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 |
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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 |
doi_str_mv | 10.1038/s41432-019-0026-5 |
format | Article |
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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 <0.00001; I2 = 0%) and 0.86 (95% CI 0.74-0.99; P <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 <0.00001; I2 = 0%) and 0.86 (95% CI 0.74-0.99; P <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><subject>Anesthesia</subject><subject>Anesthesia, General</subject><subject>Anesthetics, General</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Children</subject><subject>Dental Care</subject><subject>Dental caries</subject><subject>Dentistry</subject><subject>Humans</subject><subject>Oral Health</subject><subject>Oral hygiene</subject><subject>Quality of Life</subject><subject>review-article</subject><subject>Summary Review</subject><issn>1462-0049</issn><issn>1476-5446</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kUtLxDAUhYMovn-AGwm40UX1Js2rSxmfILjRdUjbm5lKptWkRfz3ZhgfILjKgfudk8s9hBwxOGdQmoskmCh5AawqALgq5AbZZUJnIYTaXGmVpyCqHbKX0gsAaA1ym-yUjMuyUuUuaWeLLrR0iC7QBbowLoqIwY3Y0rfJhW78oIOnofNI_RDC8N71czpGdOMS-5FOfYuRtllm_xx7XOW43mEaFzh2DT29ur08OyBb3oWEh1_vPnm-uX6a3RUPj7f3s8uHouFGy6IFrWpVoq9rXgOiN5WvWJYejGyZR8GYRKPB1No0AhpXeq-N4kbIWjd1uU9O17mvcXib8g522aUGQ3A9DlOynEtQTOrKZPTkD_oyTLHP22VKVPmkClSm2Jpq4pBSRG9fY7d08cMysKsK7LoCm3m7qsDK7Dn-Sp7qJbY_ju-bZ4CvgZRH_Rzj79f_p34COBeQow</recordid><startdate>20190601</startdate><enddate>20190601</enddate><creator>Marshman, Zoe</creator><creator>Knapp, Rebecca</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20190601</creationdate><title>Child oral health-related quality of life following treatment under dental general anaesthetic (DGA)</title><author>Marshman, Zoe ; 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 & Calcified Tissue Abstracts</collection><collection>Health Medical collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>ProQuest Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>ProQuest Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Biological Sciences</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Biological Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Evidence-based dentistry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Marshman, Zoe</au><au>Knapp, Rebecca</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Child oral health-related quality of life following treatment under dental general anaesthetic (DGA)</atitle><jtitle>Evidence-based dentistry</jtitle><stitle>Evid Based Dent</stitle><addtitle>Evid Based Dent</addtitle><date>2019-06-01</date><risdate>2019</risdate><volume>20</volume><issue>2</issue><spage>46</spage><epage>47</epage><pages>46-47</pages><issn>1462-0049</issn><eissn>1476-5446</eissn><abstract>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 <0.00001; I2 = 0%) and 0.86 (95% CI 0.74-0.99; P <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.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>31253963</pmid><doi>10.1038/s41432-019-0026-5</doi><tpages>2</tpages></addata></record> |
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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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