接受癌症治疗的巴西儿童、青少年和年轻人的口腔健康相关生活质量

Carmela R. Bresolin, Luiz F. Palma, Rafael V. Serrano, Cristina Toline, Simone Tuchtenhagen, Thiago M. Ardenghi, Juliana R. Praetzel
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摘要

癌症被认为是世界范围内的主要公共卫生问题,并可能对口腔健康相关生活质量(OHRQoL)产生重要影响。因此,本研究旨在评估3至21岁接受癌症治疗的巴西患者的OHRQoL。材料与方法:共对121例接受肿瘤治疗的患者和363名健康个体(对照组)进行评价。OHRQoL采用年龄特异性问卷进行评估,即巴西版早期儿童口腔健康影响量表(ECOHIS)、儿童认知问卷(CPQ) 11 -14短版、CPQ 8 - 10短版和口腔健康影响概况问卷-14 (OHIP-14)短版。结果:经ECOHIS评估的对照组个体在心理和家庭功能得分上对OHRQoL的影响更大,而经CPQ 8-10评估的对照组个体在总体上对OHRQoL的影响更大。然而,考虑到CPQ 11-14,癌症患者的OHRQoL受到的影响更大,从问卷总得分和口腔症状得分都可以看出。结论:在这项巴西研究的局限性内,癌症治疗似乎仅与年龄在11至14岁之间的患者的OHRQoL下降有关。然而,8到10岁之间没有癌症的儿童似乎经历了更糟糕的OHRQoL。
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Oral health-related quality of life in Brazilian children, adolescents, and young adults undergoing cancer treatment
Introduction: Cancer is considered a major public health problem worldwide and may have an important impact on oral health-related quality of life (OHRQoL). Thus, the present study aimed to assess OHRQoL in Brazilian patients aged 3 to 21 years undergoing cancer treatment. Materials and Methods: In total, 121 patients receiving cancer treatment and 363 healthy individuals (control group) were evaluated. OHRQoL was assessed using an age-specific questionnaire, that is, the Brazilian versions of the Early Childhood Oral Health Impact Scale (ECOHIS), the Child Perceptions Questionnaire (CPQ) 11–14-short version, the CPQ 8–10-short version, and the short-form of Oral Health Impact Profile Questionnaire-14 (OHIP-14). Results: Individuals from the control group who were evaluated by the ECOHIS presented more impact on the OHRQoL regarding the psychological and family function score, as well as those evaluated by CPQ 8–10, who presented more impact in general. However, considering CPQ 11–14, cancer patients had their OHRQoL more affected, as shown in both the total questionnaire score and oral symptoms score. Conclusion: Within the limitations of this Brazilian study, cancer treatment seems to be associated with decreased OHRQoL only in patients aged between 11 and 14 years. However, children without cancer aged between 8 and 10 years seem to experience worse OHRQoL.
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