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Determining the minimally important difference for the Oral Health Impact Profile‐20

Identifieur interne : 005C16 ( Main/Curation ); précédent : 005C15; suivant : 005C17

Determining the minimally important difference for the Oral Health Impact Profile‐20

Auteurs : P. Finbarr Allen [Irlande (pays)] ; Maeve O Ullivan [Irlande (pays)] ; David Locker [Canada]

Source :

RBID : ISTEX:33482A05140D5254D830CC6B6E915635D282CC11

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English descriptors

Abstract

In the context of clinical trials, measurement of change is critical. The aim of this study was to determine the minimally important difference (MID) for the Oral Health Impact Profile‐20 (OHIP‐20) when used with partially dentate patients undergoing treatment that included the provision of removable partial dentures. In a prospective clinical trial, 51 consecutive patients were provided with removable partial dentures. In addition to demographic and dental status data, patients completed an OHIP‐20 prior to treatment. One month postoperatively, patients completed a post‐treatment OHIP‐20 and a global transition scale. Domains assessed in the global transition scale were appearance, ability to chew food, oral comfort, and speech. The MID for the OHIP‐20 was calculated using the anchor‐based approach. From the initial sample of 51 patients, 44 completed post‐treatment questionnaires and were included in the analysis. Change scores in the four transition domains indicated that new dentures had a positive impact in the majority of subjects, especially in perceived impact on chewing and appearance. The study provided a guideline as to what constitutes the MID for the OHIP‐20. This benchmark can be used when interpreting the impact of clinical intervention for replacing missing teeth and for power calculation in statistical analyses.

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DOI: 10.1111/j.1600-0722.2009.00610.x

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ISTEX:33482A05140D5254D830CC6B6E915635D282CC11

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<title level="j" type="main">European Journal of Oral Sciences</title>
<title level="j" type="alt">EUROPEAN JOURNAL OF ORAL SCIENCES</title>
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<term>Adult</term>
<term>Aged</term>
<term>Anterior maxillary teeth</term>
<term>Baseline scores</term>
<term>Benchmark</term>
<term>Change category</term>
<term>Change score</term>
<term>Change scores</term>
<term>Clin epidemiol</term>
<term>Clinical intervention</term>
<term>Clinical outcome studies</term>
<term>Clinical trials</term>
<term>Comfort appearance</term>
<term>Community dent</term>
<term>Cork university</term>
<term>Cost of Illness</term>
<term>Dent</term>
<term>Dental status</term>
<term>Dentate</term>
<term>Dentate mandible</term>
<term>Dentate patients</term>
<term>Denture</term>
<term>Denture, Partial, Removable (psychology)</term>
<term>Denture, Partial, Removable (statistics & numerical data)</term>
<term>Epidemiol</term>
<term>Female</term>
<term>Global</term>
<term>Global change judgments</term>
<term>Global ratings</term>
<term>Global transition scale</term>
<term>Good deal</term>
<term>Great deal</term>
<term>Guyatt</term>
<term>Health status</term>
<term>Health status measure</term>
<term>Hrqol</term>
<term>Hrqol measures</term>
<term>Humans</term>
<term>Important difference</term>
<term>Jaw, Edentulous, Partially (psychology)</term>
<term>Jaw, Edentulous, Partially (rehabilitation)</term>
<term>Journal compilation</term>
<term>Large change</term>
<term>Large changes</term>
<term>Life scores</term>
<term>Male</term>
<term>Measurement error</term>
<term>Middle Aged</term>
<term>Moderate change</term>
<term>Negative change scores</term>
<term>Oral comfort</term>
<term>Oral health impact</term>
<term>Oral health impact profile</term>
<term>Oral quality</term>
<term>Outcome Assessment (Health Care) (methods)</term>
<term>Outcome Assessment (Health Care) (statistics & numerical data)</term>
<term>Partial dentures</term>
<term>Patient Satisfaction</term>
<term>Positive change scores</term>
<term>Positive impact</term>
<term>Pretreatment</term>
<term>Prospective Studies</term>
<term>Qual life</term>
<term>Quality of Life (psychology)</term>
<term>Referenced</term>
<term>Referenced approaches</term>
<term>Removable</term>
<term>Restorative dentistry</term>
<term>Saddle areas</term>
<term>Scale points</term>
<term>School hospital</term>
<term>Sensitivity and Specificity</term>
<term>Sickness Impact Profile</term>
<term>Standard deviation</term>
<term>Standard error</term>
<term>Statistical analyses</term>
<term>Subjective health status measures</term>
<term>Summary score</term>
<term>Surveys and Questionnaires</term>
<term>Therapeutic intervention</term>
<term>Transition domains</term>
<term>Treatment outcomes</term>
<term>Young Adult</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Coût de la maladie</term>
<term>Enquêtes et questionnaires</term>
<term>Femelle</term>
<term>Humains</term>
<term>Jeune adulte</term>
<term>Mâchoire partiellement édentée (psychologie)</term>
<term>Mâchoire partiellement édentée (rééducation et réadaptation)</term>
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<term>Profil d'impact de la maladie</term>
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<term>Prothèse dentaire partielle amovible (psychologie)</term>
<term>Qualité de vie (psychologie)</term>
<term>Satisfaction du patient</term>
<term>Sensibilité et spécificité</term>
<term>Sujet âgé</term>
<term>Études prospectives</term>
<term>Évaluation de résultat (soins) ()</term>
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<term>Outcome Assessment (Health Care)</term>
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<term>Mâchoire partiellement édentée</term>
<term>Prothèse dentaire partielle amovible</term>
<term>Qualité de vie</term>
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<keywords scheme="MESH" qualifier="psychology" xml:lang="en">
<term>Denture, Partial, Removable</term>
<term>Jaw, Edentulous, Partially</term>
<term>Quality of Life</term>
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<term>Jaw, Edentulous, Partially</term>
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<keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr">
<term>Mâchoire partiellement édentée</term>
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<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en">
<term>Denture, Partial, Removable</term>
<term>Outcome Assessment (Health Care)</term>
</keywords>
<keywords scheme="Teeft" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Anterior maxillary teeth</term>
<term>Baseline scores</term>
<term>Benchmark</term>
<term>Change category</term>
<term>Change score</term>
<term>Change scores</term>
<term>Clin epidemiol</term>
<term>Clinical intervention</term>
<term>Clinical outcome studies</term>
<term>Clinical trials</term>
<term>Comfort appearance</term>
<term>Community dent</term>
<term>Cork university</term>
<term>Cost of Illness</term>
<term>Dent</term>
<term>Dental status</term>
<term>Dentate</term>
<term>Dentate mandible</term>
<term>Dentate patients</term>
<term>Denture</term>
<term>Epidemiol</term>
<term>Female</term>
<term>Global</term>
<term>Global change judgments</term>
<term>Global ratings</term>
<term>Global transition scale</term>
<term>Good deal</term>
<term>Great deal</term>
<term>Guyatt</term>
<term>Health status</term>
<term>Health status measure</term>
<term>Hrqol</term>
<term>Hrqol measures</term>
<term>Humans</term>
<term>Important difference</term>
<term>Journal compilation</term>
<term>Large change</term>
<term>Large changes</term>
<term>Life scores</term>
<term>Male</term>
<term>Measurement error</term>
<term>Middle Aged</term>
<term>Moderate change</term>
<term>Negative change scores</term>
<term>Oral comfort</term>
<term>Oral health impact</term>
<term>Oral health impact profile</term>
<term>Oral quality</term>
<term>Partial dentures</term>
<term>Patient Satisfaction</term>
<term>Positive change scores</term>
<term>Positive impact</term>
<term>Pretreatment</term>
<term>Prospective Studies</term>
<term>Qual life</term>
<term>Referenced</term>
<term>Referenced approaches</term>
<term>Removable</term>
<term>Restorative dentistry</term>
<term>Saddle areas</term>
<term>Scale points</term>
<term>School hospital</term>
<term>Sensitivity and Specificity</term>
<term>Sickness Impact Profile</term>
<term>Standard deviation</term>
<term>Standard error</term>
<term>Statistical analyses</term>
<term>Subjective health status measures</term>
<term>Summary score</term>
<term>Surveys and Questionnaires</term>
<term>Therapeutic intervention</term>
<term>Transition domains</term>
<term>Treatment outcomes</term>
<term>Young Adult</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Coût de la maladie</term>
<term>Enquêtes et questionnaires</term>
<term>Femelle</term>
<term>Humains</term>
<term>Jeune adulte</term>
<term>Mâle</term>
<term>Profil d'impact de la maladie</term>
<term>Prothèse dentaire partielle amovible</term>
<term>Satisfaction du patient</term>
<term>Sensibilité et spécificité</term>
<term>Sujet âgé</term>
<term>Études prospectives</term>
<term>Évaluation de résultat (soins)</term>
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<front>
<div type="abstract" xml:lang="en">In the context of clinical trials, measurement of change is critical. The aim of this study was to determine the minimally important difference (MID) for the Oral Health Impact Profile‐20 (OHIP‐20) when used with partially dentate patients undergoing treatment that included the provision of removable partial dentures. In a prospective clinical trial, 51 consecutive patients were provided with removable partial dentures. In addition to demographic and dental status data, patients completed an OHIP‐20 prior to treatment. One month postoperatively, patients completed a post‐treatment OHIP‐20 and a global transition scale. Domains assessed in the global transition scale were appearance, ability to chew food, oral comfort, and speech. The MID for the OHIP‐20 was calculated using the anchor‐based approach. From the initial sample of 51 patients, 44 completed post‐treatment questionnaires and were included in the analysis. Change scores in the four transition domains indicated that new dentures had a positive impact in the majority of subjects, especially in perceived impact on chewing and appearance. The study provided a guideline as to what constitutes the MID for the OHIP‐20. This benchmark can be used when interpreting the impact of clinical intervention for replacing missing teeth and for power calculation in statistical analyses.</div>
</front>
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