Association of low socioeconomic status and physician assessment of disease severity with oral health-related quality of life in patients with systemic sclerosis: a pilot study from Croatia, a country in transition.

Autor:	Parat K; 1 Department of Oral Medicine and Periodontology, Study of Dental Medicine, School of Medicine, University of Split, Croatia., Radić M; 2 Division of Rheumatology and Clinical Immunology, Center of Excellence for Systemic Sclerosis in Croatia, University Hospital Split, Split, Croatia., Borić K; 2 Division of Rheumatology and Clinical Immunology, Center of Excellence for Systemic Sclerosis in Croatia, University Hospital Split, Split, Croatia., Perković D; 2 Division of Rheumatology and Clinical Immunology, Center of Excellence for Systemic Sclerosis in Croatia, University Hospital Split, Split, Croatia., Biočina Lukenda D; 1 Department of Oral Medicine and Periodontology, Study of Dental Medicine, School of Medicine, University of Split, Croatia., Martinović Kaliterna D; 2 Division of Rheumatology and Clinical Immunology, Center of Excellence for Systemic Sclerosis in Croatia, University Hospital Split, Split, Croatia.
Jazyk:	angličtina
Zdroj:	The Journal of international medical research [J Int Med Res] 2018 Dec; Vol. 46 (12), pp. 5127-5136. Date of Electronic Publication: 2018 Sep 13.
DOI:	10.1177/0300060518791089
Abstrakt:	Objective: This study was performed to identify a possible association of the clinical parameters of systemic sclerosis (SSc) and the socioeconomic status (SES) with oral health-related quality of life (OHrQoL) as measured by the Oral Health Impact Profile 49 (OHIP 49), taking into account the effect of educational level (as a proxy of SES) on oral health. Methods: Subjects were recruited from the Croatian SSc Center of Excellence cohort. Detailed dental and clinical examinations were performed according to standardized protocols. The associations of OHrQoL with disease characteristics and socioeconomic status were examined. Results: Thirty-one consecutive patients with SSc were enrolled (29 women; mean age, 56.45 ± 13.60 years). OHIP 49 scores were significantly correlated with disease activity and severity. Furthermore, OHrQoL was positively correlated with skin involvement as evaluated by the modified Rodnan skin score. Impaired OHrQoL was positively correlated with the severity of general, skin, gastrointestinal, and joint/tendon involvement. The OHIP 49 score differed between patients who were positive and negative for anti-topoisomerase I antibody. Higher OHIP 49 scores were detected in patients with lower SES (primary school educational level). Conclusion: Collaboration between rheumatologists and dental professionals is required to improve dental care and oral health outcomes of SSc.
Databáze:	MEDLINE
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