Knapp R, Marshman Zoe, Gilchrist Fiona, Vettore Mario, Rodd Helen
Academic Unit of Oral Health, Dentistry and Society, School of Clinical Dentistry, University of Sheffield, Sheffield, UK.
Department of Health and Nursing Sciences, University of Agder, Kristiansand, Norway.
Eur Arch Paediatr Dent. 2022 Jun;23(3):399-408. doi: 10.1007/s40368-022-00695-w. Epub 2022 Feb 3.
To examine the impact of clinical, individual, and environmental factors on children's oral health-related quality of life (OHRQoL) and overall health-related quality of life (HRQoL) following dental caries management under general anaesthetic (GA).
Participants comprised 5- to 16-year-old children who were referred to a British Dental Hospital, for the management of their dental caries under GA. The Caries Impacts and Experiences Questionnaire for Children (CARIES-QC) and the Child Health Utility 9D (CHU9D) were used to assess child-reported OHRQoL and HRQoL, respectively, at baseline and 3-months follow up. A theoretical conceptual model, based on the Wilson and Cleary model of HRQOL, was evaluated using path analysis to explore indirect and direct relationships of the clinical, individual, and environmental variables on the quality of life outcomes following treatment.
85 children completed the study. Path analyses revealed that 47% of the variance in OHRQoL scores was accounted for by the variables in the model. There were significant relationships between change in OHRQoL score and treatment type [extraction only vs. combination care (β = 1.41, p = 0.07)] and number of extractions (β = 0.46, p < 0.001). A higher number of tooth extractions was associated with poorer OHRQoL and HRQoL following treatment.
Treatment type, via number of extractions, may significantly impact on child OHRQoL and HRQoL following treatment under GA. However, to identify any other factors, that might affect these key outcomes, further enquiry is warranted with a bigger sample.
探讨临床、个体和环境因素对在全身麻醉（GA）下进行龋齿治疗后儿童口腔健康相关生活质量（OHRQoL）和整体健康相关生活质量（HRQoL）的影响。
研究对象为5至16岁被转诊至一家英国牙科医院接受GA下龋齿治疗的儿童。分别使用儿童龋齿影响与体验问卷（CARIES-QC）和儿童健康效用9D量表（CHU9D）在基线和随访3个月时评估儿童报告的OHRQoL和HRQoL。基于Wilson和Cleary的HRQOL模型构建了一个理论概念模型，采用路径分析进行评估，以探讨临床、个体和环境变量与治疗后生活质量结果之间的间接和直接关系。
85名儿童完成了研究。路径分析显示，模型中的变量解释了OHRQoL得分47%的方差。OHRQoL得分变化与治疗类型[仅拔牙与联合治疗（β = 1.41，p = 0.07）]和拔牙数量（β = 0.46，p < 0.001）之间存在显著关系。拔牙数量越多，治疗后OHRQoL和HRQoL越差。
治疗类型通过拔牙数量，可能对GA下治疗后的儿童OHRQoL和HRQoL产生显著影响。然而，为了确定可能影响这些关键结果的任何其他因素，有必要用更大的样本进行进一步调查。
