Evaluation of changes in oral health-related quality of life over time in patients with Sjögren's syndrome

To assess oral health-related quality of life (OHRQoL) and changes in OHRQoL in 3 years of patients with Sjögren's symdrome (SS). Thirty-five SS patients and 23 non-SS individuals were enrolled. OHRQoL were quantitatively evaluated using the shortened Oral Health Impact Profile (OHIP-14). After...

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Bibliographic Details
Published in:Modern rheumatology 2021-05, Vol.31 (3), p.669-677
Main Authors: Azuma, Naoto, Katada, Yoshinori, Yoshikawa, Takahiro, Yokoyama, Yuichi, Nishioka, Aki, Sekiguchi, Masahiro, Kitano, Masayasu, Kitano, Sachie, Sano, Hajime, Matsui, Kiyoshi
Format: Article
Language:English
Subjects:
Adult
Female
Humans
Male
Middle Aged
Mouth - physiopathology
Oral Health
Oral Health Impact Profile
Oral health-related quality of life
Psychosocial trouble
Quality of Life
Saliva
Salivation
Sjogren's Syndrome - physiopathology
Sjogren's Syndrome - rehabilitation
Sjögren's syndrome
Surveys and Questionnaires
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Summary:To assess oral health-related quality of life (OHRQoL) and changes in OHRQoL in 3 years of patients with Sjögren's symdrome (SS). Thirty-five SS patients and 23 non-SS individuals were enrolled. OHRQoL were quantitatively evaluated using the shortened Oral Health Impact Profile (OHIP-14). After 3 years, 22 patients and 14 controls tool the OHIP-14 survey again. The SS group had a significantly higher OHIP-14 score, which indicated a lower OHRQoL, than the non-SS group. Among individual questions in the OHIP-14, scores for 'trouble pronouncing words', 'uncomfortable to eat foods', 'self-conscious', and 'diet unsatisfactory' were markedly higher in the SS group than in the non-SS group. The OHIP-14 score significantly increased in 3 years in the SS group. Furthermore, there was an inverse correlation between the change rate of salivary flow rate and change of OHIP-14 scores in 3 years in patients with SS whose OHIP-14 score increased. Scores for 'irritable with other people', 'difficulty doing usual jobs', 'felt life less satisfying', and 'unable to function' significantly increased in 3 years. In SS, OHRQoL decreased in 3 years, which was associated with a decrease in saliva secretion. Moreover, troubles related to psychosocial aspects in SS patients were found to intensify over time.
ISSN:1439-7595
1439-7609
DOI:10.1080/14397595.2020.1795391