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Article: Agreement between patient and proxy assessments of oral health-related quality of life after stroke: An observational longitudinal study

TitleAgreement between patient and proxy assessments of oral health-related quality of life after stroke: An observational longitudinal study
Authors
KeywordsMedically compromised
Oral health
Proxy
Quality of life
Stroke
Issue Date2009
PublisherBlackwell Publishing Ltd
Citation
Journal Of Oral Rehabilitation, 2009, v. 36 n. 4, p. 264-270 How to Cite?
AbstractThis study aimed to assess agreement between patient and proxy assessment of patients' oral health-related quality of life (OHRQoL) during the acute stroke phase and 6 months after hospital discharge. As part of an observational longitudinal study, 161 consecutive patients hospitalized after stroke and their caregivers (CGs) were monitored during acute stroke and 6 months after hospital discharge. Patient-CG agreement of health-related quality of life as assessed by the General Oral Health Assessment Index (GOHAI) and Medical Outcomes Study 12-item Short Form (SF-12) which comprises physical (PCS-12) and mental component summaries (MCS-12) was determined by comparison and correlation analyses. Complete data were available for 65 patients and CGs. Compared with acute stroke, there were improvements in GOHAI and SF-12 scores from patient's and CG's perspective at 6-month follow-up. Caregivers overestimated the impact of stroke on MCS-12 over a period of time (P < 0·01) and underestimated the impact on GOHAI during acute stroke (P < 0·001) and on PCS-12 6 months later (P < 0·05). Patient-CG agreement was substantial to excellent during acute stroke [intra-class correlation coefficient (ICC 0·69-0·86)] and fair-to-moderate 6 months later (ICC 0·28-0·60). Agreement was adequate between patients' and CGs' assessment of patient OHRQoL during acute stroke but it was less reliable 6 months after hospital discharge. These findings suggest that proxy assessment of OHRQoL after stroke is effective in assessing stroke-related oral impairments that affect life quality without placing additional burden on stroke patients themselves to assess OHRQoL. © 2009 Blackwell Publishing Ltd.
Persistent Identifierhttp://hdl.handle.net/10722/58030
ISSN
2015 Impact Factor: 1.926
2015 SCImago Journal Rankings: 0.757
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorMcGrath, Cen_HK
dc.contributor.authorMcMillan, ASen_HK
dc.contributor.authorZhu, HWen_HK
dc.contributor.authorLi, LSWen_HK
dc.date.accessioned2010-05-31T03:22:38Z-
dc.date.available2010-05-31T03:22:38Z-
dc.date.issued2009en_HK
dc.identifier.citationJournal Of Oral Rehabilitation, 2009, v. 36 n. 4, p. 264-270en_HK
dc.identifier.issn0305-182Xen_HK
dc.identifier.urihttp://hdl.handle.net/10722/58030-
dc.description.abstractThis study aimed to assess agreement between patient and proxy assessment of patients' oral health-related quality of life (OHRQoL) during the acute stroke phase and 6 months after hospital discharge. As part of an observational longitudinal study, 161 consecutive patients hospitalized after stroke and their caregivers (CGs) were monitored during acute stroke and 6 months after hospital discharge. Patient-CG agreement of health-related quality of life as assessed by the General Oral Health Assessment Index (GOHAI) and Medical Outcomes Study 12-item Short Form (SF-12) which comprises physical (PCS-12) and mental component summaries (MCS-12) was determined by comparison and correlation analyses. Complete data were available for 65 patients and CGs. Compared with acute stroke, there were improvements in GOHAI and SF-12 scores from patient's and CG's perspective at 6-month follow-up. Caregivers overestimated the impact of stroke on MCS-12 over a period of time (P < 0·01) and underestimated the impact on GOHAI during acute stroke (P < 0·001) and on PCS-12 6 months later (P < 0·05). Patient-CG agreement was substantial to excellent during acute stroke [intra-class correlation coefficient (ICC 0·69-0·86)] and fair-to-moderate 6 months later (ICC 0·28-0·60). Agreement was adequate between patients' and CGs' assessment of patient OHRQoL during acute stroke but it was less reliable 6 months after hospital discharge. These findings suggest that proxy assessment of OHRQoL after stroke is effective in assessing stroke-related oral impairments that affect life quality without placing additional burden on stroke patients themselves to assess OHRQoL. © 2009 Blackwell Publishing Ltd.en_HK
dc.languageengen_HK
dc.publisherBlackwell Publishing Ltden_HK
dc.relation.ispartofJournal of Oral Rehabilitationen_HK
dc.rightsJournal of Oral Rehabilitation. Copyright © Blackwell Publishing Ltd.en_HK
dc.subjectMedically compromiseden_HK
dc.subjectOral healthen_HK
dc.subjectProxyen_HK
dc.subjectQuality of lifeen_HK
dc.subjectStrokeen_HK
dc.subject.meshAgeden_HK
dc.subject.meshCaregiversen_HK
dc.subject.meshFemaleen_HK
dc.subject.meshHong Kongen_HK
dc.subject.meshHumansen_HK
dc.subject.meshLongitudinal Studiesen_HK
dc.subject.meshMaleen_HK
dc.subject.meshOral Health - standardsen_HK
dc.subject.meshProxyen_HK
dc.subject.meshQuality of Life - psychologyen_HK
dc.subject.meshQuestionnairesen_HK
dc.subject.meshSelf Care - standardsen_HK
dc.subject.meshStroke - complications - psychology - rehabilitationen_HK
dc.subject.meshTime Factorsen_HK
dc.titleAgreement between patient and proxy assessments of oral health-related quality of life after stroke: An observational longitudinal studyen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0305-182X&volume=36&issue=4&spage=264&epage=70&date=2009&atitle=Agreement+between+patient+and+proxy+assessments+of+oral+health-related+quality+of+life+after+stroke:+an+observational+longitudinal+study.en_HK
dc.identifier.emailMcGrath, C: mcgrathc@hkucc.hku.hken_HK
dc.identifier.emailMcMillan, AS: annemcmillan@hku.hken_HK
dc.identifier.authorityMcGrath, C=rp00037en_HK
dc.identifier.authorityMcMillan, AS=rp00014en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1111/j.1365-2842.2009.01941.xen_HK
dc.identifier.pmid19220712-
dc.identifier.scopuseid_2-s2.0-61849122790en_HK
dc.identifier.hkuros157530en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-61849122790&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume36en_HK
dc.identifier.issue4en_HK
dc.identifier.spage264en_HK
dc.identifier.epage270en_HK
dc.identifier.isiWOS:000263855000005-
dc.publisher.placeUnited Kingdomen_HK
dc.identifier.scopusauthoridMcGrath, C=7102335507en_HK
dc.identifier.scopusauthoridMcMillan, AS=7102843317en_HK
dc.identifier.scopusauthoridZhu, HW=36081414600en_HK
dc.identifier.scopusauthoridLi, LSW=7501450364en_HK
dc.identifier.citeulike4145937-

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