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Oral health‐related quality of life in patients on chronic haemodialysis and after kidney transplantation
Author(s) -
Schmalz G,
Kollmar O,
Vasko R,
Müller GA,
Haak R,
Ziebolz D
Publication year - 2016
Publication title -
oral diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.953
H-Index - 87
eISSN - 1601-0825
pISSN - 1354-523X
DOI - 10.1111/odi.12519
Subject(s) - medicine , mann–whitney u test , periodontitis , oral health , quality of life (healthcare) , statistical significance , kidney transplantation , exact test , chronic periodontitis , transplantation , kidney disease , dentistry , gastroenterology , nursing
Objectives The objective of the study was to evaluate oral health‐related quality of life ( OHRQ oL) depending on dental and periodontal situation in patients on haemodialysis ( HD ) and after kidney transplantation ( KT x) compared to healthy controls ( HC ). Subjects and Methods OHRQ oL was assessed using the German short form of Oral Health Impact Profile ( OHIP G14). Dental health was estimated using the decayed, missing and filled teeth index ( DMF ‐T). Periodontal health was classified as healthy/mild or moderate/severe periodontitis. Statistical analysis: Mann–Whitney U ‐test, Kruskal–Wallis test, chi‐square test and Fisher's test. Results Eighty‐seven HD patients, 39 KT x patients and 91 HC were included. Significant differences in DMF ‐T, D‐T, M‐T and F‐T scores were identified between groups ( P < 0.001). The prevalence of moderate/severe periodontitis was significantly higher in the HD and KT x group compared to HC ( P = 0.002). Differences in OHIP G14 between groups were neither clinical relevant nor statistically significant ( P = 0.199). A significant effect of DMF ‐T ( P = 0.012), M‐T ( P < 0.001) and periodontitis ( P = 0.023) on the OHIP G14 scores was identified only in HC . Conclusions Improvement in dental care of HD and KT x patients is required. OHIP G14 values provide a subjectively considered low importance of oral health in HD and KT x patients, leading to need of motivation and sensitisation of these patients.