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RESEARCH PRODUCT

Dialysis vintage time has the strongest correlation to psychosocial pattern of oral health-related quality of life – a multicentre cross-sectional study

Dirk ZiebolzVasko RRasche FmGerhard SchmalzRothermund LKeller FMüller GaDietl M

subject

MaleVintagemedicine.medical_specialtyTime FactorsCross-sectional studymedicine.medical_treatment030232 urology & nephrologyOral HealthOral healthCorrelation03 medical and health sciences0302 clinical medicineQuality of lifeRenal DialysisInternal medicinemedicineHumansRenal Insufficiency ChronicCorrelation of DataGeneral DentistryDialysisAgedbusiness.industryResearch030206 dentistryMiddle AgedMedically compromised patients in Dentistry:CIENCIAS MÉDICAS [UNESCO]humanitiesstomatognathic diseasesCross-Sectional StudiesOtorhinolaryngologyUNESCO::CIENCIAS MÉDICASCohortQuality of LifeFemaleSurgerybusinessPsychosocial

description

Background Aim of this cross-sectional, multicentre study was to investigate associations of dialysis vintage time in haemodialysis (CKD5D) patients with oral health-related quality of life (OHRQoL) and dental and periodontal treatment need. Material and Methods CKD5D patients were divided into subgroups according to dialysis vintage time in different dialysis centres in Germany. OHRQoL was assessed with oral health impact profile (OHIP-G14). Dental treatment need was classified as presence of carious lesions. Periodontal treatment need was defined as periodontal screening index score (PSI) 3-4. Results In total, 190 participants were divided into the subgroups according to the time on CKD5D: 0 - 2 (n = 29), 3 - 5 (n = 35), 6 - 8 (n = 34), 9 - 12 (n = 29), 13 - 20 (n = 34) and >20 years (n = 29). The overall treatment need in the total cohort was 92% (dental 56%, periodontal 88%) with a total OHIP-G14 sum score of 4.17 [2; 0-5] without a significant correlation. Time on CKD5D was inversely correlated with the OHIP G14 score (p<0.01, R = -0.201). The pattern psychosocial impact was significantly associated with the dialysis duration (p<0.01) and showed a negative correlation to the OHIP-G14 (R = -0.283, Spearman´s rho test p<0.01). For oral function also a negative correlation with OHIP-G14 was detected (Spearman´s rho: -0.183). Conclusions Patients with a prolonged dialysis vintage time show an improved OHRQoL, which might be mainly caused by the positive development of psychosocial pattern of OHRQoL. The oral health situation of HD patients seems unsatisfying, independently of dialysis vintage time and OHRQoL. Accordingly, an improvement in oral health situation of CKD5D patients is mandatory necessary. Thereby, consideration of psychosocial aspects especially at the beginning of CKD5D therapy and a sensitization regarding oral health issues with increasing vintage time might be recommendable. Key words:Dental care, oral health, oral related quality of life, haemodialysis, chronic kidney disease.

https://doi.org/10.4317/medoral.22624