Evidence map›Paper›PMID 32454578›Full record

ArticleFederal practitioner : for the health care professionals of the VA, DoD, and PHS2020

Where Dysphagia Begins: Polypharmacy and Xerostomia.

Stephen Marcott, Karuna Dewan, Miki Kwan, Fred Baik, Yu-Jin Lee, Davud Sirjani

Open access · greenAbstract read
In one paragraph

Article in Federal practitioner : for the health care professionals of the VA, DoD, and PHS, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
2.8field-weighted citation impact, top 9% 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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.

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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

6 authors at 1 institution in 1 country.

Stephen Marcottis a Medical Student; is an Assistant Professor of Otolaryngology; is an Assistant Professor of Otolaryngology; is an Otolaryngology Resident; and is a Clinical Associate Professor of Otolaryngology; all at Stanford University School of Medicine in California. is a Nurse Practitioner, and Davud Sirjani is the Chief of Otolaryngology at the Veterans Affairs Palo Alto Health Care System in California.
Karuna Dewanis a Medical Student; is an Assistant Professor of Otolaryngology; is an Assistant Professor of Otolaryngology; is an Otolaryngology Resident; and is a Clinical Associate Professor of Otolaryngology; all at Stanford University School of Medicine in California. is a Nurse Practitioner, and Davud Sirjani is the Chief of Otolaryngology at the Veterans Affairs Palo Alto Health Care System in California.
Miki Kwanis a Medical Student; is an Assistant Professor of Otolaryngology; is an Assistant Professor of Otolaryngology; is an Otolaryngology Resident; and is a Clinical Associate Professor of Otolaryngology; all at Stanford University School of Medicine in California. is a Nurse Practitioner, and Davud Sirjani is the Chief of Otolaryngology at the Veterans Affairs Palo Alto Health Care System in California.
Fred Baikis a Medical Student; is an Assistant Professor of Otolaryngology; is an Assistant Professor of Otolaryngology; is an Otolaryngology Resident; and is a Clinical Associate Professor of Otolaryngology; all at Stanford University School of Medicine in California. is a Nurse Practitioner, and Davud Sirjani is the Chief of Otolaryngology at the Veterans Affairs Palo Alto Health Care System in California.
Yu-Jin Leeis a Medical Student; is an Assistant Professor of Otolaryngology; is an Assistant Professor of Otolaryngology; is an Otolaryngology Resident; and is a Clinical Associate Professor of Otolaryngology; all at Stanford University School of Medicine in California. is a Nurse Practitioner, and Davud Sirjani is the Chief of Otolaryngology at the Veterans Affairs Palo Alto Health Care System in California.
Davud Sirjaniis a Medical Student; is an Assistant Professor of Otolaryngology; is an Assistant Professor of Otolaryngology; is an Otolaryngology Resident; and is a Clinical Associate Professor of Otolaryngology; all at Stanford University School of Medicine in California. is a Nurse Practitioner, and Davud Sirjani is the Chief of Otolaryngology at the Veterans Affairs Palo Alto Health Care System in California.
VA Palo Alto Health Care System · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundXerostomia, the subjective sensation of dry mouth, contributes to dysarthria, dysphagia, and diminished quality of life. Polypharmacy is a known and modifiable risk factor for xerostomia. The objective of this study was to evaluate the prevalence of dry mouth, the relationship between dry mouth and other oral conditions, and the impact of polypharmacy on dry mouth.

methodsThis study was a retrospective cross-sectional study of all patients seen in fiscal year (FY) 2015 (October 1, 2014 to September 30, 2015) at the VA Palo Alto Health Care System (VAPAHCS), a tertiary care US Department of Veterans Affairs (VA) hospital. Patients diagnosed with xerostomia were identified using ICD-9 codes (527.7, 527.8, R68.2) and Systemized Nomenclature of Medicine Clinical Terms (SNOMED CT) codes (87715008, 78948009).

resultsOf all the patients seen at VAPAHCS during FY 2015, 138 had a diagnostic code for xerostomia; of those patients, 84 had at least 1 documented speech, dentition, or swallowing (SDS) problem, and 55 (39.9%) were taking ≥ 12 medications, more than twice as many patients as in any one of the other groups studied (0-2, 3-5, 6-8, and 9-11 medications taken). Although 4,971 total patients seen at VAPAHCS had documented SDS problems during FY 2015, of those patients only 77 (1.5%) had an additional recorded diagnosis of xerostomia.

conclusionsHeightened physician awareness regarding the signs and symptoms of and risk factors for xerostomia is needed to improve health care providers' ability to diagnose dry mouth. Polypharmacy also must be considered when developing new strategies for preventing and treating xerostomia.

Identifiers

PMID32454578
PMCPMC7241606
OpenAlexW3032760468

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.