title: The association of responsiveness in oral and general health-related quality of life with patients' satisfaction of new complete dentures.
abstract: OBJECTIVE
  The objective was to determine the responsiveness properties of the Oral Health Impact Profile (OHIP) short-forms and 36-item Short-Form (SF-36) in complete denture treatment, and further to evaluate the association between patients' satisfaction and improvements in oral and general health-related quality of life (OHRQoL and HRQoL) after fitting of new, complete dentures.
  
  
  METHODS
  Study data were obtained from the 'Dentures for the Elders through Public Funding' study conducted in Kaohsiung County. A total of 224 subjects received denture treatments with 6-month follow-up and pre-/post-treatment interviews by questionnaire. The OHIP and SF-36 were used to measure OHRQoL and HRQoL. In addition, specific questions investigating seven aspects of patients' satisfaction were used to measure the patients' perceptions of complete denture success. The responsiveness of all outcome measures and their dimensions were assessed by effect size (ES). Multivariable analysis was used to examine the association between patients' satisfaction and OHIP/SF-36 while adjusting for demographic characteristics.
  
  
  RESULTS
  There were improvements with regard to the 'physical pain' (ES = 0.19) and 'psychological discomfort' (ES = 0.42) dimensions of the Taiwanese short-form OHIP (OHIP-14T) after new complete denture treatment, but only improvement in the 'general health' (ES = 0.17) dimension in the SF-36 measure. Patients satisfied with 'comfort' and 'ease of cleaning' of their new dentures were significantly associated with the improvement of the OHIP-49 and OHIP-14T.
  
  
  CONCLUSIONS
  This study suggests that denture treatments are associated with improvements of OHRQoL, but not in HRQoL. Furthermore, patients' satisfaction was significantly associated with responsiveness of OHRQoL but less significantly associated with responsiveness of HRQoL.
authors.affiliation: School of Dentistry, College of Dental Medicine, Kaohsiung Medical University, Kaohsiung Medical University Hospital, No. 100 Shih-Chuan 1st Rd, Kaohsiung, 807, Taiwan.
authors.forename: Hsiao-Ching
authors.initials: HC
authors.lastname: Kuo
authors.forename: Ying-Se
authors.initials: YS
authors.lastname: Kuo
authors.forename: I-Chen
authors.initials: IC
authors.lastname: Lee
authors.forename: Jen-Chyan
authors.initials: JC
authors.lastname: Wang
authors.forename: Yi-Hsin
authors.initials: YH
authors.lastname: Yang
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003824:Denture, Complete / Q000523:psychology; D003778:Dentures / Q000523:psychology*; D005260:Female; D005500:Follow-Up Studies; D006304:Health Status; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D015999:Multivariate Analysis; D009909:Oral Health; D017063:Outcome Assessment, Health Care; D017060:Patient Satisfaction; D010549:Personal Satisfaction; D011788:Quality of Life; D015203:Reproducibility of Results; D018434:Sickness Impact Profile; D011795:Surveys and Questionnaires; D013624:Taiwan