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血管炎患者口腔健康状况不佳:加拿大在线横断面调查(VASC-TOOTH调查)结果

Patients with vasculitis present a poor oral health: results of the online cross-sectional survey from Canada (VASC-TOOTH Survey).

作者信息

Mestre-Torres Jaume, Soowamber Medha, Lafleur-Careau Justine, Faibish Arick, Stavroullakis Shaminder, Haq Nazrana, Pagnoux Christian

机构信息

Vasculitis Clinic, Division of Rheumatology, Mount Sinai Hospital, University Health Network, Toronto, ON, Canada.

Internal Medicine Department, Hospital Universitari Vall d'Hebron, Passeig de la Vall d'Hebron, 119-129, Barcelona, 08035, Spain.

出版信息

Rheumatol Int. 2025 Apr 15;45(5):98. doi: 10.1007/s00296-025-05857-9.

Abstract

To describe oral health complications and related quality of life in patients with vasculitis. Survey to assess clinical variables, pertinent to oral and dental health in patients with vasculitis and using the Oral Health Impact Profile 14 (OHIP14) questionnaire. 226 patients answered the survey. Globally, 179 (79.2%) patients reported good oral and dental health before the vasculitis diagnosis, while 92 (40.7%) patients reported a worsening since the diagnosis of vasculitis. Patients with a worsened oral health had a longer disease duration (10.0 (1.0) vs. 7.4 (0.7) years; p < 0.05), and had more relapses in the previous 2 years (34.8% vs. 16.4%; p < 0.005). The median OHIP14 score was 4 (IQR: 0-10); 97 (48.7%) patients scored > 4 points. Patients with Takayasu arteritis and Behçet disease showed worse OHIP14 scores, had a longer disease course but were younger than those with better scores or other vasculitis diagnoses. A high proportion of patients with vasculitis, especially those with Takayasu arteritis or Behçet disease, reported oral or dental complications, with subsequent impaired oral health-related quality of life.

摘要

描述血管炎患者的口腔健康并发症及相关生活质量。通过调查评估与血管炎患者口腔和牙齿健康相关的临床变量,并使用口腔健康影响程度量表14(OHIP14)问卷。226名患者回答了该调查。总体而言,179名(79.2%)患者报告在血管炎诊断前口腔和牙齿健康状况良好,而92名(40.7%)患者报告自血管炎诊断以来口腔健康状况恶化。口腔健康恶化的患者疾病持续时间更长(10.0(1.0)年 vs. 7.4(0.7)年;p<0.05),且在过去2年中复发次数更多(34.8% vs. 16.4%;p<0.005)。OHIP14评分的中位数为4(四分位间距:0 - 10);97名(48.7%)患者得分>4分。大动脉炎和白塞病患者的OHIP14评分更差,病程更长,但比评分较好或患有其他血管炎诊断的患者更年轻。很大一部分血管炎患者,尤其是大动脉炎或白塞病患者,报告了口腔或牙齿并发症,随后口腔健康相关生活质量受损。

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