{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T05:49:06Z","timestamp":1780724946958,"version":"3.54.1"},"reference-count":33,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2023,10,9]],"date-time":"2023-10-09T00:00:00Z","timestamp":1696809600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Comm Dent Oral Epid"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Accurate assessment of child oral health is important for guiding economic evaluations and informing healthcare decision\u2010making. Early Childhood Oral Health Impact Scale (ECOHIS\u20104D) is a preference\u2010based instrument that measures the oral health\u2010related quality of life of young children. The aim of this study was to compare the utility scores of ECOHIS\u20104D and Child Health Utility Index <jats:bold>(<\/jats:bold>CHU\u20109D), against an oral health indicator to evaluate which utility score corresponds better with the oral health indicator.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>The ECOHIS\u20104D and CHU\u20109D were applied to 314 parent\/child dyads from preschools in a primary healthcare setting in Perth, Western Australia. Four parameters were used to assess which instrument corresponds better with the oral health indicator (decayed, missing and filled teeth score\u2010dmft score): (i) discrimination, the ability to discriminate between different clinical severity groups, (ii) external responsiveness, how much the utility values relate to the changes in dmft scores, (iii) correlation, the association between the two instruments and the related dimensions and (iv) differences in the utility values across the two instruments.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Most participants (81%) were 2\u20136\u2009years old, and nearly 50% had a dmft score\u2009&lt;3. ECOHIS\u20104D demonstrated a superior ability to differentiate between dmft severity groups and respond to changes in dmft scores. A significant weak correlation was observed between dmft and ECOHIS\u20104D (\u22120.26, 95%, CI \u22120.36 to \u22120.15) compared to a non\u2010significant very poor correlation between dmft and CHU\u20109D (0.01, 95% CI \u22120.12 to 0.10). The utility scores of the two instruments had relatively good agreement towards good health and weak agreement towards poor health.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>ECOHIS\u20104D, the oral health\u2010specific instrument, is more sensitive in assessing children's oral health\u2010related quality of life than the generic CHU\u20109D. Thus, ECOHIS\u20104D is more appropriate for utility estimates in economic evaluations of oral health\u2010related interventions and resource allocation decision\u2010making.<\/jats:p><\/jats:sec>","DOI":"10.1111\/cdoe.12917","type":"journal-article","created":{"date-parts":[[2023,10,12]],"date-time":"2023-10-12T01:31:03Z","timestamp":1697074263000},"page":"224-231","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Comparison of the Early Childhood Oral Health Impact Scale (<scp>ECOHIS<\/scp>\u2010<scp>4D<\/scp>) and Child Health Utility Index (<scp>CHU\u20109D<\/scp>) in children with oral diseases"],"prefix":"10.1111","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7622-3329","authenticated-orcid":false,"given":"Sucharitha R.","family":"Weerasuriya","sequence":"first","affiliation":[{"name":"Australian Centre for Health Services Innovation and Centre for Healthcare Transformation, School of Public Health and Social Work Queensland University of Technology  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3501-2645","authenticated-orcid":false,"given":"Ruvini M.","family":"Hettiarachchi","sequence":"additional","affiliation":[{"name":"Centre for the Business and Economics of Health The University of Queensland  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5650-154X","authenticated-orcid":false,"given":"Sanjeewa","family":"Kularatna","sequence":"additional","affiliation":[{"name":"Australian Centre for Health Services Innovation and Centre for Healthcare Transformation, School of Public Health and Social Work Queensland University of Technology  Brisbane Queensland Australia"},{"name":"Health Services and Systems Research Duke\u2010NUS Medical School  Singapore Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2938-6720","authenticated-orcid":false,"given":"Alexia","family":"Rohde","sequence":"additional","affiliation":[{"name":"Australian Centre for Health Services Innovation and Centre for Healthcare Transformation, School of Public Health and Social Work Queensland University of Technology  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1647-2128","authenticated-orcid":false,"given":"Peter","family":"Arrow","sequence":"additional","affiliation":[{"name":"Adelaide Dental School The University of Adelaide  South Australia Adelaide Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9839-9280","authenticated-orcid":false,"given":"Lisa","family":"Jamieson","sequence":"additional","affiliation":[{"name":"Adelaide Dental School The University of Adelaide  South Australia Adelaide Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6464-744X","authenticated-orcid":false,"given":"Utsana","family":"Tonmukayakul","sequence":"additional","affiliation":[{"name":"Institute for Health Transformation, Deakin Health Economics, School of Health and Social Development, Faculty of Health Deakin University  Geelong Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5606-2046","authenticated-orcid":false,"given":"Sameera","family":"Senanayake","sequence":"additional","affiliation":[{"name":"Australian Centre for Health Services Innovation and Centre for Healthcare Transformation, School of Public Health and Social Work Queensland University of Technology  Brisbane Queensland Australia"},{"name":"Health Services and Systems Research Duke\u2010NUS Medical School  Singapore Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,10,9]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"World Health Organization.Oral health Key facts 2020 [25 March 2020]. Accessed November 3 2021.https:\/\/www.who.int\/news\u2010room\/fact\u2010sheets\/detail\/oral\u2010health"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034517693566"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.20851\/ncohs-05"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0234459"},{"key":"e_1_2_11_6_1","unstructured":"ReenaPatel.The state of oral health in Europe. Report commissioned by the platform for better Oral health in Europe. Summary of Key Findings. September2012."},{"key":"e_1_2_11_7_1","volume-title":"Oral Health and Dental Care in Australia","author":"Australian Institute of Health and Welfare","year":"2021"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/bmb\/ldq033"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2018-024854"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jval.2018.03.016"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/472-6831-14-90"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/ipd.12177"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jval.2012.08.2201"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/1477-7525-5-6"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/cdoe.12650"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.2196\/10322"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/2380084420963949"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/adj.12236"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10198-022-01542-x"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-009-9524-9"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2016.03.042"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1046\/j..2003.com122.x"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jormas.2019.02.004"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-017-1666-6"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1875-595X.2000.tb00572.x"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1037\/0033-2909.112.1.155"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0895-4356(99)00206-1"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1875-595X.2005.tb00028.x"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1080\/00016350510019865"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12955-016-0502-y"},{"key":"e_1_2_11_31_1","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0000000000002864"},{"key":"e_1_2_11_32_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12955-022-01918-w"},{"key":"e_1_2_11_33_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2020-038626"},{"key":"e_1_2_11_34_1","doi-asserted-by":"publisher","DOI":"10.3390\/dj7030067"}],"container-title":["Community Dentistry and Oral Epidemiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/cdoe.12917","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,3,8]],"date-time":"2024-03-08T05:21:47Z","timestamp":1709875307000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/cdoe.12917"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,10,9]]},"references-count":33,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2024,4]]}},"alternative-id":["10.1111\/cdoe.12917"],"URL":"https:\/\/doi.org\/10.1111\/cdoe.12917","archive":["Portico"],"relation":{},"ISSN":["0301-5661","1600-0528"],"issn-type":[{"value":"0301-5661","type":"print"},{"value":"1600-0528","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,10,9]]},"assertion":[{"value":"2023-03-08","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-09-25","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-10-09","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}