Department of Pediatric Dentistry and Orthodontics, Faculty of Dentistry, Universidad de La Frontera, Temuco, Chile.
Center for Research in Epidemiology, Economics and Oral Public Health (CIEESPO), Faculty of Dentistry, Universidad de La Frontera, Temuco, Chile.
Health Qual Life Outcomes. 2024 Jan 13;22(1):5. doi: 10.1186/s12955-023-02218-7.
Older adults present a variety of oral diseases and conditions, in addition to co-morbidities and limited access to dental care, which significantly impact their oral health-related quality of life (OHRQoL). There are many instruments published to measure OHRQoL. However, it is challenging for clinicians and researchers to choose the best instrument for a given purpose.
To identify OHRQoL instruments available for older adults and summarize the evidence on the conceptual and measurement model, psychometric properties, interpretability, and administration issues of OHRQoL instruments available for older adults through a systematic review.
A systematic search was conducted in MEDLINE, EMBASE, LILACS, and CENTRAL up to February 2023. Articles reporting information on the concept model measurement, psychometric properties, and administration issues of an instrument measuring OHRQoL in older adults were included. Two researchers independently evaluated each instrument using the Evaluating Measures of Patient-Reported Outcomes (EMPRO) tool. The overall score and seven attribute-specific scores were calculated (range 0-100): Conceptual and measurement model, Reliability, Validity, Responsiveness, Interpretability, Burden, and Alternative forms.
We identified 14 instruments evaluated in 97 articles. The overall score varied between 73.7 and 8.9, with only six questionnaires over the threshold score 50.0. EORTC QLQ OH-15 (cancer-specific questionnaire) achieved the highest score (73.7), followed by OHIP (generic OHRQoL questionnaire) (66.9), GOHAI (generic OHRQoL questionnaire) (65.5), and OHIDL (generic OHRQoL questionnaire) (65.2). Overall, the Conceptual and measurement model and Validity showed the best performance, while Responsiveness and Interpretability showed the worst. Insufficient information was presented for an overall evaluation of DSQ and OHAI.
The evidence supports using EORTC QLQ-OH15 as a specific instrument to assess OHRQoL in cancer patients and the OHIP-49, GOHAI, or OHIDL as generic instruments to assess OHRQoL either for cross-sectional or longitudinal studies in older adults.
老年人除了患有多种口腔疾病和状况以及合并症外，还存在获得口腔护理机会有限的问题，这些问题严重影响了他们的口腔健康相关生活质量（OHRQoL）。有许多工具用于测量 OHRQoL。然而，对于临床医生和研究人员来说，选择最适合特定目的的工具具有挑战性。
通过系统评价，确定可用于老年人的 OHRQoL 工具，并总结关于老年人可用的 OHRQoL 工具的概念和测量模型、心理测量特性、可解释性和管理问题的证据。
系统检索 MEDLINE、EMBASE、LILACS 和 CENTRAL 数据库，检索时间截至 2023 年 2 月。纳入报告有关老年人 OHRQoL 测量工具的概念模型测量、心理测量特性和管理问题的信息的文章。两名研究人员使用评估患者报告结局的测量工具（EMPRO）工具独立评估每个工具。计算了总体评分和七个属性特定评分（范围 0-100）：概念和测量模型、可靠性、有效性、反应性、可解释性、负担和替代形式。
我们确定了 97 篇文章中评估的 14 种工具。总体评分在 73.7 到 8.9 之间，只有六个问卷的评分超过 50.0 的阈值。EORTC QLQ OH-15（癌症专用问卷）获得了最高评分（73.7），其次是 OHIP（通用 OHRQoL 问卷）（66.9）、GOHAI（通用 OHRQoL 问卷）（65.5）和 OHIDL（通用 OHRQoL 问卷）（65.2）。总体而言，概念和测量模型以及有效性表现最佳，而反应性和可解释性表现最差。DSQ 和 OHAI 的总体评估提供的信息不足。
证据支持使用 EORTC QLQ-OH15 作为评估癌症患者 OHRQoL 的专用工具，以及 OHIP-49、GOHAI 或 OHIDL 作为通用工具，用于评估老年人的横断面或纵向研究中的 OHRQoL。
