Meaningful improvement thresholds in measures of pain and quality of life in oral lichen planus.
Oral lichen planus
Quality of Life
minimal important change
minimal important difference
responsiveness
Journal
Oral diseases
ISSN: 1601-0825
Titre abrégé: Oral Dis
Pays: Denmark
ID NLM: 9508565
Informations de publication
Date de publication:
Oct 2020
Oct 2020
Historique:
received:
17
02
2020
revised:
23
04
2020
accepted:
25
04
2020
pubmed:
5
5
2020
medline:
22
12
2020
entrez:
5
5
2020
Statut:
ppublish
Résumé
To evaluate the responsiveness of measures of pain and oral health-related quality of life (OH-QoL) in patients with oral lichen planus (OLP) and to determine thresholds for minimal important change (MIC) and minimal important difference (MID) for use in this patient population. Data from baseline and 4-month follow-up including Visual Analog Scale (VAS), Numerical Rating Scale (NRS), 14-item Oral Health Impact Profile (OHIP-14), 15-item and 26-item Chronic Oral Mucosal Disease Questionnaire (COMDQ-15; COMDQ-26) were collected from 157 patients with OLP. Responsiveness was assessed by testing hypotheses and calculating the area under the curve. MIC and MID were established based on triangulation of distribution-based and anchor-based estimates. The results supported adequate responsiveness of VAS, NRS, COMDQ-15 and COMDQ-26 for use in OLP, while the OHIP-14 demonstrated relatively low sensitivity to detect improvement in the OLP status. Recommended meaningful improvement thresholds were as follows: VAS (MIC 16 mm; MID 18 mm), NRS (MIC/MID 2 points), OHIP-14 (MIC/MID 5 points), COMDQ-15 (MIC 5 points; MID 6 points) and COMDQ-26 (MIC/MID 9 points). This study provides some evidence of responsiveness as well as establishing meaningful improvement thresholds in scores of pain and OH-QoL measures in OLP.
Types de publication
Journal Article
Langues
eng
Pagination
1464-1473Subventions
Organisme : the NIHR University College London Hospitals Biomedical Research Centre
ID : Service support funding
Organisme : Chulalongkorn University, Faculty of Dentistry
ID : PhD Scholarship
Organisme : the NIHR Clinical Research Network Portfolio
ID : Service support funding
Informations de copyright
© 2020 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd. All rights reserved.
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