Child oral health-related quality of life following treatment under dental general anaesthetic (DGA)

Data sources PubMed, EMBASE, Web of Science, CINAHL and the Cochrane Library. Study selection Two independent reviewers selected studies which employed validated QoL instruments, Early Childhood Oral Health Impact Scale (ECOHIS) and the Child Oral Health-Related Quality of Life (COHRQoL) questionnai...

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Veröffentlicht in:Evidence-based dentistry 2019-06, Vol.20 (2), p.46-47
Hauptverfasser: Marshman, Zoe, Knapp, Rebecca
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container_title Evidence-based dentistry
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creator Marshman, Zoe
Knapp, Rebecca
description Data sources PubMed, EMBASE, Web of Science, CINAHL and the Cochrane Library. Study selection Two independent reviewers selected studies which employed validated QoL instruments, Early Childhood Oral Health Impact Scale (ECOHIS) and the Child Oral Health-Related Quality of Life (COHRQoL) questionnaire to evaluate the change in child oral health-related quality of life (OHRQoL), following dental treatment under general anaesthesia (DGA) for caries. Data extraction and synthesis Risk of bias was assessed using the Cochrane collaboration tool. A meta-analysis was conducted, dividing studies based on the OHRQoL measure used. Results Twenty-two research articles were included in the review, which included 12 studies employing each of the two OHRQoL measures. Risk of bias in the included studies varied considerably. An overall improvement in OHRQoL was identified in all studies following DGA. The mean difference in scores post-treatment for ECOHIS and COHRQoL were 1.62 (95% CI 1.52-1.71; P
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Study selection Two independent reviewers selected studies which employed validated QoL instruments, Early Childhood Oral Health Impact Scale (ECOHIS) and the Child Oral Health-Related Quality of Life (COHRQoL) questionnaire to evaluate the change in child oral health-related quality of life (OHRQoL), following dental treatment under general anaesthesia (DGA) for caries. Data extraction and synthesis Risk of bias was assessed using the Cochrane collaboration tool. A meta-analysis was conducted, dividing studies based on the OHRQoL measure used. Results Twenty-two research articles were included in the review, which included 12 studies employing each of the two OHRQoL measures. Risk of bias in the included studies varied considerably. An overall improvement in OHRQoL was identified in all studies following DGA. The mean difference in scores post-treatment for ECOHIS and COHRQoL were 1.62 (95% CI 1.52-1.71; P &lt;0.00001; I2 = 0%) and 0.86 (95% CI 0.74-0.99; P &lt;0.00001; I2 = 0%), respectively, with medium to large effect sizes. There was no evidence of heterogeneity. Conclusions Treatment under DGA significantly improved the OHRQoL of children, as reported by their parents. The authors suggest that studies of longer than three months are required to assess whether these changes are sustained in the long-term.</description><identifier>ISSN: 1462-0049</identifier><identifier>EISSN: 1476-5446</identifier><identifier>DOI: 10.1038/s41432-019-0026-5</identifier><identifier>PMID: 31253963</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>Anesthesia ; Anesthesia, General ; Anesthetics, General ; Child ; Child, Preschool ; Children ; Dental Care ; Dental caries ; Dentistry ; Humans ; Oral Health ; Oral hygiene ; Quality of Life ; review-article ; Summary Review</subject><ispartof>Evidence-based dentistry, 2019-06, Vol.20 (2), p.46-47</ispartof><rights>British Dental Association 2019</rights><rights>Copyright Nature Publishing Group Jun 2019</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c2875-d076b63efbb2b0eef89f912b0f085d1fe4115e8708b78c40ca3ff7862845b7cb3</citedby><cites>FETCH-LOGICAL-c2875-d076b63efbb2b0eef89f912b0f085d1fe4115e8708b78c40ca3ff7862845b7cb3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1038/s41432-019-0026-5$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1038/s41432-019-0026-5$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31253963$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Marshman, Zoe</creatorcontrib><creatorcontrib>Knapp, Rebecca</creatorcontrib><title>Child oral health-related quality of life following treatment under dental general anaesthetic (DGA)</title><title>Evidence-based dentistry</title><addtitle>Evid Based Dent</addtitle><addtitle>Evid Based Dent</addtitle><description>Data sources PubMed, EMBASE, Web of Science, CINAHL and the Cochrane Library. Study selection Two independent reviewers selected studies which employed validated QoL instruments, Early Childhood Oral Health Impact Scale (ECOHIS) and the Child Oral Health-Related Quality of Life (COHRQoL) questionnaire to evaluate the change in child oral health-related quality of life (OHRQoL), following dental treatment under general anaesthesia (DGA) for caries. Data extraction and synthesis Risk of bias was assessed using the Cochrane collaboration tool. A meta-analysis was conducted, dividing studies based on the OHRQoL measure used. Results Twenty-two research articles were included in the review, which included 12 studies employing each of the two OHRQoL measures. Risk of bias in the included studies varied considerably. An overall improvement in OHRQoL was identified in all studies following DGA. The mean difference in scores post-treatment for ECOHIS and COHRQoL were 1.62 (95% CI 1.52-1.71; P &lt;0.00001; I2 = 0%) and 0.86 (95% CI 0.74-0.99; P &lt;0.00001; I2 = 0%), respectively, with medium to large effect sizes. There was no evidence of heterogeneity. Conclusions Treatment under DGA significantly improved the OHRQoL of children, as reported by their parents. 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Knapp, Rebecca</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2875-d076b63efbb2b0eef89f912b0f085d1fe4115e8708b78c40ca3ff7862845b7cb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Anesthesia</topic><topic>Anesthesia, General</topic><topic>Anesthetics, General</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Children</topic><topic>Dental Care</topic><topic>Dental caries</topic><topic>Dentistry</topic><topic>Humans</topic><topic>Oral Health</topic><topic>Oral hygiene</topic><topic>Quality of Life</topic><topic>review-article</topic><topic>Summary Review</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Marshman, Zoe</creatorcontrib><creatorcontrib>Knapp, Rebecca</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium &amp; 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Study selection Two independent reviewers selected studies which employed validated QoL instruments, Early Childhood Oral Health Impact Scale (ECOHIS) and the Child Oral Health-Related Quality of Life (COHRQoL) questionnaire to evaluate the change in child oral health-related quality of life (OHRQoL), following dental treatment under general anaesthesia (DGA) for caries. Data extraction and synthesis Risk of bias was assessed using the Cochrane collaboration tool. A meta-analysis was conducted, dividing studies based on the OHRQoL measure used. Results Twenty-two research articles were included in the review, which included 12 studies employing each of the two OHRQoL measures. Risk of bias in the included studies varied considerably. An overall improvement in OHRQoL was identified in all studies following DGA. 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subjects Anesthesia
Anesthesia, General
Anesthetics, General
Child
Child, Preschool
Children
Dental Care
Dental caries
Dentistry
Humans
Oral Health
Oral hygiene
Quality of Life
review-article
Summary Review
title Child oral health-related quality of life following treatment under dental general anaesthetic (DGA)
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