Comparison of the Early Childhood Oral Health Impact Scale (ECOHIS-4D) and Child Health Utility Index (CHU-9D) in children with oral diseases

IF 1.8 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Community dentistry and oral epidemiology Pub Date : 2023-10-09 DOI:10.1111/cdoe.12917

Sucharitha R. Weerasuriya, Ruvini M. Hettiarachchi, Sanjeewa Kularatna, Alexia Rohde, Peter Arrow, Lisa Jamieson, Utsana Tonmukayakul, Sameera Senanayake

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Abstract

Objective

Accurate assessment of child oral health is important for guiding economic evaluations and informing healthcare decision-making. Early Childhood Oral Health Impact Scale (ECOHIS-4D) is a preference-based instrument that measures the oral health-related quality of life of young children. The aim of this study was to compare the utility scores of ECOHIS-4D and Child Health Utility Index (CHU-9D), against an oral health indicator to evaluate which utility score corresponds better with the oral health indicator.

Method

The ECOHIS-4D and CHU-9D were applied to 314 parent/child dyads from preschools in a primary healthcare setting in Perth, Western Australia. Four parameters were used to assess which instrument corresponds better with the oral health indicator (decayed, missing and filled teeth score-dmft score): (i) discrimination, the ability to discriminate between different clinical severity groups, (ii) external responsiveness, how much the utility values relate to the changes in dmft scores, (iii) correlation, the association between the two instruments and the related dimensions and (iv) differences in the utility values across the two instruments.

Results

Most participants (81%) were 2–6 years old, and nearly 50% had a dmft score <3. ECOHIS-4D demonstrated a superior ability to differentiate between dmft severity groups and respond to changes in dmft scores. A significant weak correlation was observed between dmft and ECOHIS-4D (−0.26, 95%, CI −0.36 to −0.15) compared to a non-significant very poor correlation between dmft and CHU-9D (0.01, 95% CI −0.12 to 0.10). The utility scores of the two instruments had relatively good agreement towards good health and weak agreement towards poor health.

Conclusions

ECOHIS-4D, the oral health-specific instrument, is more sensitive in assessing children's oral health-related quality of life than the generic CHU-9D. Thus, ECOHIS-4D is more appropriate for utility estimates in economic evaluations of oral health-related interventions and resource allocation decision-making.

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口腔疾病儿童早期儿童口腔健康影响量表（ECOHIS-4D）和儿童健康效用指数（CHU-9D）的比较。

目的：准确评估儿童口腔健康对于指导经济评估和为医疗保健决策提供信息至关重要。幼儿口腔健康影响量表（ECOHIS-4D）是一种基于偏好的工具，用于衡量幼儿口腔健康生活质量。本研究的目的是将ECOHIS-4D和儿童健康效用指数（CHU-9D）的效用得分与口腔健康指标进行比较，以评估哪个效用得分更符合口腔健康指标。方法：将ECOHIS-4D和CHU-9D应用于西澳大利亚珀斯初级保健环境中314名学龄前儿童的父母/儿童二人组。使用四个参数来评估哪种仪器更符合口腔健康指标（龋齿、缺牙和补牙评分dmft评分）：（i）辨别力，区分不同临床严重程度组的能力，（ii）外部反应性，效用值与dmft评分变化的关系有多大，（iii）相关性，两种工具之间的关联和相关维度，以及（iv）两种工具的效用值差异。结果：大多数参与者（81%）年龄在2-6岁岁，近50%的人有dmft分数结论：ECOHIS-4D是一种口腔健康专用仪器，在评估儿童口腔健康生活质量方面比普通的CHU-9D更敏感。因此，ECOHIS-4D更适合用于口腔健康干预措施和资源分配决策的经济评估中的效用估计。

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来源期刊

Community dentistry and oral epidemiology 医学-公共卫生、环境卫生与职业卫生

CiteScore

4.40

自引率

8.70%

发文量

审稿时长

6 months

期刊介绍： The aim of Community Dentistry and Oral Epidemiology is to serve as a forum for scientifically based information in community dentistry, with the intention of continually expanding the knowledge base in the field. The scope is therefore broad, ranging from original studies in epidemiology, behavioral sciences related to dentistry, and health services research through to methodological reports in program planning, implementation and evaluation. Reports dealing with people of all age groups are welcome. The journal encourages manuscripts which present methodologically detailed scientific research findings from original data collection or analysis of existing databases. Preference is given to new findings. Confirmations of previous findings can be of value, but the journal seeks to avoid needless repetition. It also encourages thoughtful, provocative commentaries on subjects ranging from research methods to public policies. Purely descriptive reports are not encouraged, nor are behavioral science reports with only marginal application to dentistry. The journal is published bimonthly.