Quality of life and communication in orthognathic treatment

Catt, Susan L, Ahmad, Sofia, Collyer, Jeremy, Hardwick, Lauren, Shah, Nahush and Winchester, Lindsay (2018) Quality of life and communication in orthognathic treatment. Journal of Orthodontics, 45 (2). pp. 65-70. ISSN 1465-3125

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Abstract

Objective: The primary aim was to determine what, if any, relationships exist between communication and quality of life in patients receiving orthognathic treatment since this has not been explored. A secondary aim was to compare the Quality of Life (QoL) of a pre-treat sample with those at 2 years post-surgery.

Design: A cross-sectional questionnaire method was used.

Setting: Outpatient clinics providing orthognathic treatment at four UK hospital sites.

Participants: Two separate samples of pre-treatment (n=73) and 2 year post-surgery (n=78) patients participated in the study.

Methods: At clinic appointments all eligible patients were invited to complete the Orthognathic Quality of Life Questionnaire (OQLQ), a previously validated condition-specific quality of life measure. At the same time participants at the 2 year post-surgery stage also completed a second short questionnaire, the Communication Assessment Tool-Team (CAT-T), where they rated the quality of communication they had received during treatment.

Results: One hundred and fifty-one complete responses were received. The average age was 24.5 years (S.D. 9.77) and the majority (67%) were female in both groups. Statistically significant associations were found between QoL and quality of communication in the treated sample. Findings also showed a comparatively poorer QoL for the pre-treatment participants. This reduced QoL was more pronounced in females than males for all aspects except dentofacial appearance.

Conclusions: There was an improvement in QoL for patients at 2 years post-surgery compared to pre-treatment. There is an association between QoL and quality of communication as reported by participants at 2 years post-surgery. These novel findings are similar to outcomes in other patient settings such as oncology, but further investigation is required to establish the direction of cause and effect.

Item Type: Article
Keywords: communication; orthognathic; quality of life
Schools and Departments: Brighton and Sussex Medical School > Brighton and Sussex Medical School
Research Centres and Groups: Sussex Health Outcomes Research and Education in Cancer
Depositing User: Susan Catt
Date Deposited: 12 Apr 2018 08:11
Last Modified: 04 Jul 2018 13:42
URI: http://sro.sussex.ac.uk/id/eprint/74701

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Project NameSussex Project NumberFunderFunder Ref
Jaw StudyG1523Queen Victoria Hospital NHS Foundation Trust Charitable FundUnset