Evidence map›Paper›PMID 28675770›Full record

ArticleOral diseases2017

Oral complications at 6 months after radiation therapy for head and neck cancer.

R V Lalla, N Treister, T Sollecito, B Schmidt, L L Patton, K Mohammadi, J S Hodges, M T Brennan, OraRad Study Group

Registry-linked trialOpen access · greenAbstract readMulticenter Study
In one paragraph

Article in Oral diseases, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02057510 (Clinical Registry of Dental Outcomes in Head and Neck Cancer Patients), which is not on this map. Cited by 56 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed, 5 pooled it
4.1field-weighted citation impact, top 6% 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.

NCT02057510 completednot on this map

Clinical Registry of Dental Outcomes in Head and Neck Cancer Patients

Typeobservational_patient_registrySponsorWake Forest University Health SciencesRan2014 to 2020Enrolled613ConditionsHead and Neck Cancer, Dental Disease, Xerostomia, Osteoradionecrosis
3 · Its place in the literature

Who cites it

56 citing papers in PubMed, 5 syntheses or guidelines pooled it, 113 citations in OpenAlex.

  1. The prevalence of oral mucositis after radiotherapy in patients with Head and Neck Cancer and its associated factors: a meta-analysis.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2025
    Pooled it
  2. Golden era of radiosensitizers.Frontiers in veterinary science · 2024
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  7. From clinic to couch: a pilot study of home-use photobiomodulation for radiation-induced oral mucositis and dermatitis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
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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

9 authors at 7 institutions in 1 country.

R V LallaSection of Oral Medicine, MC1605, University of Connecticut Health, Farmington, CT, USA.ORCID http://orcid.org/0000-0002-7662-6937
N TreisterDivision of Oral Medicine and Dentistry, Brigham and Women's Hospital, Boston, MA, USA.
T SollecitoDepartment of Oral Medicine, University of Pennsylvania School of Dental Medicine, Philadelphia, PA, USA.
B SchmidtDepartment of Oral & Maxillofacial Surgery and Bluestone Center for Clinical Research, New York University College of Dentistry, New York, NY, USA.
L L PattonDepartment of Dental Ecology, School of Dentistry, University of North Carolina, Chapel Hill, NC, USA.
K MohammadiDivision of Biostatistics, School of Public Health, University of Minnesota, Minneapolis, MN, USA.
J S HodgesDivision of Biostatistics, School of Public Health, University of Minnesota, Minneapolis, MN, USA.
M T BrennanDepartment of Oral Medicine, Carolinas Medical Center, Charlotte, NC, USA.
OraRad Study Group
University of Minnesota · USBrigham and Women's Hospital · USCarolinas Medical Center · USCenter for Clinical Research (United States) · USUConn Health · USUniversity of North Carolina at Chapel Hill · USUniversity of Pennsylvania Health System · US

Funding

Long-term Oral Complications of an Established Head and Neck Cancer Cohort- Clinical Registry of Dental Outcomes in Head and Neck Cancer Patients: OraRadU01DE022939 · NIDCR · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI BRENNAN, MICHAEL T, LALLA, RAJESH V. · 2012 to 2023
$16.8M
NIDCR NIH HHS U01 DE022939
6 · The paper itself

Abstract

objectiveTo examine oral complications 6 months after modern radiation therapy (RT) for head and neck cancer (HNC).

methodsProspective multicenter cohort study of patients with HNC receiving intensity-modulated radiation therapy or more advanced RT. Stimulated whole salivary flow, maximal mouth opening, oral mucositis, oral pain, oral health-related quality of life (OH-QOL), and oral hygiene practices were measured in 372 subjects pre-RT and 216 subjects at 6 months from the start of RT.

resultsMean stimulated whole salivary flow declined from 1.09 to 0.47 ml/min at 6 months (p < .0001). Mean maximal mouth opening reduced from 45.58 to 42.53 mm at 6 months (p < .0001). 8.1% of subjects had some oral mucositis at 6 months, including 3.8% with oral ulceration. Mean overall pain score was unchanged. OH-QOL was reduced at 6 months, with changes related to dry mouth, sticky saliva, swallowing solid foods, and sense of taste (p ≤ .0001). At 6 months, there was greater frequency of using dental floss and greater proportion using supplemental fluoride (p < .0001).

conclusionsDespite advances in RT techniques, patients with HNC experience oral complications 6 months after RT, with resulting negative impacts on oral function and quality of life.

Indexed as

AgedCarcinoma, Squamous CellFemaleHead and Neck NeoplasmsHumansLongitudinal StudiesMaleMiddle AgedMouthOral HygienePainProspective StudiesQuality of LifeRadiation InjuriesRadiotherapy, Intensity-ModulatedSalivahead and neck cancermouth openingoral complicationsquality of liferadiation therapysalivary flow

Identifiers

PMID28675770
PMCPMC6218933
OpenAlexW2733458027

What OpenQuestion holds

Textmetadata
LicenceTDM
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.