Child oral health-related quality of life following treatment under dental general anaesthetic (DGA).,Evidence-Based Dentistry

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Child oral health-related quality of life following treatment under dental general anaesthetic (DGA).
Evidence-Based Dentistry Pub Date : 2019-06-01 , DOI: 10.1038/s41432-019-0026-5
Zoe Marshman ₁ , Rebecca Knapp ₂

Affiliation

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.

中文翻译：

牙科全身麻醉（DGA）治疗后与儿童口腔健康相关的生活质量。

数据来源PubMed，EMBASE，Web of Science，CINAHL和Cochrane图书馆。研究选择两名独立的评审员选择了使用经过验证的QoL手段进行的研究，即儿童口腔健康影响量表（ECOHIS）和与儿童口腔健康相关的生活质量（COHRQoL））问卷以评估儿童在全身麻醉（DGA）下进行龋齿治疗后与儿童口腔健康相关的生活质量（OHRQoL）的变化。数据提取和合成使用Cochrane合作工具评估了偏倚风险。进行荟萃分析，根据所使用的OHRQoL量度对研究进行划分。结果本综述包括22篇研究文章，其中包括12项采用这两种OHRQoL量度的研究。纳入研究的偏倚风险差异很大。在DGA之后的所有研究中均确定了OHRQoL的总体改善。ECOHIS和COHRQoL治疗后评分的平均差异分别为1.62（95％CI 1.52-1.71; P <0.00001; I2 = 0％）和0.86（95％CI 0.74-0.99; P <0.00001; I2 = 0％）分别具有中等到较大的效果尺寸。没有异质性的证据。结论根据父母的报告，DGA治疗显着改善了儿童的OHRQoL。作者建议需要进行超过三个月的研究，以评估这些变化是否长期持续。没有异质性的证据。结论根据父母的报告，DGA治疗显着改善了儿童的OHRQoL。作者建议需要进行超过三个月的研究，以评估这些变化是否长期持续。没有异质性的证据。结论根据父母的报告，DGA治疗显着改善了儿童的OHRQoL。作者建议需要进行超过三个月的研究，以评估这些变化是否长期持续。

更新日期：2019-11-18

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