Oral health-related quality of life and malnutrition in patients treated for oral cancer

Barrios, Rocío; Tsakos, Georgios; Garcia-Medina, Blas; Martínez-Lara, Ildefonso; Bravo, Manuel

doi:10.1007/s00520-014-2281-5

Cited by 52 publications

(39 citation statements)

References 27 publications

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“…The main factors involved in the development of malnutrition in these patients are metabolic abnormalities and nutrition impact symptoms (NIS), which can be related to the tumor itself or can occur as side effects of anticancer treatment . Aging promotes changes in body composition, metabolic and physiological changes, and reduced functional capacity, making older patients with cancer who are undergoing oncological treatment more vulnerable, resulting in increased morbidity and mortality …”

Section: Introductionmentioning

confidence: 99%

“…19,20 Aging promotes changes in body composition, metabolic and physiological changes, and reduced functional capacity, 21 making older patients with cancer who are undergoing oncological treatment more vulnerable, resulting in increased morbidity and mortality. [22][23][24][25] Currently, the prevalence of malnutrition among older Brazilians with cancer and the prevalence of NIS as risk factors for malnutrition in these patients is unclear. We hypothesized that the prevalence of malnutrition and NIS would be greater in older versus younger adult patients with cancer.…”

Section: Introductionmentioning

confidence: 99%

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High prevalence of malnutrition and nutrition impact symptoms in older patients with cancer: Results of a Brazilian multicenter study

Pinho

Martucci

Rodrigues

et al. 2019

Cancer

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Background Malnutrition in cancer is an independent factor associated with negative clinical outcomes. The objective of this study was to evaluate the prevalence of malnutrition across different age groups in patients with cancer in Brazil and to identify associations with nutrition impact symptoms (NIS). Methods In this observational, cross‐sectional, multicenter study, the authors evaluated 4783 patients with cancer aged ≥20 years who were admitted to 45 public hospitals in Brazil. Nutritional status, nutritional risk, and NIS were evaluated using the Patient‐Generated Subjective Global Assessment. Results More than one‐fourth (25.5%) of all participants were aged ≥65 years. In patients aged ≥65 years, the prevalence of moderate/suspected and severe malnutrition was 55%, it was 45.4% in those aged 51 to 64 years, and it was 36.1% in those aged ≤50 years. Among the NIS with a higher risk of occurrence in patients aged ≥65 years were no appetite (odds ratio [OR], 1.90; 95% CI, 1.62‐2.22; P < .05) and dry mouth (OR, 1.40; 95% CI, 1.1‐1.67; P < .05). In patients between ages 51 and 64 years, compared with those aged ≤50 years, the NIS with a higher risk of occurrence were no appetite (OR, 1.45; 95% CI, 1.23‐1.69; P < .05), dry mouth (OR, 1.22; 95% CI, 1.02‐1.45; P < .05), and problems with swallowing (OR, 1.56; 95% CI, 1.25‐1.96; P < .05). Conclusions The prevalence of malnutrition and the occurrence of NIS are high in hospitalized Brazilian patients aged ≥65 years who have cancer. The occurrence of NIS was higher in the population aged >50 years than in those aged ≤50 years. Nutritional screening and assessment should be performed immediately after hospitalization to enable early diagnosis and multidisciplinary or interdisciplinary intervention(s).

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

High prevalence of malnutrition and nutrition impact symptoms in older patients with cancer: Results of a Brazilian multicenter study

Pinho

Martucci

Rodrigues

et al. 2019

Cancer

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“…Furthermore, a large proportion of respondents experienced pain (60%), discomfort in chewing (70%), the need to interrupt meals (62%), an unsatisfactory diet (50%), and oral dryness (83.4%). Barrios et al 13 reported that reduced OHRQoL in HaNC patients was strongly associated with eating. The majority of the participants in the present study were patients with cancer affecting the oral cavity and so they would have experienced a direct effect from ionizing radiation.…”

Section: Patients' Ohrqolmentioning

confidence: 99%

Patients with head and neck cancers' oral health knowledge, oral health‐related quality of life, oral health status, and adherence to advice on discharge to primary dental care: A prospective observational study

Abed

Reilly

Burke

et al. 2019

Special Care in Dentistry

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Aims This prospective observational study set out to assess patients' oral health knowledge, oral health related quality of life (OHRQoL) and status immediately posttherapy, and adherence with oral health behaviors posttreatment with radiotherapy for head and neck cancer (HaNC). Methods A prospective observational study post HaNC therapy. At time one (T1), prior to discharge to primary dental care, oral health knowledge, OHRQoL, and status were assessed and dental health advice was delivered. At time two (T2), four weeks postdischarge, patients' adherence with dental health advice was reassessed. Results Thirty people postradiotherapy were recruited (mean age 58.9, SD ± 8.4). Twenty‐three (77%) were men. Thirteen (45%) respondents reported they were not informed about the side effects of radiotherapy. On discharge to primary care, 20 (67%) of the respondents rated their oral health as fair or worse, while 47% were displeased with dental appearance. Respondents reported a mean of 8.6 impacts (SD ± 5.3) on OHRQoL. Five (17%) and two (7%) patients had an established or a new osteoradionecrosis, respectively, and 16 patients (53%) had greater than two new carious teeth. One month postdischarge (T2), adherence with dental advice was high, 93% were registered with a primary care dentist and all brushed their teeth daily. Conclusion Within the limitations of this study in a single‐center, adherence with oral health advice was high. However, participants felt they received little preparatory information about side effects and impacts of radiotherapy on oral and dental health, and how to maintain oral health after radiotherapy.

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“…The two generic OHRQoL measures most widely used are the oral health impact profile (OHIP-14) and the oral impacts on daily performances (OIDP). 9 Among oral cancer patients, dysphagia and treatmentrelated problems, such as mucositis and nausea, are common. Due to these problems, food intake is often diminished, leading to unintentional weight loss, and malnutrition.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of quality of life and the nutritional status of oral cancer treated patients as compared with the control group in Varanasi district: a cross sectional study

Singh

Dutta³

et al. 2019

Int J Community Med Public Health

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They are also associated with economic, social and psychological impacts that impinge on oral function, appearance, and social interactions, leading to the disruption of the daily routines. 3Quality of life is multidimensional and it is based mainly on the individual functional health status, level of pain, self-attribution, self-perception and quality of interaction ABSTRACT Background: The modern day oral oncotherapy is now concerned on the oral quality of life after treatment of the patient. There is need to evaluate final outcome following the different combination of treatment modalities available to make better therapeutic treatment decisions. Oral health-related quality of life (QHRQOL) and their nutritional status is gaining importance as a valuable outcome measure in oral cancer area and compare with the other control group. The aim of the study was to examine the nutritional status among the oral cancer patients and compare the QHRQoL of two groups (i.e., oral cancer group and control group) in Varanasi district. Methods: The prospective study was conducted from January 2018 to August 2018. 124 oral cancer patients and 124 control people from the Varanasi district participated in this study. Nutritional status of oral cancer treated patients was assessed. QHRQoL of the oral cancer patients were compared with the control group. Results: Among the 124 oral cancer patient, 67.74% were malnourished or at risk of malnutrition. Patients had worse QHRQoL among oral cancer group. There were highly statistically significant differences found in the oral health impact profile and oral impacts on daily performances on comparing the oral cancer patients with the control group. Conclusions: This study indicated that oral cancer patients with malnutrition or risk of malnutrition have significantly worse OHRQoL than with the control population group.

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Oral health-related quality of life and malnutrition in patients treated for oral cancer

Cited by 52 publications

References 27 publications

High prevalence of malnutrition and nutrition impact symptoms in older patients with cancer: Results of a Brazilian multicenter study

High prevalence of malnutrition and nutrition impact symptoms in older patients with cancer: Results of a Brazilian multicenter study

Patients with head and neck cancers' oral health knowledge, oral health‐related quality of life, oral health status, and adherence to advice on discharge to primary dental care: A prospective observational study

Evaluation of quality of life and the nutritional status of oral cancer treated patients as compared with the control group in Varanasi district: a cross sectional study

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