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Moon S, Oh E, Chung D, Choi R, Hong GRS. Validation of the Korean version of the Summated Xerostomia Inventory among older adults residing in nursing homes. BMC Public Health 2024; 24:1466. [PMID: 38822313 PMCID: PMC11143705 DOI: 10.1186/s12889-024-18875-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2024] [Accepted: 05/17/2024] [Indexed: 06/02/2024] Open
Abstract
BACKGROUND Xerostomia is commonly experienced by older individuals. We sought to develop and evaluate the reliability and validity of the Korean version of the Summated Xerostomia Inventory (K-SXI) among older adults residing in long-term care facilities (LTCFs) in Korea. METHODS In this secondary data analysis study using cross-sectional data, a cross-cultural adaptation process was conducted for the Korean version before data collection. Data collection was conducted from July 2021 to January 2022, targeting 544 older adults in 16 LTCFs. Data analysis included intraclass correlation coefficient (ICC) for test-retest reliability, and Cronbach's α for internal consistency reliability. Exploratory and confirmatory factor analyses were used to verify construct and convergent validity. Test-retest analysis was performed 6 weeks after baseline. Convergent and concurrent validities were assessed with age group and the xerostomia standard single question, respectively. RESULTS A total of 544 older adults participated in this study. The mean of total K-SXI score was 11.70 (standard deviation, 4.96) points. The ICC value was calculated to be 0.90, and Cronbach's α of K-SXI was 0.92. Exploratory factor analysis revealed a single factor, explaining 74.8% of the total variance, however, some goodness-of-fit indices of the single factor model were found to be unsuitable in confirmatory factor analysis. The convergent and concurrent validity were supported. CONCLUSION The present study provides evidence supporting the validity and reliability of the K-SXI for measuring xerostomia in institutionalized older adults in Korea.
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Affiliation(s)
- SeolHwa Moon
- Department of Nursing, Hoseo University, #20, Hoseo-ro 79beon-gil, Baebang-eup, Asan, 31499, Korea
| | - Eunmi Oh
- Research Institute of Nursing Science, Hanyang University, #222 Wangsimni-ro, Seongdong-gu, Seoul, 04763, Korea
| | - Daum Chung
- College of Nursing, Hanyang University, #222 Wangsimni-ro, Seongdong-gu, Seoul, 04763, Korea
| | - Rina Choi
- College of Nursing, Hanyang University, #222 Wangsimni-ro, Seongdong-gu, Seoul, 04763, Korea
| | - Gwi-Ryung Son Hong
- College of Nursing, Hanyang University, #222 Wangsimni-ro, Seongdong-gu, Seoul, 04763, Korea.
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Lapnimitanun C, Wiriyakijja P, Matangkasombut O, Komin O. Cross-cultural adaptation of the Thai Xerostomia Inventory and Summated Xerostomia Inventory. Oral Dis 2024. [PMID: 38342965 DOI: 10.1111/odi.14891] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2023] [Revised: 01/05/2024] [Accepted: 01/26/2024] [Indexed: 02/13/2024]
Abstract
OBJECTIVE To cross-culturally adapt and validate the Thai version of the Xerostomia Inventory (XI) and Summated Xerostomia Inventory (SXI) for subjective evaluation of oral dryness in Thai middle-aged and older adults. METHODS The original English versions of the XI and SXI were cross-culturally translated into Thai. Content validity was examined by the expert panel and 30 pilot subjects. The XI/SXI-Thai were then administered to 200 Thai adults (aged 50 years or older) for further assessment of psychometric properties. The standard question, the Bother Index, and the Xerostomia Questionnaire were used as comparator instruments for the evaluation of criterion and construct validity, respectively. Internal consistency reliability was assessed using Cronbach's alpha. RESULTS The final XI/SXI-Thai were found to have good content validity. Both scales were able to distinguish between xerostomia and non-xerostomia groups. We observed moderate to strong correlation between the XI/SXI-Thai and other comparator instruments, reflecting good criterion and construct validity. Cronbach's alpha values were 0.875 and 0.847 for the XI-Thai and SXI-Thai, respectively. CONCLUSIONS The XI-Thai and SXI-Thai were found to be valid, reliable, and easily administrable instruments for xerostomia assessment in Thai middle-aged and older individuals in both clinical and research settings.
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Affiliation(s)
- Chotima Lapnimitanun
- Geriatric Dentistry and Special Patients Care Program, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand
| | - Paswach Wiriyakijja
- Department of Oral Medicine, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand
- Avatar Biotechnologies for Oral Health and Healthy Longevity Research Unit, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand
| | - Oranart Matangkasombut
- Department of Microbiology and Center of Excellence on Oral Microbiology and Immunology, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand
- Research Laboratory of Biotechnology, Chulabhorn Research Institute, Bangkok, Thailand
| | - Orapin Komin
- Department of Prosthodontics, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand
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Alqaryan S, Almousa H, Almeshari S, Abaalkhail MB, Alabdulkareem AM, Alotaibi S, Al-Qahtani K. Translation and Cross-Cultural Adaptation of an Arabic Version of the Summated Xerostomia Inventory. Cureus 2023; 15:e47546. [PMID: 38021542 PMCID: PMC10665138 DOI: 10.7759/cureus.47546] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/23/2023] [Indexed: 12/01/2023] Open
Abstract
OBJECTIVE We aim to assess the validity and reliability of the Arabic language translation of the Summated Xerostomia Inventory (SXI). METHODS A cross-sectional, self-administered, electronic Arabic SXI was sent to 79 patients with thyroid nodules (female: n = 34, 57%; male: n = 45, 57%) who visited the Otolaryngology-Head and Neck Surgery clinic at King Abdulaziz University Hospital and King Fahad Medical City between June 2023 and July 2023. RESULTS Dependability was assessed using Cronbach's alpha coefficients at two distinct instances (first: α = 0.824, second: α = 0.932), which reaffirmed the SXI's reliability and consistency. Legitimacy was ascertained using a test-retest method and correlation analysis between the two measurements. CONCLUSION All SXI items displayed a potent positive correlation (between 0.746 and 0.871, p < 0.001), exhibiting remarkable consistency in responses over time. The outcomes of the paired t-tests showed nonsignificant differences for all queries, indicating that the responses were stable over time.
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Affiliation(s)
- Saleh Alqaryan
- Department of Otolaryngology-Head and Neck Surgery, King Saud University, Riyadh, SAU
| | - Hisham Almousa
- Department of Medicine, College of Medicine, King Saud University, Riyadh, SAU
| | - Saif Almeshari
- Department of Medicine, College of Medicine, King Saud University, Riyadh, SAU
| | - Mashal B Abaalkhail
- Department of Medicine, College of Medicine, King Saud University, Riyadh, SAU
| | | | - Shams Alotaibi
- Department of Otolaryngology-Head and Neck Surgery, King Fahad Medical City, Riyadh, SAU
| | - Khalid Al-Qahtani
- Department of Otolaryngology-Head and Neck Surgery, King Saud University, Riyadh, SAU
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Prado-Mel E, Ciudad-Gutiérrez P, Rodríguez-Ramallo H, Sánchez-Fidalgo S, Santos-Ramos B, Villalba-Moreno AM. Association between anticholinergic activity and xerostomia and/ or xerophthalmia in the elderly: systematic review. BMC Pharmacol Toxicol 2022; 23:94. [PMID: 36539885 PMCID: PMC9769019 DOI: 10.1186/s40360-022-00637-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2021] [Accepted: 12/13/2022] [Indexed: 12/24/2022] Open
Abstract
PURPOSE The aim of this work was to investigate the association between anticholinergic burden or anticholinergic drug use and xerostomia and/or xerophtalmia in elderly through a systematic review of the published literature. METHODS A search was carried out in 3 databases (CINAHL, Embase and Pubmed). Studies conducted in people ≥65 years of age, who took anticholinergic medications, and measured the association between the anticholinergic burden or the use of these medications with the prevalence of xerostomia and / or xerophthalmia, published up to August 2022, were selected. Studies published in languages other than Spanish and/or English were excluded. RESULTS One thousand two hundred eleven articles were identified, 10 were selected for this review: six cross-sectional studies, two cohorts, one case-control and one randomized controlled clinical trial. A total of 3535 patients included in the different studies were studied. The most used scales were the Anticholinergic Drug Scale (ADS) and the Anticholinergic Risk Scale (ARS). Four articles studied the relationship between the use of anticholinergic medication and the prevalence of xerostomia and / or xerophthalmia, finding a positive relationship with xerostomia in all of them. Another 6 measured the relationship between anticholinergic burden and xerostomia and / or xerophthalmia. Four found a positive relationship between anticholinergic burden and xerostomia and/or xerophthalmia. CONCLUSIONS Our findings suggest a clear relationship between the use of anticholinergic drugs or anticholinergic burden and the presence of xerostomia. This relationship was less conclusive in the case of xerophthalmia.
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Affiliation(s)
- E. Prado-Mel
- grid.411109.c0000 0000 9542 1158Hospital Universitario Vírgen del Rocío(Pharmacy department), Andalucía, Seville, Spain
| | - P. Ciudad-Gutiérrez
- grid.411109.c0000 0000 9542 1158Hospital Universitario Vírgen del Rocío(Pharmacy department), Andalucía, Seville, Spain
| | - H. Rodríguez-Ramallo
- grid.411109.c0000 0000 9542 1158Hospital Universitario Vírgen del Rocío(Pharmacy department), Andalucía, Seville, Spain
| | - S. Sánchez-Fidalgo
- grid.9224.d0000 0001 2168 1229University of Seville(Department of Preventive Medicine and Public Health), Andalucía, Seville, Spain
| | - B. Santos-Ramos
- grid.411109.c0000 0000 9542 1158Hospital Universitario Vírgen del Rocío(Pharmacy department), Andalucía, Seville, Spain
| | - A. M. Villalba-Moreno
- grid.411109.c0000 0000 9542 1158Hospital Universitario Vírgen del Rocío(Pharmacy department), Andalucía, Seville, Spain
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Bal Ozkaptan B, Aydin Sayilan A, Unver V, Ozen N. The reliability and validity of the Turkish version of the Shortened Xerostomia Inventory in hemodialysis patients. Ther Apher Dial 2022; 26:797-805. [PMID: 35438251 DOI: 10.1111/1744-9987.13858] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2022] [Accepted: 04/15/2022] [Indexed: 11/30/2022]
Abstract
INTRODUCTION The aim of this study was to translate, linguistically validate and evaluate the psychometric properties of the Shortened Xerostomia Inventory (SXI) among Turkish patients undergoing hemodialysis. METHODS The study was conducted with 81 chronic hemodialysis patients in the hemodialysis units of two state hospitals between June and August 2020. Explanatory Factor Analysis (EFA) were implemented to test the construct validity. In addition, the test-retest method was performed to test the reliability and consistency of the scale over time. RESULTS A total of 81 patients participated in the study. The Cronbach's alpha coefficient of SXI was 0.788. The mean values for the test was 12.84±6.78 and re-test scores was 11.03±6.88. ICC value calculated as 0.992 and accordingly a statistically significant relationship between the test and retest scores (p<0.001). CONCLUSIONS Our study showed that the SXI is a valid and reliable measurement tool for Turkish hemodialysis patients.
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Affiliation(s)
- Bilge Bal Ozkaptan
- Sinop University Faculty of Health Sciences, Nursing Department, Sinop, Turkey
| | - Aylin Aydin Sayilan
- Kırklareli University Faculty of Health Science, Nursing Department, Kırklareli, Turkey
| | - Vesile Unver
- Acıbadem Mehmet Ali Aydınlar University, Faculty of Health Sciences, Nursing Department, Istanbul, Turkey
| | - Nurten Ozen
- Demiroglu Bilim University Florence Nightingale Hospital School of Nursing, Istanbul, Turkey
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Yüce Sarı S, Yılmaz MT, Elmalı A, Kılıç L, Yüce D, Özyiğit G, Cengiz M, Yazıcı G. Turkish translation and validation of the Xerostomia Inventory. Arch Rheumatol 2022; 37:351-360. [PMID: 36589609 PMCID: PMC9791545 DOI: 10.46497/archrheumatol.2022.8702] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2021] [Accepted: 10/07/2021] [Indexed: 01/04/2023] Open
Abstract
Objectives The Xerostomia Inventory (XI) was developed to assess the severity of dryness in patients with xerostomia. It has a long and a short form with three- and five-point Guttman-type response options. In this study, we aimed to translate the XI into Turkish, to assess the validity and reliability of both response options in patients with head & neck cancer (HNC) or Sjögren syndrome (SS), and to select the optimal version for Turkish patients. Patients and methods Between January 2019 and June 2019, the XI was translated into Turkish (XI-T) and applied to patients aged ≥18 years with HNC and SS. All patients were applied two tests including both the three- and five-point options. The internal consistency was assessed by Cronbach alpha and test-retest reliability by intraclass correlation coefficients (ICCs). Content validity was based on expert opinion and patient reviews. Results A total of 186 patients (109 males, 77 females; median age: 54 years; range, 19 to 78 years) answered the XI-T. The number of patients with HNC and SS was 143 (77%) and 43 (23%), respectively. Median XI-T score was 17 for the three-point, and 24 for the five-point option, respectively. Overall internal consistency was satisfactory for both options (α=0.81 and α=0.89, respectively). Overall test-retest reliability was satisfactory and ICCs ranged between 0.71 and 0.92 for the three-point, and 0.36 and 0.94 for the five-point option, respectively. Assessments based on expert opinions and patient reviews also favored the content validity of the scale. Conclusion The XI-T with both three- and five-point options is a valid and reliable tool to evaluate the presence and severity of dryness in patients with HNC and SS who experience xerostomia. The three-point option is more comprehensible and can be preferred over the five-point option in the Turkish population.
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Affiliation(s)
- Sezin Yüce Sarı
- Department of Radiation Oncology, Hacettepe University Faculty of Medicine, Ankara, Türkiye
| | - Melek Tuğce Yılmaz
- Department of Radiation Oncology, Hacettepe University Faculty of Medicine, Ankara, Türkiye
| | - Ayşenur Elmalı
- Department of Radiation Oncology, Hacettepe University Faculty of Medicine, Ankara, Türkiye
| | - Levent Kılıç
- Department of Internal Medicine, Division of Rheumatology, Hacettepe University Faculty of Medicine, Ankara, Türkiye
| | - Deniz Yüce
- Department of Preventive Oncology, Hacettepe University Faculty of Medicine, Ankara, Türkiye
| | - Gökhan Özyiğit
- Department of Radiation Oncology, Hacettepe University Faculty of Medicine, Ankara, Türkiye
| | - Mustafa Cengiz
- Department of Radiation Oncology, Hacettepe University Faculty of Medicine, Ankara, Türkiye
| | - Gözde Yazıcı
- Department of Radiation Oncology, Hacettepe University Faculty of Medicine, Ankara, Türkiye
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Marimuthu D, Han KM, Mohamad MSF, Azman M. Saliva substitute mouthwash in nasopharyngeal cancer survivors with xerostomia: a randomized controlled trial. Clin Oral Investig 2020; 25:3105-3115. [PMID: 33175253 PMCID: PMC8060215 DOI: 10.1007/s00784-020-03634-5] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2020] [Accepted: 10/07/2020] [Indexed: 12/14/2022]
Abstract
Objectives Xerostomia is a prevalent sequelae among nasopharyngeal cancer (NPC) survivors; yet, effective treatment protocols have been elusive. This study was a prospective randomized clinical trial to compare the effects of saliva substitute mouthwash in nasopharyngeal cancer survivors with xerostomia, between two treatment arms, conducted in a tertiary center. Materials and methods This study measured the effects within 4 weeks in relation to summated xerostomia inventory (SXI) and unstimulated whole saliva (UWS). Patients randomized into the interventional arm were prescribed an immunologically active saliva substitute (IASS), while patients in the control arm were prescribed a non-immunologically active mouthwash as placebo. Results The study population consisted of 94 patients. There was a significant difference in SXI difference (p < 0.0001) and UWS difference (p < 0.0001) between control and interventional arms. No harmful side effects associated with the use of either mouthwash encountered throughout the study duration. Conclusion IASS mouthwash significantly reduces subjective xerostomia scores measured using SXI and improves objective measurement of salivary flow using UWS among nasopharyngeal cancer survivors with xerostomia. Clinical relevance IASS is significantly more effective in improving subjective and objective xerostomia measurements compared to non-immunologically active mouthwash. Additionally, this treatment is very safe, with superior side effect profiles. Trial registration ClinicalTrials.gov Identifier: NCT04491435
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Affiliation(s)
- Dayaabaran Marimuthu
- Department of Otorhinolaryngology and Head and Neck Surgery, Level 9, Clinical Block, UKM Medical Centre, National University of Malaysia Kuala Lumpur Campus, Jalan Yaacob Latiff, Bandar Tun Razak, 56000, Kuala Lumpur, Malaysia
| | - Kong Min Han
- Department of Otorhinolaryngology and Head and Neck Surgery, Level 9, Clinical Block, UKM Medical Centre, National University of Malaysia Kuala Lumpur Campus, Jalan Yaacob Latiff, Bandar Tun Razak, 56000, Kuala Lumpur, Malaysia
| | - Mohd Shawal Firdaus Mohamad
- Centre of Studies for Oral and Maxillofacial Surgery, Faculty of Dentistry, UiTM Sungai Buloh Campus, Jalan Hospital, 47000, Sugai Buloh, Selangor, Malaysia
| | - Mawaddah Azman
- Department of Otorhinolaryngology and Head and Neck Surgery, Level 9, Clinical Block, UKM Medical Centre, National University of Malaysia Kuala Lumpur Campus, Jalan Yaacob Latiff, Bandar Tun Razak, 56000, Kuala Lumpur, Malaysia.
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Wimardhani YS, Rahmayanti F, Maharani DA, Mayanti W, Thomson WM. The validity and reliability of the Indonesian version of the Summated Xerostomia Inventory. Gerodontology 2020; 38:82-86. [PMID: 32935371 PMCID: PMC7891669 DOI: 10.1111/ger.12494] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2019] [Revised: 07/20/2020] [Accepted: 08/14/2020] [Indexed: 12/13/2022]
Abstract
Objective To validate and determine the reliability of the Indonesian version of the Summated Xerostomia Inventory (SXI‐ID) questionnaire. Background Xerostomia is a common problem in older people, and the SXI is increasingly being used to measure it. Materials and methods The SXI questionnaire was cross‐culturally adapted to create an Indonesian version (SXI‐ID), which was assessed for validity and reliability in a cross‐sectional study of older adults living in nursing homes in Jakarta, Indonesia. Each participant signed an informed consent and was interviewed with the SXI‐ID. A subset of participants was interviewed again after two weeks. A standard question was used to check criterion‐related validity, by plotting the mean SXI‐ID scale scores against the ordinal response categories of the standard question. The reliability check included Cronbach's alpha, total and inter‐item correlation, and intraclass correlation for internal consistency, along with test‐retest reliability. Results A total of 110 older adults participated. Cronbach's alpha value for the SXI‐ID was .85, and the intraclass correlation coefficient value for test and retest in 15 participants was .9. The SXI‐ID total score showed a strong positive correlation (.87) with the global question. There was a consistent ascending gradient in mean SXI‐ID scores across the ordinal response categories of the global item. Conclusion The SXI‐ID is psychometrically valid and reliable for measuring xerostomia in the Indonesian population.
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Affiliation(s)
| | - Febrina Rahmayanti
- Department of Oral Medicine, Faculty of Dentistry, Universitas Indonesia, Jakarta, Indonesia
| | - Diah Ayu Maharani
- Department of Preventive and Public Health Dentistry, Faculty of Dentistry, Universitas Indonesia, Jakarta, Indonesia
| | - Wiwik Mayanti
- Oral Medicine Residency Program, Faculty of Dentistry, Universitas Indonesia, Jakarta, Indonesia
| | - William Murray Thomson
- Department of Oral Sciences, Sir John Walsh Research Institute, Faculty of Dentistry, The University of Otago, Dunedin, New Zealand
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Machado V, Botelho J, Proença L, Mendes JJ. Self‐reported illness perception and oral health‐related quality of life predict adherence to initial periodontal treatment. J Clin Periodontol 2020; 47:1209-1218. [DOI: 10.1111/jcpe.13337] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2019] [Revised: 05/25/2020] [Accepted: 06/18/2020] [Indexed: 12/26/2022]
Affiliation(s)
- Vanessa Machado
- Periodontology Department Clinical Research Unit (CRU) Centro de Investigação Interdisciplinar Egas Moniz (CiiEM) Instituto Universitário Egas Moniz (IUEM) Almada Portugal
- Clinical Research Unit (CRU) CiiEM IUEM Almada Portugal
| | - João Botelho
- Periodontology Department Clinical Research Unit (CRU) Centro de Investigação Interdisciplinar Egas Moniz (CiiEM) Instituto Universitário Egas Moniz (IUEM) Almada Portugal
- Clinical Research Unit (CRU) CiiEM IUEM Almada Portugal
| | - Luís Proença
- Quantitative Methods for Health Research (MQIS) CiiEM IUEM Almada Portugal
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Parkinson's Disease, Periodontitis and Patient-Related Outcomes: A Cross-Sectional Study. ACTA ACUST UNITED AC 2020; 56:medicina56080383. [PMID: 32751544 PMCID: PMC7466334 DOI: 10.3390/medicina56080383] [Citation(s) in RCA: 21] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2020] [Revised: 07/20/2020] [Accepted: 07/29/2020] [Indexed: 02/08/2023]
Abstract
Background and objectives: People with Parkinson’s disease (PD) may be at risk of having bad periodontal status. A consistent periodontal examination is critical to investigate how it impacts on PD quality of life. We aimed to assess the periodontal status of people with PD, and its association with quality of life and self-perceived xerostomia. Materials and Methods: To this end, from February to March 2020, we consecutively enrolled 28 PD individuals, and motor and non-motor symptoms of PD were assessed using the Movement Disorder Society Unified Parkinson’s Disease Rating Scale (MDS-UPDRS). We performed full-mouth periodontal examination and gathered information on self-perceived quality of life in PD, oral health impact profile (OHIP-14) and xerostomia. Results: The prevalence of periodontitis was 75.0% and most cases were identified as severe (46.4%). Upper extremity rigidity, hand posture and kinetic tremors were significantly correlated with worse periodontal status. PDQ-8 showed to be correlated with self-perceived oral health-related quality of life and xerostomia levels. Conclusions: This group of people with PD had a high prevalence of periodontitis. Deteriorated levels of the upper extremities in advanced stages of PD were associated with worse periodontal status and hygiene habits. Quality of life in PD appears to be associated with self-perceived OHRQoL and xerostomia.
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Botelho J, Machado V, Proença L, Oliveira MJ, Cavacas MA, Amaro L, Águas A, Mendes JJ. Perceived xerostomia, stress and periodontal status impact on elderly oral health-related quality of life: findings from a cross-sectional survey. BMC Oral Health 2020; 20:199. [PMID: 32650751 PMCID: PMC7350690 DOI: 10.1186/s12903-020-01183-7] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2019] [Accepted: 07/01/2020] [Indexed: 02/06/2023] Open
Abstract
BACKGROUND To investigate if self-perceived xerostomia and stress are significant variables on the Oral-Health Related Quality of Life (OHRQoL) of elderly patients, considering the periodontal status, oral hygiene habits and sociodemographic characteristics simultaneously. METHODS The study cohort included 592 participants (320 females/272 Males), aged 65 years or older, representing the elder inhabitants of the Study of Periodontal Health in Almada-Seixal (SoPHiAS). Patients answered a socio-demographic and oral hygiene habits questionnaire. The Oral Health Impact Profile-14 (OHIP-14), Summated Xerostomia Inventory-5 (SXI-5) and Perceived Stress Scale-10 (PSS-10) were used. Full-mouth circumferential periodontal inspection was carried out. Multivariable regression analyses were used considering the level of periodontitis, clinical characteristics, the number of teeth, SXI, PSS-10, age, gender and oral hygiene habits. RESULTS Self-perceived xerostomia and stress showed a positive significant correlation with OHRQoL and each of its domains. Multiple linear regression analysis demonstrated the significant impact of SXI-5 (B = 1.20, p < 0.001) and PSS-10 (B = 0.35, p < 0.001) on the OHRQoL. SXI-5 (Odds Ratio (OR) = 1.28, p < 0.001) and PSS-10 (OR = 1.03, p = 0.022) were associated with a more frequently affected OHRQoL. The number of missing teeth, being male, mean probing depth and mean clinical attachment loss were also significant towards a frequently affected OHRQoL. Conversely, age was negatively associated with a lower OHRQoL. CONCLUSION Self-perceived xerostomia and stress are significant variables towards OHRQoL in elderly patients. Future studies should consider these self-perceived xerostomia and stress when investigating the impact of periodontitis and missing teeth on quality of life of older adults.
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Affiliation(s)
- João Botelho
- Periodontology Department, Clinical Research Unit (CRU), Centro de Investigação Interdisciplinar Egas Moniz (CiiEM), Instituto Universitário Egas Moniz, Egas Moniz Cooperativa de Ensino Superior Campus Universitário, Quinta da Granja, 2829 - 511, Almada, Portugal. .,Clinical Research Unit (CRU), Centro de Investigação Interdisciplinar Egas Moniz (CiiEM), Egas Moniz, CRL, Quinta da Granja, Almada, 2829 - 511, Portugal.
| | - Vanessa Machado
- Periodontology Department, Clinical Research Unit (CRU), Centro de Investigação Interdisciplinar Egas Moniz (CiiEM), Instituto Universitário Egas Moniz, Egas Moniz Cooperativa de Ensino Superior Campus Universitário, Quinta da Granja, 2829 - 511, Almada, Portugal.,Clinical Research Unit (CRU), Centro de Investigação Interdisciplinar Egas Moniz (CiiEM), Egas Moniz, CRL, Quinta da Granja, Almada, 2829 - 511, Portugal
| | - Luís Proença
- Quantitative Methods for Health Research (MQIS), CiiEM, Egas Moniz, CRL, Quinta da Granja, Almada, 2829 - 511, Portugal
| | - Maria João Oliveira
- Department of Anatomy and Unit for Multidisciplinary Research in Biomedicine (UMIB), Institute of Biomedical Sciences Abel Salazar (ICBAS), University of Porto, Jorge de Viterbo Ferreira, 228, Porto, 4050-313, Portugal
| | - Maria Alzira Cavacas
- Clinical Research Unit (CRU), Centro de Investigação Interdisciplinar Egas Moniz (CiiEM), Egas Moniz, CRL, Quinta da Granja, Almada, 2829 - 511, Portugal
| | - Luís Amaro
- Health Centers grouping (HCG) Almada-Seixal, Regional Health Administration of Lisbon and Tagus Valley (RHALTV), Av. Estados Unidos da América 77, Lisbon, 1700-179, Portugal
| | - Artur Águas
- Department of Anatomy and Unit for Multidisciplinary Research in Biomedicine (UMIB), Institute of Biomedical Sciences Abel Salazar (ICBAS), University of Porto, Jorge de Viterbo Ferreira, 228, Porto, 4050-313, Portugal
| | - José João Mendes
- Clinical Research Unit (CRU), Centro de Investigação Interdisciplinar Egas Moniz (CiiEM), Egas Moniz, CRL, Quinta da Granja, Almada, 2829 - 511, Portugal
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12
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da Mata ADSP, Amaral JPDAR, Thomson WM, Barcelos F, Vaz Patto J, Pereira RMN, Marques DNDS. Patient-related outcomes in Sjögren syndrome treated with stimulants of salivary secretion: Randomized clinical trial. Oral Dis 2019; 26:313-324. [PMID: 31814226 DOI: 10.1111/odi.13251] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2019] [Revised: 11/27/2019] [Accepted: 11/29/2019] [Indexed: 12/21/2022]
Abstract
OBJECTIVES To investigate the impact of gustatory stimulants of salivary secretion (GSSS) on Sjögren's syndrome patients' self-perception of xerostomia, oral health-related quality of life (OHRQoL) and salivary secretion. METHODS A total of 110 Sjögren's syndrome patients were randomly allocated to be treated with either a malic acid lozenge or a citric acid mouthwash and then crossed over. Before and after the interventions, the Xerostomia Inventory 5 (SXI-5-PL) and the Oral Health Impact Profile (OHIP-14-PT) questionnaires (both in the Portuguese language) were administered to patients. Unstimulated, mechanical and gustatory-stimulated salivary flows were determined. Repeated measures and between-subject analyses were performed. Statistical significance was set at 5%. RESULTS After the intervention and within each group, both GSSS elicited a reduction in the SXI-5-PL and OHIP-14-PT scores and an increase in salivary output, significant in the malic acid lozenge group. The malic acid treatment resulted in a greater effect size and percentage improvement than citric acid mouthwash. The malic acid lozenge also produced a significant greater salivary output than the citric acid rising solution. CONCLUSIONS In Sjögren's syndrome patients, lozenges containing malic acid increased saliva production and xerostomia relief, resulting in improved quality of life.
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Affiliation(s)
- António Duarte Sola Pereira da Mata
- Oral Biology & Biochemistry Research Group, LIBPhys-FCT UID/FIS/04559/2013, Faculdade de Medicina Dentária, Universidade de Lisboa, Lisboa, Portugal.,New York University, New York, NY, USA.,Clinic Hugo Madeira-Advanced Aesthetics & Implantology, Lisboa, Portugal
| | - João Pedro de Almeida Rato Amaral
- Oral Biology & Biochemistry Research Group, LIBPhys-FCT UID/FIS/04559/2013, Faculdade de Medicina Dentária, Universidade de Lisboa, Lisboa, Portugal
| | - William Murray Thomson
- Sir John Walsh Research Institute, School of Dentistry, The University of Otago, Dunedin, New Zealand
| | | | | | - Ruben Miguel Nunes Pereira
- Oral Biology & Biochemistry Research Group, LIBPhys-FCT UID/FIS/04559/2013, Faculdade de Medicina Dentária, Universidade de Lisboa, Lisboa, Portugal
| | - Duarte Nuno da Silva Marques
- Oral Biology & Biochemistry Research Group, LIBPhys-FCT UID/FIS/04559/2013, Faculdade de Medicina Dentária, Universidade de Lisboa, Lisboa, Portugal.,Implantology Institute, Lisboa, Portugal
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13
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Hohenberger R, Baumann I, Plinkert PK, Brinster R, Krisam J, Affolter A, Hein M, Flechsig P, Rathke H, Oladokun D, Lippert BM, Bulut OC. Validating the Xerostomia Inventory in a radiation-induced xerostomia population in German language. Oral Dis 2019; 25:1744-1750. [PMID: 31295368 DOI: 10.1111/odi.13154] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2018] [Revised: 06/28/2019] [Accepted: 06/30/2019] [Indexed: 12/12/2022]
Abstract
OBJECTIVES Though xerostomia is a frequent oral symptom, there is no validated disease-specific questionnaire in German. The purpose of this study was to translate and validate versions of the Xerostomia Inventory and the Summated Xerostomia Inventory in a German-speaking population. PARTICIPANTS AND METHODS Thirty-nine patients including 18 patients suffering from radiation-induced xerostomia enrolled in this study. Both questionnaires were translated into German language according to international accepted guidelines. For validation, we evaluated reliability, validity, and responsiveness using the COSMIN manual for cross-cultural adaptation. RESULTS Cronbach's α was 0.92 for XI and 0.91 for SXI, showing both high internal consistency. Patients suffering from xerostomia showed significantly higher average scores demonstrating its discriminant validity. Confirmatory factor analysis showed excellent "goodness-of-fit" values for SXI and good to moderate values for XI, confirming the assumed factor structures. The Xerostomia Inventory and its summated version both showed excellent test-retest reliability in the non-xerostomia group (ICC = 0.85 and 0.84). CONCLUSIONS The XI and SXI in their cross-cultural adapted versions are the first validated self-report assessments for xerostomia in German language. They are characterized by practical design and can be easily interpreted by the treating physician.
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Affiliation(s)
- Ralph Hohenberger
- Department of Otorhinolaryngology, University Hospital Heidelberg, Heidelberg, Germany
| | - Ingo Baumann
- Department of Otorhinolaryngology, University Hospital Heidelberg, Heidelberg, Germany
| | - Peter K Plinkert
- Department of Otorhinolaryngology, University Hospital Heidelberg, Heidelberg, Germany
| | - Regina Brinster
- Institute of Medical Biometry and Informatics, University Hospital Heidelberg, Heidelberg, Germany
| | - Johannes Krisam
- Institute of Medical Biometry and Informatics, University Hospital Heidelberg, Heidelberg, Germany
| | - Annette Affolter
- Department of Otorhinolaryngology, University Hospital Heidelberg, Heidelberg, Germany
| | - Matti Hein
- Department of Otorhinolaryngology, SLK Kliniken am Gesundbrunnen, Heilbronn, Germany
| | - Paul Flechsig
- Department of Nuclear Medicine, University Hospital Heidelberg, Heidelberg, Germany
| | - Hendrik Rathke
- Department of Nuclear Medicine, University Hospital Heidelberg, Heidelberg, Germany
| | - Dare Oladokun
- Department of Otolaryngology, Castle Hill Hospital, Cottingham, UK
| | - Burkard M Lippert
- Department of Otorhinolaryngology, SLK Kliniken am Gesundbrunnen, Heilbronn, Germany
| | - Olcay Cem Bulut
- Department of Otorhinolaryngology, University Hospital Heidelberg, Heidelberg, Germany.,Department of Otorhinolaryngology, SLK Kliniken am Gesundbrunnen, Heilbronn, Germany
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