽

10.1111/j.1600-0528.2010.00563.x ◽

2011 ◽

Vol 39 (1) ◽

pp. 53-60 ◽

Cited By ~ 8

Author(s):

M. Z. Nassani ◽

E. J. Kay

Keyword(s):

Tooth Loss ◽

Dental Health ◽

Health State Utility ◽

Health State ◽

Utility Values ◽

Health State Utility Values

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Estimating Utility Values for Health States of DFU Patients Using EQ-5D-5L and cTTO

The International Journal of Lower Extremity Wounds ◽

10.1177/15347346211014392 ◽

2021 ◽

pp. 153473462110143

Author(s):

Morteza Arab-Zozani ◽

Hossein Safari ◽

Zoha Dori ◽

Somayeh Afshari ◽

Hosein Ameri ◽

...

Keyword(s):

Foot Ulcer ◽

Diabetic Foot Ulcer ◽

Economic Modeling ◽

Health State ◽

Health States ◽

Utility Values ◽

The Mean ◽

The Difference ◽

Diabetes Center ◽

Health State Utility Values

Health-state utility values of diabetic foot ulcer (DFU) patients are necessary for clinical praxis and economic modeling. The purpose of this study was to estimate utility values in DFU patients using the EuroQol-5-dimension-5-level (EQ-5D-5L) and composite time trade-off (cTTO). The EQ-5D-5L and cTTO were used for estimating utility values. Data were collected from 228 patients referred to the largest governmental diabetes center in the South of Iran, Yazd province. When appropriate, independent sample t-test or analysis of variance test was used to test the difference in the utility values in each of the demographic and clinical characteristics of the patients. Finally, the BetaMix was used to identify predictors of the utility values. The means of EQ-5D-5L and cTTO values were 0.55( SD 0.21) and 0.67( SD 0.23), respectively. Anxiety and pain were the most common problems reported by the patients. The difference between the mean EQ-5D-5L values was significant for age, grade of ulcer, number of comorbidities, and having complications. In addition, variables of gender, age, grade of ulcer, and having complications were significant predictors of the EQ-5D-5L. The difference between the mean cTTO values was significant for age, employment status, grade of ulcer, number of comorbidities, and having complications. Moreover, variables of gender, age, grade of ulcer, number of comorbidities, and developing complications were significant predictors of cTTO. The current study provided estimates of utility values for DFU patients for clinical praxis and economic modeling. These estimates, similar to utilities reported in other studies, were low. Identifying strategies to decrease anxiety/depression and pain in patients is important to improve the utility values.

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