Questionnaire investigation after orthodontic treatment in patients with unilateral cleft lip and palate: An inter-clinic collaborative study

Okayasu, Mari; Susami, Takafumi; Asahito, Toshikazu; Sakamoto, Teruo; Kurata, Kazuyuki; Ishiwata, Yasuo; Nagahama, Kouhei; Takato, Tsuyoshi; Saito, Isao

doi:10.1016/j.odw.2018.02.002

Cited by 2 publications

(2 citation statements)

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“…[ 6 ] Health status, primary concerns and experiences of orthodontic care, and oral health-related quality of life (OHRQoL) could also be measured to evaluate self-perceived treatment outcomes through the concept of PROMs. [ 6 7 ] These arguments support the use of PROMs in orthodontic practice, as a patient-centered approach can be enhanced.…”

Section: Introductionmentioning

confidence: 93%

“…As there appeared to be no research of PROMs or PREMs conducted in Thailand, the questionnaire in this study was constructed based on literature review and group discussion. Items for the questionnaire were developed from previous studies;[ 7 8 9 10 ] however, some of them were adapted to suit the research objectives. All items were first constructed in English.…”

Section: Aterials and M Ethodsmentioning

confidence: 99%

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The Implementation of PROMs/PREMs in the Assessment of Orthodontic Treatment Outcomes

Santiwong

Sommaluan

Mokkasak

et al. 2022

Journal of International Society of Preventive and Community Dentistry

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A BSTRACT Objectives: The aim of this study was to explore the impact of self-perceived treatment outcomes and experiences on psychological aspects, reflecting the importance of patient-reported outcome measures (PROMs) and patient-reported experience measures (PREMs) in orthodontic practice. Materials and Methods: A questionnaire was constructed using the PROMs/PREMs concepts. It contained five parts: “Demographic data”, “Self-perceived esthetics”, “Self-perceived functional concern”, “Satisfaction of treatment procedures”, and “Psychological aspect”. The questionnaire was piloted in five experts and 50 orthodontic patients to ensure its quality, using content validity, test-retest reliability, and Cronbach’s alpha. The validated version was provided to patients who had a complete fixed appliance orthodontic treatment. These data were analyzed using descriptive statistics, Mann-Whitney U test, and Spearman correlation. In addition, a multiple linear regression was used to analyze whether there were any influential factors on a psychological aspect. Statistical significance was taken at P < 0.05. Results: A total of 271 respondents completed the questionnaire. They tended to have positive perceptions toward the outcomes of orthodontic treatment. There was a significant difference in self-perceived esthetics between the male and female groups. Self-perceived esthetic and functional concerns as well as satisfaction of treatment procedures were found to have significant correlations with the psychological aspect. Sex and self-perceived esthetics were also found to be significant predictors of the psychological aspect. Conclusion: PROMs/PREMs should be considered as an important tool to assess treatment outcomes in orthodontic practice. There appeared to be significant impact of self-perceived esthetics on psychological aspects. Consequently, PROMs and PREMs should be introduced in orthodontic postgraduate programs to enhance the concept of patient-centered care in orthodontic practice.

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Section: Introductionmentioning

confidence: 93%

Section: Aterials and M Ethodsmentioning

confidence: 99%

The Implementation of PROMs/PREMs in the Assessment of Orthodontic Treatment Outcomes

Santiwong

Sommaluan

Mokkasak

et al. 2022

Journal of International Society of Preventive and Community Dentistry

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Influence of clinical and demographic factors on the oral health-related quality of life of patients with cleft lip and palate undergoing orthodontic treatment: a systematic review and meta-analysis

Nascimento

Martins

Vilella

et al. 2021

European Journal of Orthodontics

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Summary Objective The purpose of this study was to evaluate the influence of orthodontic treatment on the oral health-related quality of life (OHRQoL) of patients with cleft lip and palate. Search methods Electronic searches were conducted in Pubmed, Scopus, Web of Science, Cochrane Library, VHL, and OpenGrey databases, completed in January 2021. Selection criteria Cross-sectional and longitudinal observational studies that presented an assessment of OHRQoL in cleft patients undergoing orthodontic treatment were included, according to PRISMA guidelines. Contacts via email were made with authors, to clarify inaccuracies or request additional data. Data collection and analysis The entire process was accomplished by two authors, in case of disagreement, a third author mediated the discussion until there was a consensus. Risk assessment was performed by the Fowkes and Fulton qualifier, and the quality of evidence, assessed by the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) tool. A meta-analysis was performed considering the domains combined into three large groups (physical, psychological, and social). The questionnaires were standardized as to the scores and their direction. Results A total of 3822 studies were retrieved. After excluding duplicates, the titles and abstracts of the remaining articles were analysed. Twenty-eight articles were read in full; 13 met the eligibility criteria; 12 articles showed sufficient methodological quality and 7 were included in the quantitative assessment. The included studies were published between 2011 and 2019. The samples comprised 19 to 183 patients of both sexes. GRADE showed low evidence when compared to the control group, sexes, age, and types of cleft and very low evidence among longitudinal articles. Conclusions The OHRQoL is lower in orthodontic patients with cleft than in those without. The OHRQoL of patients with cleft undergoing orthodontic treatment is not influenced by gender or age group, considering children and adolescents, but it is influenced by the type of cleft. The OHRQoL of patients with CLP does not undergo significant changes during orthodontic treatment. Limitations The variety of instruments for measuring OHRQoL rendered meta-analysis difficult. Registration PROSPERO database number CRD42017054764.

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Questionnaire investigation after orthodontic treatment in patients with unilateral cleft lip and palate: An inter-clinic collaborative study

Cited by 2 publications

References 32 publications

The Implementation of PROMs/PREMs in the Assessment of Orthodontic Treatment Outcomes

The Implementation of PROMs/PREMs in the Assessment of Orthodontic Treatment Outcomes

Influence of clinical and demographic factors on the oral health-related quality of life of patients with cleft lip and palate undergoing orthodontic treatment: a systematic review and meta-analysis

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