Level of oral health impacts among patients participating in PEARL: A dental practice-based research network

Maria T. Botello-Harbaum, Abigail G. Matthews, Damon Collie, Donald A. Vena, Ronald Craig, Frederick A. Curro, Van P. Thompson, Hillary Broder

Research output: Contribution to journalArticle

Abstract

Objectives: To determine whether participants of a dental practice-based research network (PBRN) differ in their level of oral health impact as measured by the Oral Health Impact Profile (OHIP) questionnaire. Methods: A total of 2410 patients contributed 2432 OHIP measurements (median age = 43 years; interquartile range = 28) were enrolled in four dental studies. All participants completed the Oral Health Impact Profile (OHIP-14) during a baseline visit. The main outcome of this study was the level of oral health impact, defined as follows: no impact ('Never' reported on all items); low ('Occasionally' or 'Hardly ever' as the greatest frequency score reported on any item); and high ('Fairly often' or 'Very often' as the greatest frequency reported on any item). Polychotomous logistic regression was used to develop a predictive model for the level of oral health impact considering the following predictors: patient's age, gender, race, practice location, type of dentist, and number of years the enrolling dentist has been practicing. Results: A high level of oral health impacts was reported in 8% of the sample; almost a third (29%) of the sample reported a low level of impacts, and 63% had no oral health impacts. The prevalence of impacts differed significantly across protocols (P < 0.001). Women were more likely to be in the high oral impact group than in the no impact group compared to men (OR = 1.46; 95% CI = 1.06-1.99). African Americans were more likely to report high oral impacts when compared to other racial/ethnic groups (OR = 2.11; 95% CI = 1.26-3.55). Protective effects for being in the high or in the low-impact groups were observed among patients enrolled by a solo practice (P < 0.001) or by more experienced dentists (P = 0.01). A small but highly significant statistical association was obtained for patient age (P < 0.001). In the multivariate model, patient's age, practice size, and gender were found to jointly be significant predictors of oral health impact level. Conclusions: Patients' subjective report of oral health impact in the clinical setting is of importance for their health. In the context of a dental PBRN, the report of oral health-related quality of life (OHRQoL) was different across four dental studies. The observed findings validate the differential impact that oral health has on the patients' perception of OHRQoL particularly among specific groups. Similar investigations to elucidate the factors associated with patient's report of quality of life are warranted.

Original languageEnglish (US)
Pages (from-to)332-342
Number of pages11
JournalCommunity Dentistry and Oral Epidemiology
Volume40
Issue number4
DOIs
StatePublished - Aug 2012

Fingerprint

Oral Health
Health Status
Tooth
Research
Dentists
Quality of Life
Private Practice
Ethnic Groups
African Americans

Keywords

  • dental PBRN
  • OHIP-14
  • OHRQoL
  • oral health impact
  • patient-reported outcomes
  • subjective health

ASJC Scopus subject areas

  • Dentistry(all)
  • Public Health, Environmental and Occupational Health

Cite this

Level of oral health impacts among patients participating in PEARL : A dental practice-based research network. / Botello-Harbaum, Maria T.; Matthews, Abigail G.; Collie, Damon; Vena, Donald A.; Craig, Ronald; Curro, Frederick A.; Thompson, Van P.; Broder, Hillary.

In: Community Dentistry and Oral Epidemiology, Vol. 40, No. 4, 08.2012, p. 332-342.

Research output: Contribution to journalArticle

Botello-Harbaum, Maria T. ; Matthews, Abigail G. ; Collie, Damon ; Vena, Donald A. ; Craig, Ronald ; Curro, Frederick A. ; Thompson, Van P. ; Broder, Hillary. / Level of oral health impacts among patients participating in PEARL : A dental practice-based research network. In: Community Dentistry and Oral Epidemiology. 2012 ; Vol. 40, No. 4. pp. 332-342.
@article{b4b88f5604ec401e862bc64d79c17e7f,
title = "Level of oral health impacts among patients participating in PEARL: A dental practice-based research network",
abstract = "Objectives: To determine whether participants of a dental practice-based research network (PBRN) differ in their level of oral health impact as measured by the Oral Health Impact Profile (OHIP) questionnaire. Methods: A total of 2410 patients contributed 2432 OHIP measurements (median age = 43 years; interquartile range = 28) were enrolled in four dental studies. All participants completed the Oral Health Impact Profile (OHIP-14) during a baseline visit. The main outcome of this study was the level of oral health impact, defined as follows: no impact ('Never' reported on all items); low ('Occasionally' or 'Hardly ever' as the greatest frequency score reported on any item); and high ('Fairly often' or 'Very often' as the greatest frequency reported on any item). Polychotomous logistic regression was used to develop a predictive model for the level of oral health impact considering the following predictors: patient's age, gender, race, practice location, type of dentist, and number of years the enrolling dentist has been practicing. Results: A high level of oral health impacts was reported in 8{\%} of the sample; almost a third (29{\%}) of the sample reported a low level of impacts, and 63{\%} had no oral health impacts. The prevalence of impacts differed significantly across protocols (P < 0.001). Women were more likely to be in the high oral impact group than in the no impact group compared to men (OR = 1.46; 95{\%} CI = 1.06-1.99). African Americans were more likely to report high oral impacts when compared to other racial/ethnic groups (OR = 2.11; 95{\%} CI = 1.26-3.55). Protective effects for being in the high or in the low-impact groups were observed among patients enrolled by a solo practice (P < 0.001) or by more experienced dentists (P = 0.01). A small but highly significant statistical association was obtained for patient age (P < 0.001). In the multivariate model, patient's age, practice size, and gender were found to jointly be significant predictors of oral health impact level. Conclusions: Patients' subjective report of oral health impact in the clinical setting is of importance for their health. In the context of a dental PBRN, the report of oral health-related quality of life (OHRQoL) was different across four dental studies. The observed findings validate the differential impact that oral health has on the patients' perception of OHRQoL particularly among specific groups. Similar investigations to elucidate the factors associated with patient's report of quality of life are warranted.",
keywords = "dental PBRN, OHIP-14, OHRQoL, oral health impact, patient-reported outcomes, subjective health",
author = "Botello-Harbaum, {Maria T.} and Matthews, {Abigail G.} and Damon Collie and Vena, {Donald A.} and Ronald Craig and Curro, {Frederick A.} and Thompson, {Van P.} and Hillary Broder",
year = "2012",
month = "8",
doi = "10.1111/j.1600-0528.2012.00676.x",
language = "English (US)",
volume = "40",
pages = "332--342",
journal = "Community Dentistry and Oral Epidemiology",
issn = "0301-5661",
publisher = "Blackwell Munksgaard",
number = "4",

}

TY - JOUR

T1 - Level of oral health impacts among patients participating in PEARL

T2 - A dental practice-based research network

AU - Botello-Harbaum, Maria T.

AU - Matthews, Abigail G.

AU - Collie, Damon

AU - Vena, Donald A.

AU - Craig, Ronald

AU - Curro, Frederick A.

AU - Thompson, Van P.

AU - Broder, Hillary

PY - 2012/8

Y1 - 2012/8

N2 - Objectives: To determine whether participants of a dental practice-based research network (PBRN) differ in their level of oral health impact as measured by the Oral Health Impact Profile (OHIP) questionnaire. Methods: A total of 2410 patients contributed 2432 OHIP measurements (median age = 43 years; interquartile range = 28) were enrolled in four dental studies. All participants completed the Oral Health Impact Profile (OHIP-14) during a baseline visit. The main outcome of this study was the level of oral health impact, defined as follows: no impact ('Never' reported on all items); low ('Occasionally' or 'Hardly ever' as the greatest frequency score reported on any item); and high ('Fairly often' or 'Very often' as the greatest frequency reported on any item). Polychotomous logistic regression was used to develop a predictive model for the level of oral health impact considering the following predictors: patient's age, gender, race, practice location, type of dentist, and number of years the enrolling dentist has been practicing. Results: A high level of oral health impacts was reported in 8% of the sample; almost a third (29%) of the sample reported a low level of impacts, and 63% had no oral health impacts. The prevalence of impacts differed significantly across protocols (P < 0.001). Women were more likely to be in the high oral impact group than in the no impact group compared to men (OR = 1.46; 95% CI = 1.06-1.99). African Americans were more likely to report high oral impacts when compared to other racial/ethnic groups (OR = 2.11; 95% CI = 1.26-3.55). Protective effects for being in the high or in the low-impact groups were observed among patients enrolled by a solo practice (P < 0.001) or by more experienced dentists (P = 0.01). A small but highly significant statistical association was obtained for patient age (P < 0.001). In the multivariate model, patient's age, practice size, and gender were found to jointly be significant predictors of oral health impact level. Conclusions: Patients' subjective report of oral health impact in the clinical setting is of importance for their health. In the context of a dental PBRN, the report of oral health-related quality of life (OHRQoL) was different across four dental studies. The observed findings validate the differential impact that oral health has on the patients' perception of OHRQoL particularly among specific groups. Similar investigations to elucidate the factors associated with patient's report of quality of life are warranted.

AB - Objectives: To determine whether participants of a dental practice-based research network (PBRN) differ in their level of oral health impact as measured by the Oral Health Impact Profile (OHIP) questionnaire. Methods: A total of 2410 patients contributed 2432 OHIP measurements (median age = 43 years; interquartile range = 28) were enrolled in four dental studies. All participants completed the Oral Health Impact Profile (OHIP-14) during a baseline visit. The main outcome of this study was the level of oral health impact, defined as follows: no impact ('Never' reported on all items); low ('Occasionally' or 'Hardly ever' as the greatest frequency score reported on any item); and high ('Fairly often' or 'Very often' as the greatest frequency reported on any item). Polychotomous logistic regression was used to develop a predictive model for the level of oral health impact considering the following predictors: patient's age, gender, race, practice location, type of dentist, and number of years the enrolling dentist has been practicing. Results: A high level of oral health impacts was reported in 8% of the sample; almost a third (29%) of the sample reported a low level of impacts, and 63% had no oral health impacts. The prevalence of impacts differed significantly across protocols (P < 0.001). Women were more likely to be in the high oral impact group than in the no impact group compared to men (OR = 1.46; 95% CI = 1.06-1.99). African Americans were more likely to report high oral impacts when compared to other racial/ethnic groups (OR = 2.11; 95% CI = 1.26-3.55). Protective effects for being in the high or in the low-impact groups were observed among patients enrolled by a solo practice (P < 0.001) or by more experienced dentists (P = 0.01). A small but highly significant statistical association was obtained for patient age (P < 0.001). In the multivariate model, patient's age, practice size, and gender were found to jointly be significant predictors of oral health impact level. Conclusions: Patients' subjective report of oral health impact in the clinical setting is of importance for their health. In the context of a dental PBRN, the report of oral health-related quality of life (OHRQoL) was different across four dental studies. The observed findings validate the differential impact that oral health has on the patients' perception of OHRQoL particularly among specific groups. Similar investigations to elucidate the factors associated with patient's report of quality of life are warranted.

KW - dental PBRN

KW - OHIP-14

KW - OHRQoL

KW - oral health impact

KW - patient-reported outcomes

KW - subjective health

UR - http://www.scopus.com/inward/record.url?scp=84864279275&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84864279275&partnerID=8YFLogxK

U2 - 10.1111/j.1600-0528.2012.00676.x

DO - 10.1111/j.1600-0528.2012.00676.x

M3 - Article

C2 - 22390788

AN - SCOPUS:84864279275

VL - 40

SP - 332

EP - 342

JO - Community Dentistry and Oral Epidemiology

JF - Community Dentistry and Oral Epidemiology

SN - 0301-5661

IS - 4

ER -