Evidence map›Paper›PMID 29607456›Full record

Observational studyClinical oral investigations2019

Oral health and chemotherapy act as cofactors in malnutrition in the elderly with other cancers than head and neck malignancies.

Nada El Osta, Lana El Osta, Claire Lassauzay, Marwan Ghosn, Stephanie Tubert-Jeannin, Martine Hennequin

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Clinical oral investigations, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 24% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Article
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

6 authors at 2 institutions in 2 countries.

Nada El OstaDepartment of Prosthetic Dentistry, School of Dentistry, Saint-Joseph University, Beirut, Lebanon.
Lana El OstaDepartment of Public Health, School of Medicine, Saint-Joseph University, Beirut, Lebanon.
Claire LassauzayUniversity Clermont Auvergne, CROC EA 4847, Dental Faculty, 2 rue de Braga, F-63000, Clermont-Ferrand, France.
Marwan GhosnDepartment of Public Health, School of Medicine, Saint-Joseph University, Beirut, Lebanon.
Stephanie Tubert-JeanninUniversity Clermont Auvergne, CROC EA 4847, Dental Faculty, 2 rue de Braga, F-63000, Clermont-Ferrand, France.
Martine HennequinUniversity Clermont Auvergne, CROC EA 4847, Dental Faculty, 2 rue de Braga, F-63000, Clermont-Ferrand, France. martine.hennequin@uca.fr.
Université Clermont Auvergne · FRSaint Joseph University · LB

Funding

Medical Research Council of Saint-Joseph University FMD96 - CRENDUnovember2013
6 · The paper itself

Abstract

objectivesThis study explores whether the chemotherapy regimen has a role in inducing oral health problems and malnutrition in elderly patients with other cancers than head and neck malignancies. MATERIAL AND

methodsAn observational cross-sectional study was designed to compare the relationships between oral health and nutritional status between four groups of elderly differing in cancer or chemotherapy regimen. Data were collected using a questionnaire including the Mini-Nutritional Assessment (MNA), the Geriatric Oral Health Assessment Index (GOHAI) and questions about perception of xerostomia. The oral examinations recorded the number of functional dental units (PFU) and the presence of oral lesions.

resultsThe sample comprised 46 patients receiving chemotherapy, 48 patients on a non-chemotherapy regimen, 45 persons in complete remission not under treatment and 53 non-cancer patients. Oral health perception was significantly worse in chemotherapy patients. They reported limiting the kinds of food they consumed, the discomfort felt when eating and took medications for oral pain. Oral lesions were frequent in chemotherapy participants. Nutritional status was related to the cancer treatment regimen (OR = 4.17; p value = 0.017), the presence of oral lesions (OR = 4.51; p value = 0.003), perception of xerostomia (OR = 3.54; p value = 0.012), the number of PFU (OR = 2.51; p value = 0.046) and GOHAI score (OR = 1.617; p value = 0.019).

conclusionThe presence of oral lesions and the chemotherapeutic regimen were highly associated with nutritional status in older patients with cancer. CLINICAL RELEVANCE: Dental professionals should be asked to intervene preventively and per-therapy to optimise oral health status in elderly patients with other cancers than head and neck malignancies.

Indexed as

Geriatric AssessmentOral HealthAgedAged, 80 and overCross-Sectional StudiesFemaleHumansLebanonMaleMalnutritionNeoplasmsNutrition AssessmentQuality of LifeRisk FactorsXerostomiaCancerChemotherapyElderlyNutrition statusOral health

Identifiers

PMID29607456
OpenAlexW2795849405

What OpenQuestion holds

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Registered trials

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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.