Poor Oral Health-Related Quality of Life in Pre- and Post-Liver Transplantation Patients
Larissa S. Santos-Lins1, Inácio L.S. Aguiar1, Liana Codes2, 3, Maria A. Evangelista3, Alessandra de Oliveira Castro3, Paulo L. Bittencourt3, Andrea Cavalcanti3, Raymundo Paraná1, 2, Liliane Lins-Kusterer1, 2, *
Identifiers and Pagination:Year: 2021
First Page: 196
Last Page: 203
Publisher Id: TODENTJ-15-196
Article History:Received Date: 24/11/2020
Revision Received Date: 1/4/2021
Acceptance Date: 8/4/2021
Electronic publication date: 3/5/2021
Collection year: 2021
open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: (https://creativecommons.org/licenses/by/4.0/legalcode). This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Oral health is associated with Chronic Liver Disease (CLD) and may play a relevant role in oral (OHRQoL) and general health-related quality of life (HRQoL) among people with chronic liver disease (CLD).
To explore the correlations between OHRQoL and HRQoL in pre- and post-liver transplantation (LT) patients.
A cross-sectional study with 189 patients: 63 per group (pre-LT, post-LT, and without liver disease). The Oral Health Impact Profile-14 (OHIP-14), the 36-Item Short-Form Health Survey, and the Work Ability Index (WAI) were used to measure oral health-related quality of life, health-related quality of life, and work ability, respectively. Oral health was evaluated according to the World Health Organization criteria. The relationship between the OHIP-14 and independent variables was analysed by multiple linear regression.
Pre-LT group presented the highest OHIP-14 total mean score, followed by the post-LT group, compared to the group without liver disease (p=0.001). All HRQoL and WAI mean scores were lower in the pre-LT group than in the other groups (p≤0.013). In the pre-LT group, the OHIP-14 total mean score was negatively correlated with the Mental Health, Physical Functioning, and General Health mean scores (p=0.01) and negatively and significantly (p<0.05) associated with decayed teeth and with poor workability. In the post-TL group, OHRQOL of life was associated with decayed and missing teeth, lower educational level, and poor workability.
Patients in the pre- and post-LT groups presented poorer OHRQoL compared to patients without liver disease. OHRQoL was strongly correlated with HRQoL in the pre-LT group.