成人口腔与一般健康相关生活质量的相关性：一项系统回顾和荟萃分析

IF 4.1 4区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Evidence-Based Dental Practice Pub Date : 2025-03-01 DOI:10.1016/j.jebdp.2024.102078

DANNA R. PAULSON , APARNA INGLESHWAR , NICOLE THEIS-MAHON , LIFENG LIN , MIKE T. JOHN

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引用次数: 0

摘要

目的一般健康和口腔健康之间的关系对于理解口腔健康对整体健康的广泛影响至关重要，反之亦然。口腔健康和一般健康对个人的影响可以通过口腔和一般健康相关生活质量（OHRQoL和HRQoL）这两个概念来全面描述。本系统综述和荟萃分析旨在综合不同成年人群OHRQoL和HRQoL之间相关性的现有证据。方法在6个数据库（Ovid MEDLINE(R)、Embase、CINAHL、APA PsycINFO、Web of Science Core Collection和Scopus）上执行综合检索策略。这项研究包括了用口腔健康影响量表（OHIP）测量口腔健康质量的研究，以及用各种通用的患者报告的结果测量（PROMs）测量HRQoL的研究。如果研究报告了牙科、医疗或非患者设置的成人人群中OHRQoL和HRQoL总结评分之间的相关性，则纳入研究。如果一项研究调查了一个以上的人群，每个相关性都被纳入独立分析。数据提取和质量评估由独立审稿人进行，分歧由第三方审稿人解决。采用随机效应meta分析总结ohrqol与hrqol的相关性。结果从10项研究中，13个人群（N= 6053名参与者）被纳入分析。一般健康与口腔健康相关生活质量之间的相关性为中等（r=0.41, 95% CI: 0.32-0.50），在人群中具有高度异质性（I2=95%）。结果不受个体人群、研究质量或发表偏倚的过度影响。结论口腔健康与总体健康之间的相关性为中等，这表明医牙一体化在提高患者和社区健康结果方面具有潜力。

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THE CORRELATION BETWEEN ORAL AND GENERAL HEALTH-RELATED QUALITY OF LIFE IN ADULTS: A SYSTEMATIC REVIEW AND META-ANALYSIS

Objective

The relationship between general health and oral health is critical for understanding the broader implications of oral health on overall well-being and vice versa. The impact of oral and general health on individuals can be comprehensively captured by the concepts oral and general health-related quality of life (OHRQoL and HRQoL), respectively. This systematic review and meta-analysis aimed to synthesize existing evidence on the correlation between OHRQoL and HRQoL across different adult populations.

Methods

A comprehensive search strategy was executed across 6 databases (Ovid MEDLINE(R), Embase, CINAHL, APA PsycINFO, Web of Science Core Collection, and Scopus). The search included studies measuring OHRQoL with the Oral Health Impact Profile (OHIP) and HRQoL with a variety of generic patient-reported outcome measures (PROMs). Studies were included if they reported correlations between OHRQoL and HRQoL summary scores in adult populations across dental, medical, or nonpatient settings. If a study examined more than one population, each correlation was included for independent analysis. Data extraction and quality assessment were conducted by independent reviewers, with disagreements resolved by a third reviewer. Random effects meta-analysis was used to summarize the OHRQoL-HRQoL correlations.

Results

From 10 studies, 13 populations (N=6,053 participants) were included in the analysis. The correlation between general health and oral health-related quality of life was of medium size (r=0.41, 95% CI: 0.32–0.50) with high heterogeneity across populations (I²=95%). Results were not unduly influenced by individual populations, study quality, or publication bias.

Conclusions

The correlation between oral health and general health is of medium size, highlighting the potential for medical-dental integration to enhance patient and community health outcomes.

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来源期刊

Journal of Evidence-Based Dental Practice DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

6.00

自引率

16.70%

发文量

105

审稿时长

28 days

期刊介绍： The Journal of Evidence-Based Dental Practice presents timely original articles, as well as reviews of articles on the results and outcomes of clinical procedures and treatment. The Journal advocates the use or rejection of a procedure based on solid, clinical evidence found in literature. The Journal''s dynamic operating principles are explicitness in process and objectives, publication of the highest-quality reviews and original articles, and an emphasis on objectivity.