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Patient-reported outcome measure for children and young people with amelogenesis imperfecta

Background Amelogenesis imperfecta (AI) is a genetic enamel defect that can affect both the primary and permanent dentition. It has a range of clinical phenotypes, and children and young people often present with challenging oral health needs. Patient-reported outcome measures (PROMs) can identify k...

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Autores principales: Lyne, Alexandra, Parekh, Susan, Patel, Nikita, Lafferty, Fiona, Brown, Catriona, Rodd, Helen, Monteiro, Joana
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group UK 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8420961/
https://www.ncbi.nlm.nih.gov/pubmed/34489543
http://dx.doi.org/10.1038/s41415-021-3329-9
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author Lyne, Alexandra
Parekh, Susan
Patel, Nikita
Lafferty, Fiona
Brown, Catriona
Rodd, Helen
Monteiro, Joana
author_facet Lyne, Alexandra
Parekh, Susan
Patel, Nikita
Lafferty, Fiona
Brown, Catriona
Rodd, Helen
Monteiro, Joana
author_sort Lyne, Alexandra
collection PubMed
description Background Amelogenesis imperfecta (AI) is a genetic enamel defect that can affect both the primary and permanent dentition. It has a range of clinical phenotypes, and children and young people often present with challenging oral health needs. Patient-reported outcome measures (PROMs) can identify key patient concerns. Methods This was a multi-centre service evaluation across several specialist paediatric dentistry services in the UK. A PROM questionnaire was created with clinician and patient input, through peer review with the national AI Clinical Excellence Network, as well as piloting the PROM with ten children and young people with AI. The final PROM questionnaire was distributed to all patients with AI attending each unit between January and March 2020. Results Sixty children and young people (aged 5-17 years) across four specialist units participated, with 72% reporting that they 'often' or 'sometimes' experienced pain or sensitivity and 76% reporting that they 'often' or 'sometimes' felt unhappy with the way their teeth look. Of the patients who were post-treatment, 81% indicated that they were happy with their teeth, compared to just 41% of patients who were mid-treatment and 33% of patients who were pre-treatment. Conclusion Children and young people with AI experience a range of issues related to their function and psychosocial wellbeing. This simple PROM demonstrates the range of issues this group of patients face, and could be used to monitor an individual's progress to ensure that treatment is planned to address the patient's individual concerns and needs.
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spelling pubmed-84209612021-09-07 Patient-reported outcome measure for children and young people with amelogenesis imperfecta Lyne, Alexandra Parekh, Susan Patel, Nikita Lafferty, Fiona Brown, Catriona Rodd, Helen Monteiro, Joana Br Dent J Research Background Amelogenesis imperfecta (AI) is a genetic enamel defect that can affect both the primary and permanent dentition. It has a range of clinical phenotypes, and children and young people often present with challenging oral health needs. Patient-reported outcome measures (PROMs) can identify key patient concerns. Methods This was a multi-centre service evaluation across several specialist paediatric dentistry services in the UK. A PROM questionnaire was created with clinician and patient input, through peer review with the national AI Clinical Excellence Network, as well as piloting the PROM with ten children and young people with AI. The final PROM questionnaire was distributed to all patients with AI attending each unit between January and March 2020. Results Sixty children and young people (aged 5-17 years) across four specialist units participated, with 72% reporting that they 'often' or 'sometimes' experienced pain or sensitivity and 76% reporting that they 'often' or 'sometimes' felt unhappy with the way their teeth look. Of the patients who were post-treatment, 81% indicated that they were happy with their teeth, compared to just 41% of patients who were mid-treatment and 33% of patients who were pre-treatment. Conclusion Children and young people with AI experience a range of issues related to their function and psychosocial wellbeing. This simple PROM demonstrates the range of issues this group of patients face, and could be used to monitor an individual's progress to ensure that treatment is planned to address the patient's individual concerns and needs. Nature Publishing Group UK 2021-09-06 /pmc/articles/PMC8420961/ /pubmed/34489543 http://dx.doi.org/10.1038/s41415-021-3329-9 Text en © The Author(s), under exclusive licence to British Dental Association 2021 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.
spellingShingle Research
Lyne, Alexandra
Parekh, Susan
Patel, Nikita
Lafferty, Fiona
Brown, Catriona
Rodd, Helen
Monteiro, Joana
Patient-reported outcome measure for children and young people with amelogenesis imperfecta
title Patient-reported outcome measure for children and young people with amelogenesis imperfecta
title_full Patient-reported outcome measure for children and young people with amelogenesis imperfecta
title_fullStr Patient-reported outcome measure for children and young people with amelogenesis imperfecta
title_full_unstemmed Patient-reported outcome measure for children and young people with amelogenesis imperfecta
title_short Patient-reported outcome measure for children and young people with amelogenesis imperfecta
title_sort patient-reported outcome measure for children and young people with amelogenesis imperfecta
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8420961/
https://www.ncbi.nlm.nih.gov/pubmed/34489543
http://dx.doi.org/10.1038/s41415-021-3329-9
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