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Quality of Life Research
Gepubliceerd in: Quality of Life Research 4/2017

03-10-2016

Oral health-related quality of life in youth receiving cleft-related surgery: self-report and proxy ratings

Auteurs: Hillary L. Broder, Maureen Wilson-Genderson, Lacey Sischo

Gepubliceerd in: Quality of Life Research | Uitgave 4/2017

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Abstract

Purpose

This paper evaluated the impact of cleft-related surgery on the oral health-related quality of life (OHRQoL) of youth with cleft over time.

Methods

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.

Results

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.

Conclusions

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.
vorige artikel When global rating of change contradicts observed change: Examining appraisal processes underlying paradoxical responses over time
volgende artikel Impact of neurocognitive deficits on patient–proxy agreement regarding health-related quality of life in low-grade glioma patients
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Metagegevens
Titel
Oral health-related quality of life in youth receiving cleft-related surgery: self-report and proxy ratings
Auteurs
Hillary L. Broder
Maureen Wilson-Genderson
Lacey Sischo
Publicatiedatum
03-10-2016
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 4/2017
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-016-1420-5

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