Assessing oral health-related quality of life in children and adolescents: a systematic review and standardized comparison of available instruments
Por:
Zaror, C, Pardo, Y, Espinoza-Espinoza, G, Pont, A, Munoz-Millan, P, Martinez-Zapata, MJ, Vilagut, G, Forero, CG, Garin, O, Alonso, J, Ferrer, M
Publicada:
1 ene 2019
Resumen:
ObjectivesTo obtain a systematic and standardized evaluation of the current evidence on development process, metric properties, and administration issues of oral health-related quality of life instruments available for children and adolescents.Materials and methodsA systematic search until October 2016 was conducted in PubMed, Embase, Lilacs, SciELO, and Cochrane databases. Articles with information regarding the development process, metric properties, and administration issues of pediatric instruments measuring oral health-related quality of life were eligible for inclusion. Two researchers independently evaluated each instrument applying the Evaluating Measures of Patient-Reported Outcomes (EMPRO) tool. An overall and seven attribute-specific EMPRO scores were calculated (range 0-100, worst to best): measurement model, reliability, validity, responsiveness, interpretability, burden, and alternative forms.ResultsWe identified 18 instruments evaluated in 132 articles. From five instruments designed for preschoolers, the Early Childhood Oral Health Impact Scale (ECOHIS) obtained the highest overall EMPRO score (82.2). Of nine identified for schoolchildren and adolescents, the best rated instrument was the Child Perceptions Questionnaire 11-14 (82.1). Among the four instruments developed for any age, the Family Impact Scale (FIS) obtained the highest scores (80.3).ConclusionThe evidence supports the use of the ECOHIS for preschoolers, while the age is a key factor when choosing among the four recommended instruments for schoolchildren and adolescents. Instruments for specific conditions, symptoms, or treatments need further research on metric properties.Clinical relevanceOur results facilitate decision-making on the correct oral health-related quality of life instrument selection for any certain study purpose and population during the childhood and adolescence life cycle.
Filiaciones:
Zaror, C:
Univ La Frontera, Fac Dent, Dept Pediat Dent & Orthodont, Manuel Montt 112, Temuco, Chile
Univ La Frontera, Fac Dent, Ctr Res Epidemiol Econ & Oral Publ Hlth CIEESPO, Temuco, Chile
Univ Autonoma Barcelona, Barcelona, Spain
Pardo, Y:
Univ Autonoma Barcelona, Barcelona, Spain
Hosp del Mar Med Res Inst IMIM, Hlth Serv Res Grp, Doctor Aiguader 88, Barcelona 08003, Spain
CIBER Epidemiol & Salud Publ CIBERESP, Barcelona, Spain
Espinoza-Espinoza, G:
Univ La Frontera, Fac Dent, Ctr Res Epidemiol Econ & Oral Publ Hlth CIEESPO, Temuco, Chile
Univ La Frontera, Fac Med, Dept Publ Hlth, Temuco, Chile
Pont, A:
Hosp del Mar Med Res Inst IMIM, Hlth Serv Res Grp, Doctor Aiguader 88, Barcelona 08003, Spain
CIBER Epidemiol & Salud Publ CIBERESP, Barcelona, Spain
Munoz-Millan, P:
Univ La Frontera, Fac Dent, Dept Pediat Dent & Orthodont, Manuel Montt 112, Temuco, Chile
Univ La Frontera, Fac Dent, Ctr Res Epidemiol Econ & Oral Publ Hlth CIEESPO, Temuco, Chile
Martinez-Zapata, MJ:
CIBER Epidemiol & Salud Publ CIBERESP, Barcelona, Spain
Biomed Res Inst St Pau IIB St Pau, Iberoamer Cochrane Ctr, Barcelona, Spain
Vilagut, G:
Hosp del Mar Med Res Inst IMIM, Hlth Serv Res Grp, Doctor Aiguader 88, Barcelona 08003, Spain
CIBER Epidemiol & Salud Publ CIBERESP, Barcelona, Spain
Forero, CG:
Hosp del Mar Med Res Inst IMIM, Hlth Serv Res Grp, Doctor Aiguader 88, Barcelona 08003, Spain
CIBER Epidemiol & Salud Publ CIBERESP, Barcelona, Spain
UPF, Barcelona, Spain
Garin, O:
Hosp del Mar Med Res Inst IMIM, Hlth Serv Res Grp, Doctor Aiguader 88, Barcelona 08003, Spain
CIBER Epidemiol & Salud Publ CIBERESP, Barcelona, Spain
UPF, Barcelona, Spain
Alonso, J:
Hosp del Mar Med Res Inst IMIM, Hlth Serv Res Grp, Doctor Aiguader 88, Barcelona 08003, Spain
CIBER Epidemiol & Salud Publ CIBERESP, Barcelona, Spain
UPF, Barcelona, Spain
Ferrer, M:
Univ Autonoma Barcelona, Barcelona, Spain
Hosp del Mar Med Res Inst IMIM, Hlth Serv Res Grp, Doctor Aiguader 88, Barcelona 08003, Spain
CIBER Epidemiol & Salud Publ CIBERESP, Barcelona, Spain
Green Accepted
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