Oral health-related quality of life in youth receiving cleft-related surgery: self-report and proxy ratings.
In: Quality of Life Research, Jg. 26 (2017-04-01), Heft 4, S. 859-867
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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. [ABSTRACT FROM AUTHOR]
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Oral health-related quality of life in youth receiving cleft-related surgery: self-report and proxy ratings.
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Autor/in / Beteiligte Person: | Broder, Hillary ; Wilson-Genderson, Maureen ; Sischo, Lacey ; Broder, Hillary L |
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Zeitschrift: | Quality of Life Research, Jg. 26 (2017-04-01), Heft 4, S. 859-867 |
Veröffentlichung: | 2017 |
Medientyp: | academicJournal |
ISSN: | 0962-9343 (print) |
DOI: | 10.1007/s11136-016-1420-5 |
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