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- Title
Association Between Oral Health Status and Survival Time in Terminally Ill Cancer Patients.
- Authors
Lee, Yoo Jeong; Hwang, In Cheol; Choi, Youn Seon; Ahn, Hong Yup; Lee, Eun Jeong; Kim, Da Eun
- Abstract
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.
- Subjects
SOUTH Korea; TUMOR treatment; MUCOSITIS; PALLIATIVE treatment; ACADEMIC medical centers; T-test (Statistics); RESEARCH funding; SCIENTIFIC observation; DESCRIPTIVE statistics; CHI-squared test; MULTIVARIATE analysis; ORAL hygiene; XEROSTOMIA; BILIRUBIN; CANCER patients; LONGITUDINAL method; KAPLAN-Meier estimator; LOG-rank test; ORAL diseases; QUALITY of life; TERMINALLY ill; TUMORS; CONFIDENCE intervals; DATA analysis software; TERMINAL care; ORAL health; PROPORTIONAL hazards models; DISEASE risk factors; DISEASE complications
- Publication
American Journal of Hospice & Palliative Medicine, 2024, Vol 41, Issue 10, p1138
- ISSN
1049-9091
- Publication type
Article
- DOI
10.1177/10499091231221204