Assessment of oral health problems and oral hygiene practices among palliative care patients using a new tool: A pilot study

Amran, Nur Afiqah Hamizah; Rahman, Hanif Abdul; Murang, Zaidah Rizidah; Teo, Poh Shyh; Nara, Appalasamy; Dhaliwal, Jagjit Singh

doi:10.5603/pmpi.2021.0030

Cited by 3 publications

(1 citation statement)

References 25 publications

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“…Hyperbilirubinemia and elevated Cr levels are already well-known prognostic factors that are included in the prognostic tool in a palliative care setting [19]. However, it is noteworthy that not using dentures is related to the short survival time of patients with terminal cancer receiving palliative care, which is similar to the results of another study [20]. The mean age of the patients in our study was 71.6 years, and dentures are probably needed for oral intake considering their advanced age.…”

Section: Discussionsupporting

confidence: 71%

Association between oral health status and survival time in terminally ill cancer patients

Lee

Hwang

Choi

et al. 2023

Preprint

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Purpose Patients with terminal cancer often experience various oral problems. Whether oral health status is associated with the survival of terminally ill cancer patients receiving palliative care remains unclear. Methods We analyzed the data of 59 Korean patients with terminal cancer receiving palliative care, including their oral health status, using a modified Korean version of the Oral Health Assessment Tool (OHAT). Patients were categorized into “Good,” “Moderate,” or “Poor” groups based on OHAT scores. The Kaplan–Meier method was used to compare the median survival time, and the prognosis between groups was estimated using Cox proportional hazard models. Results The most common oral symptoms observed were xerostomia (69.5%) and mucositis (17.0%). Significantly shorter survival times were observed in patients with hyperbilirubinemia, elevated creatinine levels, and no use of dentures. The “Poor” group had a shorter survival than the “Good” oral group (P = 0.010). A multivariate Cox proportional hazards analysis revealed that the “Poor” group was significantly associated with poor survival compared to the “Good” group (hazard ratio, 2.05; P = 0.047). Conclusion Terminally ill cancer patients with poor oral health may have a higher risk of shorter survival. Palliative care professionals should pay attention to oral health. Further research is needed to determine the effects of oral care on survival.

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Section: Discussionsupporting

confidence: 71%

Association between oral health status and survival time in terminally ill cancer patients

Lee

Hwang

Choi

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

Prevalence of oral diseases in patients under palliative care: a systematic review and meta-analysis

Silva,

Santos,

Pedroso

et al. 2024

Support Care Cancer

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Association Between Oral Health Status and Survival Time in Terminally Ill Cancer Patients

Lee,

Hwang,

Choi

et al. 2023

Am J Hosp Palliat Care

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Introduction Patients with terminal cancer often experience various oral problems. Whether oral health status is associated with the survival of terminally ill cancer patients receiving palliative care remains unclear. Methods We analyzed the data of 59 Korean patients with terminal cancer receiving palliative care, including their oral health status, using a modified Korean version of the Oral Health Assessment Tool (OHAT). Patients were categorized into “Good,” “Moderate,” or “Poor” groups based on OHAT scores. The Kaplan-Meier method was used to compare the median survival time, and the prognosis between groups was estimated using Cox proportional hazard models. Results The most common oral symptoms observed were xerostomia (69.5%) and mucositis (17.0%). Significantly shorter survival times were observed in patients with hyperbilirubinemia, elevated creatinine levels, and no use of dentures. The “Poor” group had a shorter survival than the “Good” oral group ( P = .010). A multivariate Cox proportional hazards analysis revealed that the “Poor” group was significantly associated with poor survival compared to the “Good” group (hazard ratio, 2.05; P = .047). Conclusion Terminally ill cancer patients with poor oral health may have a higher risk of shorter survival. Palliative care professionals should pay attention to oral health. Further research is needed to determine the effects of oral care on survival.

show abstract

Assessment of oral health problems and oral hygiene practices among palliative care patients using a new tool: A pilot study

Cited by 3 publications

References 25 publications

Association between oral health status and survival time in terminally ill cancer patients

Association between oral health status and survival time in terminally ill cancer patients

Prevalence of oral diseases in patients under palliative care: a systematic review and meta-analysis

Association Between Oral Health Status and Survival Time in Terminally Ill Cancer Patients

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