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23-05-2019

Health and oral health-related quality of life of children and adolescents with chronic kidney disease: a cross-sectional study

Authors: Taciana Mara Couto Silva, Levy Anderson César Alves, Deise Garrido, Andreia Watanabe, Fausto Medeiros Mendes, Ana Lídia Ciamponi

Published in: Quality of Life Research | Issue 9/2019

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Abstract

Purpose

The aim of this study was to evaluate if health and oral health status of children and adolescents with different stages of CKD are associated with their health-related quality of life (HRQoL), oral health-related quality of life (OHRQoL) and socioeconomic and demographic conditions.

Methods

One hundred children and adolescents with CKD were age and gender matched to 100 individuals without CKD (mean age ± SD = 13.04 ± 2.57). Oral health was characterised by means of gingival bleeding index (GBI), plaque index (PI), the decayed, missing, and filled teeth (DMFT) index and the developmental enamel defect (DED) index. All children and adolescents answered two Peds QL^® instruments (general and oral health scales).

Results

Comparing the mean scores of HRQoL and OHRQoL between groups, we observed that CKD group demonstrated worse perceptions when compared to non-CKD group. Multiple linear regression analysis with bootstrap estimation of variance (1000 replications) showed association between dental caries experience (p < 0.001), gingival inflammation (p < 0.001) and diagnosis of CKD (p = 0.027) with the OHRQoL and between physical and the emotional domain of HRQoL, when moderate/severe gingival inflammation and hypoplasia were present.

Conclusion

The implementation of public policies that contemplate the early dental preventive intervention in CKD children and adolescents should occur aiming to improve their oral health, once oral manifestations can directly affect the aspects of the HRQoL and OHRQoL of these individuals.

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Title: Health and oral health-related quality of life of children and adolescents with chronic kidney disease: a cross-sectional study
Authors: Taciana Mara Couto Silva
Levy Anderson César Alves
Deise Garrido
Andreia Watanabe
Fausto Medeiros Mendes
Ana Lídia Ciamponi
Publication date: 23-05-2019
Publisher: Springer International Publishing
Published in: Quality of Life Research / Issue 9/2019
Print ISSN: 0962-9343
Electronic ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-019-02196-8

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Abstract

Purpose

Methods

Results

Conclusion

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