Hillary L Broder1, Maureen Wilson-Genderson2, Lacey Sischo3. 1. Department of Cariology and Comprehensive Care, New York University College of Dentistry, 137 E. 25th Street, 5th Floor, New York, NY, 10010, USA. hillary.broder@nyu.edu. 2. Department of Public Health, Temple University, Philadelphia, PA, USA. 3. Department of Cariology and Comprehensive Care, New York University College of Dentistry, 137 E. 25th Street, 5th Floor, New York, NY, 10010, USA.
Abstract
PURPOSE: This paper evaluated the impact of cleft-related surgery on the oral health-related quality of life (OHRQoL) of youth with cleft over time. METHODS: Data were derived from a 5-year, multi-center, prospective, longitudinal study of 1196 youth with cleft lip and/or palate and their caregivers. Eligible youth were between 7.5 and 18.5 years old, spoke English or Spanish, and were non-syndromic. During each observational period, which included baseline, and 1- and 2-year post-baseline follow-up visits, youths and their caregivers completed the Child Oral Health Impact Profile, a validated measure of OHRQoL. Multilevel mixed-effects models were used to analyze the effects of receipt of craniofacial surgery on OHRQoL over time. RESULTS: During the course of this study a total of 516 patients (43 %) received at least one surgery. Youth in the surgery recommendation group had lower self- (β = -2.18, p < 0.05) and proxy-rated (β = -2.92, p < 0.02) OHRQoL when compared to non-surgical self- and proxy-rated OHRQoL at baseline. Both surgical and non-surgical youth (β = 3.73, p < 0.001) and caregiver (β = 1.91, p < 0.05) ratings of OHRQoL improved over time. There was significant incremental improvement (time × surgery interaction) in self-reported OHRQoL for youth postsurgery (β = 1.04, p < 0.05), but this postsurgery increment was not seen in the caregiver proxy ratings. CONCLUSIONS: Surgical intervention impacts OHRQoL among youth with cleft. Youth who were surgical candidates had lower baseline self- and caregiver-rated OHRQoL when compared to non-surgical youth. Youth who underwent cleft-related surgery had significant incremental improvements in self-rated but not caregiver (proxy)-rated OHRQoL after surgery.
PURPOSE: This paper evaluated the impact of cleft-related surgery on the oral health-related quality of life (OHRQoL) of youth with cleft over time. METHODS: Data were derived from a 5-year, multi-center, prospective, longitudinal study of 1196 youth with cleft lip and/or palate and their caregivers. Eligible youth were between 7.5 and 18.5 years old, spoke English or Spanish, and were non-syndromic. During each observational period, which included baseline, and 1- and 2-year post-baseline follow-up visits, youths and their caregivers completed the Child Oral Health Impact Profile, a validated measure of OHRQoL. Multilevel mixed-effects models were used to analyze the effects of receipt of craniofacial surgery on OHRQoL over time. RESULTS: During the course of this study a total of 516 patients (43 %) received at least one surgery. Youth in the surgery recommendation group had lower self- (β = -2.18, p < 0.05) and proxy-rated (β = -2.92, p < 0.02) OHRQoL when compared to non-surgical self- and proxy-rated OHRQoL at baseline. Both surgical and non-surgical youth (β = 3.73, p < 0.001) and caregiver (β = 1.91, p < 0.05) ratings of OHRQoL improved over time. There was significant incremental improvement (time × surgery interaction) in self-reported OHRQoL for youth postsurgery (β = 1.04, p < 0.05), but this postsurgery increment was not seen in the caregiver proxy ratings. CONCLUSIONS: Surgical intervention impacts OHRQoL among youth with cleft. Youth who were surgical candidates had lower baseline self- and caregiver-rated OHRQoL when compared to non-surgical youth. Youth who underwent cleft-related surgery had significant incremental improvements in self-rated but not caregiver (proxy)-rated OHRQoL after surgery.
Authors: Hillary L Broder; Roberto L Flores; Sean Clouston; Richard E Kirschner; Judah S Garfinkle; Lacey Sischo; Ceib Phillips Journal: Plast Reconstr Surg Date: 2016-03 Impact factor: 4.730
Authors: Andrew Howard; Sandra Donaldson; Douglas Hedden; Derek Stephens; Benjamin Alman; James Wright Journal: Spine (Phila Pa 1976) Date: 2007-11-15 Impact factor: 3.468
Authors: Dania E Al Agili; Jeffrey Roseman; Mary Ann Pass; John B Thornton; L Scott Chavers Journal: J Am Dent Assoc Date: 2004-04 Impact factor: 3.634
Authors: Anne F Klassen; Karen Wy Wong Riff; Natasha M Longmire; Asteria Albert; Gregory C Allen; Mustafa Asim Aydin; Stephen B Baker; Stefan J Cano; Andrew J Chan; Douglas J Courtemanche; Marieke M Dreise; Jesse A Goldstein; Timothy E E Goodacre; Karen E Harman; Montserrat Munill; Aisling O Mahony; Mirta Palomares Aguilera; Petra Peterson; Andrea L Pusic; Rona Slator; Mia Stiernman; Elena Tsangaris; Sunil S Tholpady; Federico Vargas; Christopher R Forrest Journal: CMAJ Date: 2018-04-16 Impact factor: 8.262
Authors: Hillary L Broder; Canice E Crerand; Ryan R Ruff; Alexandre Peshansky; David B Sarwer; Lacey Sischo Journal: Community Dent Oral Epidemiol Date: 2017-02-21 Impact factor: 3.383
Authors: Lisa Friedlander; Rémy Choquet; Eva Galliani; Myriam de Chalendar; Claude Messiaen; Amélie Ruel; Marie-Paule Vazquez; Ariane Berdal; Corinne Alberti; Muriel De La Dure Molla Journal: Orphanet J Rare Dis Date: 2017-05-19 Impact factor: 4.123