Introduction

The Oral Health Impact Profile (OHIP-14) has been used extensively to measure the impact of oral disease on oral health-related quality of life (HRQoL) but has not been validated in the Urdu language or tested in gastroenterology.

Aims

To validate the OHIP-14 for use in Pakistan and its ability to assess oral health in patients with upper gastrointestinal (GI) and hepatic disorders.

Design

Multicentre, cross-sectional.

Setting

Four major tertiary care hospitals.

Methods

The OHIP-14 was tested for reliability and validity in 700 patients referred for oesophago-gastro-duodenoscopic (OGD) investigation of the symptoms of upper GI or hepatic disease. Socio-demographic details and oral examination findings (for oral lesions and DMFT) were recorded.

Results

The mean (±standard deviation) total OHIP-14 score (range 0–56) was estimated to be 23.38 ± 10.47, indicating a significant impact of upper gastrointestinal and hepatic disorders on oral health. The reliability coefficient of the OHIP-14 was above 0.7 threshold, and the tool had good internal consistency (α = 0.83). When associated with worsening DMFT (decayed, missed, and filled teeth) index value, the highest correlations (p < 0.01) were detected with functional limitation (rs = 0.234), physical disability (rs = 0.230), and psychological discomfort (rs = 0.221).

Conclusion

The OHIP-14 is a precise and valid instrument for assessing oral-HRQoL in a gastroenterological setting amongst Pakistani population.

中文翻译：

---

巴基斯坦上消化道和肝脏疾病患者的口腔健康相关生活质量：乌尔都语口腔健康影响概况 14 的验证

介绍

口腔健康影响概况 (OHIP-14) 已被广泛用于衡量口腔疾病对口腔健康相关生活质量 (HRQoL) 的影响，但尚未在乌尔都语中得到验证或在胃肠病学中进行测试。

目标

验证在巴基斯坦使用的 OHIP-14 及其评估上消化道 (GI) 和肝脏疾病患者口腔健康的能力。

设计

多中心，横截面。

环境

四大三级医院。

方法

OHIP-14 在 700 名转诊接受食管-胃-十二指肠镜 (OGD) 上消化道或肝脏疾病症状调查的患者中进行了可靠性和有效性测试。记录社会人口学细节和口腔检查结果（口腔病变和 DMFT）。

结果

平均（±标准差）总 OHIP-14 评分（范围 0-56）估计为 23.38 ± 10.47，表明上消化道和肝脏疾病对口腔健康有显着影响。OHIP-14的信度系数在0.7阈值以上，工具内部一致性好（α  =0.83）。当与恶化的 DMFT（蛀牙、缺失和补牙）指数值相关时，检测到与功能受限（rs =  0.234）、身体残疾（rs = 0.230）和心理不适（rs = 0.221）。

结论

OHIP-14 是一种精确有效的工具，用于评估巴基斯坦人群胃肠病学环境中的口腔 HRQoL。