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Patients' self-reported measures of oral health-A validation study on basis of oral health questions used in a large multi-country survey for populations aged 50.

Abstract：

OBJECTIVE:To assess the validity of patient self-reported oral health measures as used in a large multi-country survey for populations aged 50+. BACKGROUND:Information on people's oral health status is important for assessing oral health needs within populations. However, clinical examination is not always possible. Patient self-reported measures may provide an alternative when time and other resources are scarce. MATERIALS AND METHODS:Using oral health items from the Survey of Health, Ageing and Retirement in Europe (SHARE), self-reported measures were collected from 186 patients receiving treatment at Heidelberg University Hospital. Self-reports were compared with subsequent clinical examinations. Analyses were conducted for patients of all age groups and separately for patients aged 50+ (analogous to the SHARE study population). Diagnostic accuracy, agreement and correlation of patient-reported information were examined using descriptive statistics and Bland-Altman plots. RESULTS:Patient-reported presence or absence of a full tooth count was closely related to clinical measurement, both for all age groups (sensitivity: 93%; specificity: 92%) and persons aged 50+ (sensitivity: 100% specificity: 94%). Bland-Altman plots indicate good agreement between patient- and clinical reports of the number of teeth at age 50+ (Concordance Correlation Coefficient = 0.95). Discriminatory power of patient-reporting was good regarding presence vs absence of artificial teeth, but less robust regarding partial vs full replacement of missing teeth. CONCLUSION:Patient self-evaluations provide reasonable estimates of clinical measures and appear sufficiently accurate for examining variations in the number of teeth, including among populations aged 50+. However, patient reports of the extent of replacement of missing teeth may not constitute reliable reflections of clinical conditions.

journal_name

Gerodontology

journal_title

Gerodontology

authors

Sekundo C,Stock C,Jürges H,Listl S

doi

10.1111/ger.12398

subject

Has Abstract

pub_date

2019-06-01 00:00:00

pages

171-179

issue

eissn

0734-0664

issn

1741-2358

journal_volume

pub_type

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Patients' self-reported measures of oral health-A validation study on basis of oral health questions used in a large multi-country survey for populations aged 50.