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Quality of life and oral potentially malignant disorders: Critical appraisal and prospects

机译:生活质量和口腔潜在恶性疾病:关键评估和前景

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摘要

Quality of life (QoL) is a vital and often required health outcome measure that is relevant to patient care. A healthy oral cavity enables person to perform daily activities without any limitations. However, any disturbance may result in impaired QoL. The oral health-remains an essential element of people’s health and well-being. In recent years, the tradition of clinical practice and research has been changed by incorporating QoL assessment, as it helps in assessment of patients’ needs and monitoring treatment responses. Oral potentially malignant disorders (OPMDs) are a group of chronic disorders including oral leukoplakia (OL), oral lichen planus and oral submucous fibrosis (OSF). It is evident that patients with OPMDs experience significant health-related symptoms, functional limitations and psycho-social impairment, compromising their QoL. Moreover, the worsening of QoL has been associated with advanced stages of OPMDs. Despite of increasing number of OPMD cases in recent decades, limited literature is available regarding QoL in this population. Although, there is higher prevalence of habit-related OPMDs, particularly OSF and OL in Southern Asian countries, only a few studies have been performed in these populations. Moreover, these studies administered generic QoL instruments, which offer less sensitivity to clinical changes. However, condition-specific instruments are more sensitive and allows better measurement of QoL. As the impacts of different conditions on OHRQoL may vary, the development and validation of a QoL instrument specific to each clinical entity of OPMDs is currently needed.
机译:生活质量(QoL)是一项至关重要的且经常需要的与患者护理有关的健康指标。健康的口腔使人们能够不受任何限制地进行日常活动。但是,任何干扰都可能导致QoL受损。口腔健康仍然是人们健康和福祉的基本要素。近年来,通过结合QoL评估,改变了临床实践和研究的传统,因为它有助于评估患者的需求并监测治疗反应。口腔潜在恶性疾病(OPMD)是一组慢性疾病,包括口腔白斑(OL),口腔扁平苔藓和口腔粘膜下纤维化(OSF)。显然,患有OPMDs的患者会出现明显的健康相关症状,功能受限和心理社会障碍,从而损害其生活质量。而且,QoL的恶化与OPMD的晚期阶段有关。尽管近几十年来OPMD病例数量增加,但有关该人群QoL的文献有限。尽管与习惯相关的OPMD(尤其是OSF和OL)在南亚国家中的患病率较高,但在这些人群中仅进行了少量研究。此外,这些研究使用了通用的QoL仪器,这些仪器对临床变化的敏感性较低。但是,针对特定条件的仪器更加灵敏,可以更好地测量QoL。由于不同条件对OHRQoL的影响可能会有所不同,因此目前需要开发和验证针对OPMDs每个临床实体的QoL仪器。

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