Evidence map›Paper›PMID 27853957›Full record

SynthesisDrugs in R&D2017

A Guide to Medications Inducing Salivary Gland Dysfunction, Xerostomia, and Subjective Sialorrhea: A Systematic Review Sponsored by the World Workshop on Oral Medicine VI.

Andy Wolff, Revan Kumar Joshi, Jörgen Ekström, Doron Aframian, Anne Marie Lynge Pedersen, Gordon Proctor, Nagamani Narayana, Alessandro Villa, Ying Wai Sia, Ardita Aliko and 5 more

Registry-linked trialOpen access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Drugs in R&D, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05247008 (Effectiveness of Thyme Honey in Management of Xerostomia in Geriatric Patients With ESRD), which is not on this map. Cited by 138 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
138citing papers in PubMed, 8 pooled it
15.3field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05247008 nacompletednot on this mapstarted 2021, after this paper: background citation

Effectiveness of Thyme Honey in Management of Xerostomia in Geriatric Patients With ESRD: Longitudinal Prospective Clinical Biochemical Study

TypeinterventionalSponsorAin Shams UniversityRan2021 to 2021Enrolled40ConditionsXerostomiaArmsThyme honey
3 · Its place in the literature

Who cites it

138 citing papers in PubMed, 8 syntheses or guidelines pooled it, 331 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. MASCC/ISOO Clinical Practice Statement: Management of salivary gland hypofunction and xerostomia in cancer patients.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Guideline
  4. MASCC/ISOO Clinical Practice Statement: Management of oral complications of targeted therapy.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Guideline
  5. MASCC/ISOO Clinical Practice Statement: Clinical assessment of salivary gland hypofunction and xerostomia in cancer patients.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Guideline
  6. Pooled it
  7. Pooled it
  8. The effect of hematopoietic stem cell transplantation on patient-reported subjective oral dryness: a systematic review focusing on prevalence, severity and distress.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
    Pooled it
  9. Trial
  10. Trial
  11. Article
  12. Review
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78 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 14 institutions in 10 countries.

Andy WolffTel-Aviv Sourasky Medical Center, Tel Aviv, Israel. awolff@zahav.net.il.
Revan Kumar JoshiDepartment of Oral Medicine and Radiology, DAPMRV Dental College, Bangalore, India.
Jörgen EkströmDepartment of Pharmacology, Institute of Neuroscience and Physiology, The Sahlgrenska Academy at the University of Gothenburg, Göteborg, Sweden.
Doron AframianThe Hebrew University, Jerusalem, Israel.
Anne Marie Lynge PedersenDepartment of Odontology, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.
Gordon ProctorMucosal and Salivary Biology Division, Dental Institute, King's College London, London, UK.
Nagamani NarayanaDepartment of Oral Biology, University of Nebraska Medical Center (UNMC) College of Dentistry, Lincoln, NE, USA.
Alessandro VillaDivision of Oral Medicine and Dentistry, Department of Oral Medicine Infection and Immunity, Brigham and Women's Hospital, Harvard School of Dental Medicine, Boston, MA, USA.
Ying Wai SiaMcGill University, Faculty of Dentistry, Montreal, QC, Canada.
Ardita AlikoFaculty of Dental Medicine, University of Medicine, Tirana, Albania.
Richard McGowanNew York University, New York, NY, USA.
Alexander Ross KerrNew York University, New York, NY, USA.
Siri Beier JensenDepartment of Odontology, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.
Arjan VissinkDepartment of Oral and Maxillofacial Surgery, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Colin DawesDepartment of Oral Biology, University of Manitoba, Winnipeg, MB, Canada.
New York University · USAarhus University · DKBrigham and Women's Hospital · USGovernment Dental College & Research Institute · INHebrew University of Jerusalem · ILKing's College London · GBMcGill University · CATel Aviv Sourasky Medical Center · ILUniversity Medical Center Groningen · NLUniversity of Bergen · NOUniversity of Copenhagen · DKUniversity of Gothenburg · SEUniversity of Manitoba · CAUniversity of Nebraska Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMedication-induced salivary gland dysfunction (MISGD), xerostomia (sensation of oral dryness), and subjective sialorrhea cause significant morbidity and impair quality of life. However, no evidence-based lists of the medications that cause these disorders exist.

objectiveOur objective was to compile a list of medications affecting salivary gland function and inducing xerostomia or subjective sialorrhea. DATA SOURCES: Electronic databases were searched for relevant articles published until June 2013. Of 3867 screened records, 269 had an acceptable degree of relevance, quality of methodology, and strength of evidence. We found 56 chemical substances with a higher level of evidence and 50 with a moderate level of evidence of causing the above-mentioned disorders. At the first level of the Anatomical Therapeutic Chemical (ATC) classification system, 9 of 14 anatomical groups were represented, mainly the alimentary, cardiovascular, genitourinary, nervous, and respiratory systems. Management strategies include substitution or discontinuation of medications whenever possible, oral or systemic therapy with sialogogues, administration of saliva substitutes, and use of electro-stimulating devices. LIMITATIONS: While xerostomia was a commonly reported outcome, objectively measured salivary flow rate was rarely reported. Moreover, xerostomia was mostly assessed as an adverse effect rather than the primary outcome of medication use. This study may not include some medications that could cause xerostomia when administered in conjunction with others or for which xerostomia as an adverse reaction has not been reported in the literature or was not detected in our search.

conclusionsWe compiled a comprehensive list of medications with documented effects on salivary gland function or symptoms that may assist practitioners in assessing patients who complain of dry mouth while taking medications. The list may also prove useful in helping practitioners anticipate adverse effects and consider alternative medications.

Indexed as

Drug-Related Side Effects and Adverse ReactionsOral MedicineHumansSalivary GlandsSialorrheaXerostomia

Identifiers

PMID27853957
PMCPMC5318321
OpenAlexW2556835195

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.