Yuwanati Monal, Gondivkar Shailesh, Sarode Sachin C, Gadbail Amol, Sarode Gargi S, Patil Shankargouda, Mhaske Shubhangi
Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai 600077, India.
Government Dental College & Hospital, Nagpur 44009, India.
Clin Pract. 2021 May 7;11(2):272-286. doi: 10.3390/clinpract11020040.
Oral health-related quality of life (OR-QoL) measurement in patients with oral lichen planus (OLP) can provide valuable information for the optimal management of their clinical conditions. The main objective of the present study was to assess the OR-QoL of patients with OLP as measured by the short-form Oral Health Impact profile-14 (OHIP-14) questionnaire. PubMed/MEDLINE, ISI/Web of Science, clinical trial registry, Embase, Scopus, and grey literature (via Google Scholar and Scilit) were searched. Reviewers independently screened titles/abstracts, assessed full-text articles, extracted data, and appraised their quality. Random effect analysis along with subgroup analysis for age, gender, and clinical type was performed. Seventeen studies were included. Mean overall OH-QoL was 15.20, [95% CI 12.176, 18.231]; a higher OHIP-14 score was seen in OLP patients, resulting in poor OH-QoL. The impact of OLP on OH-QoL life was moderate as compared to healthy subjects. However, medical treatment of the disease improved the OH-QoL and thus reduced the impact of OLP on it. OH-QoL among patients with OLP is generally poor. Clinicians and physicians should consider the OH-QoL of these patients as part of patients' evaluation and modulate the administered treatment based on the OH-QoL response.
口腔扁平苔藓(OLP)患者的口腔健康相关生活质量(OR-QoL)测量可为其临床状况的优化管理提供有价值的信息。本研究的主要目的是通过简版口腔健康影响程度量表-14(OHIP-14)问卷评估OLP患者的OR-QoL。检索了PubMed/MEDLINE、ISI/Web of Science、临床试验注册库、Embase、Scopus和灰色文献(通过谷歌学术和Scilit)。评审人员独立筛选标题/摘要、评估全文文章、提取数据并评估其质量。进行了随机效应分析以及年龄、性别和临床类型的亚组分析。纳入了17项研究。平均总体口腔健康生活质量为15.20,[95%置信区间12.176,18.231];OLP患者的OHIP-14得分较高,导致口腔健康生活质量较差。与健康受试者相比,OLP对口腔健康生活质量的影响为中度。然而,该疾病的医学治疗改善了口腔健康生活质量,从而降低了OLP对其的影响。OLP患者的口腔健康生活质量总体较差。临床医生和内科医生应将这些患者的口腔健康生活质量作为患者评估的一部分,并根据口腔健康生活质量反应调整所给予的治疗。