Measurement of oral health related with quality of life using EQ-5D and OHIP-14

Hosung Shin; Eunsuk Ahn

doi:10.11149/jkaoh.2018.42.2.27

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Shin and Ahn: Measurement of oral health related with quality of life using EQ-5D and OHIP-14

Original Article

Journal of Korean Academy of Oral Health 2018; 42(2): 27-33.

Published online: 28 June 2018

DOI: https://doi.org/10.11149/jkaoh.2018.42.2.27

Measurement of oral health related with quality of life using EQ-5D and OHIP-14

Hosung Shin¹, Eunsuk Ahn^1,²

¹Department of Social and Humanity in Dentistry, College of Dentistry, Wonkwang University, Iksan, Korea.

²Department of Dental Hygiene, Kyungbok University, Pocheon, Korea.

Corresponding Author: Eunsuk Ahn. Department of Social and Humanity in Dentistry, College of Dentistry, Wonkwang University, 460 Iksan-daero, Iksan 54538, Korea. Tel: +82-63-850-6915, Fax: +82-63-850-6934, esann82@naver.com

Received 19 February 2018 Revised 4 May 2018 Accepted 16 May 2018

Journal of Korean Academy of Oral Health

(open-access):

This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objectives

Given that oral health is one of the major factors affecting the quality of life, it is necessary to measure the oral-health-related-quality-of-life dimension in order to value health. The aim of this study was to compare the dimensions of oral-health-related quality-of-life measured by a generic health measure [EuroQol-5D (EQ-5D)] and an oral health specific measure [Oral Health Impact Profile 14 (OHIP-14)].

Methods

A questionnaire including EQ-5D, OHIP-14, self-rated general/oral health, and visual analog scale (VAS) was developed, and both patients and dentists participated in measuring the patient's oral health-related quality of life based on oral diseases. Data was collected from the Dental University Hospital from 2016 to 2017. For descriptive analysis, t-test, chi-square, ANOVA, Tukey HSD post-test, and Pearson correlation analysis were performed. To confirm the factors associated with EQ-5D, multiple regression analysis was conducted.

Results

A total of 305 subjects were selected for the final analysis excluding the partially missing questionnaires. EQ-5D and OHIP-14 showed a statistically significant correlation and a sensitive distribution of the values depending on the oral diseases. The values of EQ-5D and OHIP-14 ranged from highest to lowest in the following order of oral diseases: endodontic, TMJ, gingivitis, and tooth sensitivity. A 10-point increase in OHIP-14 was associated with a 0.34-point increase in EQ-5D.

Conclusions

The result of this study proved to be consequential since both OHIP-14 and EQ-5D were good measures for oral health-related quality of life, and the oral disease status could also be measured in terms of health valuation weights. This increased the possibility of comparison with general health, and provided the loss of socioeconomic costs of individuals, families, and societies due to oral diseases.

Keywords: EQ-5D, OHIP-14, Oral health related quality of life, Self-rated health

Figures and Tables

Fig. 1

OHIP-14 and EQ-5D values by Oral treatments. 1-Caries; 2-Endodontics; 3-Sensitive tooth; 4-Gingivitis; 5-Periodontitis; 6-Wisdom tooth extraction; 7-tooth extraction; 8-Prosthesis; 9-Orthodontics; 10-TMJ; 11-Others.

Table 1

Dimension and number of items of EQ-5D and OHIP-14

Table 2

Sample characteristics

SROH: Self-rated oral health, SRGH: Self-rated general health, 1=good, very good, and excellent; 2=poor and very poor.

Table 3

Correlation among general and oral health measures

SROH: Self-rated oral Health, VAS: Visual analog scale, SRGH: Self-rated general health.

Table 4

Post Hoc test of OHIP-14 and EQ-5D ANOVA by oral treatments

Table 5

Factors related with EQ-5D

^*SROH-Self-rated oral health; ^**sergp1-Sensitive tooth, Gingivitis, Wisdom tooth extraction; ^***sergp2-Caries, Periodontitis; Prosthesis, Tooth extraction, Orthodontics, Other treatments.

Notes

This work was supported by the Ministry of Education of the Republic of Korea and the National Research Foundation of Korea (NRF-2016S1A5A8018496).

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