Evidence map›Paper›PMID 36739372›Full record

ArticleBMC oral health2023

Factors for poor oral health in long-term childhood cancer survivors.

Tushar Patni, Chun-Teh Lee, Yimei Li, Sue Kaste, Liang Zhu, Ryan Sun, Melissa M Hudson, Kirsten K Ness, Ana Neumann, Leslie L Robison

Open access · goldAbstract read
In one paragraph

Article in BMC oral health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 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.

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

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

  1. Dental management of long-term childhood cancer survivors: a systematic review.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2024
    Pooled it
  2. Article
  3. Article
  4. Dental caries in childhood cancer survivors.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  5. Review
  6. Review
  7. Review
  8. Article
  9. Article
  10. Article
  11. Review
  12. 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

10 authors at 3 institutions in 1 country.

Tushar PatniDepartment of Biostatistics, St. Jude Children's Research Hospital, Memphis, TN, USA.
Chun-Teh LeeDepartment of Periodontics and Dental Hygiene, The University of Texas Health Science Center at Houston School of Dentistry, Houston, TX, USA. chun-teh.lee@uth.tmc.edu.
Yimei LiDepartment of Biostatistics, St. Jude Children's Research Hospital, Memphis, TN, USA.
Sue KasteDepartment of Diagnostic Imaging, St. Jude Children's Research Hospital, Memphis, TN, USA.
Liang ZhuDepartment of Internal Medicine, The University of Texas Health Science Center at Houston, Houston, TX, USA.
Ryan SunDepartment of Biostatistics, MD Anderson Cancer Center, Houston, TX, USA.
Melissa M HudsonDepartment of Oncology, St. Jude Children's Research Hospital, Memphis, TN, USA.
Kirsten K NessDepartment of Epidemiology, St. Jude Children's Research Hospital, Memphis, TN, USA.
Ana NeumannDepartment of General Practice and Dental Public Health, The University of Texas Health Science Center at Houston School of Dentistry, Houston, TX, USA.
Leslie L RobisonDepartment of Epidemiology, St. Jude Children's Research Hospital, Memphis, TN, USA.
St. Jude Children's Research Hospital · USThe University of Texas Health Science Center at Houston · USThe University of Texas MD Anderson Cancer Center · US

Funding

The St. Jude Lifetime CohortU01CA195547 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI HUDSON, MELISSA M, NESS, KIRSTEN KIMBERLIE · 2015 to 2024
$14.9M
Innovative Statistical Analysis for Genome-Wide Data with Interval-Censored Outcomes of Oral Health in Childhood Cancer SurvivorsR03DE029238 · NIDCR · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI LI, YIMEI, SUN, RYAN · 2020 to 2021
$352k
NCI NIH HHS U01 CA195547NIDCR NIH HHS R03 DE029238
6 · The paper itself

Abstract

backgroundSurvivors of childhood cancer are at risk for therapy-related dental diseases. The purpose of the study was to investigate the associations between clinical, socioeconomic, and demographic factors and oral diseases in the St. Jude Lifetime Cohort (SJLIFE) participants.

methodsWe performed a retrospective medical chart review and evaluated longitudinal self-reported dental outcomes in 4856 childhood cancer survivors and 591 community controls participating in the St. Jude Lifetime Cohort (SJLIFE) study. Univariate and multivariable logistic regression models were used to assess the impact of socioeconomic factors, treatment exposures and patient demographics on dental outcomes.

resultsCancer survivors were more likely to report microdontia (odds ratio (OR) = 7.89, 95% confidence interval (CI) [4.64, 14.90]), abnormal root development (OR = 6.19, CI [3.38, 13.00]), hypodontia (OR = 2.75, CI [1.83, 4.33]), enamel hypoplasia (OR = 4.24, CI [2.9, 6.49]), xerostomia (OR = 7.72, CI [3.27, 25.10]), severe gingivitis (OR = 2.04, CI [1.43, 3.03]), and ≥ 6 missing teeth (OR = 3.73, CI [2.46, 6.00]) compared to controls without cancer history. Survivors who received classic alkylating agents (OR = 1.6, CI [1.36, 1.88]), anthracycline antibiotics (OR = 1.22, CI [1.04, 1.42] or radiation therapy potentially exposing the oral cavity (OR = 1.48, CI [1.26, 1.72]) were more likely to report at least one dental health problem after controlling for socioeconomic factors, age at last follow-up and diagnosis, other treatment exposures, and access to dental services. Survivors who had radiation therapy potentially exposing the oral cavity (OR = 1.52, CI [1.25, 1.84]) were also more likely to report at least one soft tissue abnormality after controlling for socioeconomic factors, age at last follow-up and diagnosis, other treatment exposures, and access and utilization of dental services.

conclusionsChildhood cancer survivors have a higher prevalence of oral-dental abnormalities than the controls without a cancer history. Cancer treatment, socioeconomic factors, and access to oral health care contribute to the prevalence of dental abnormalities.

Indexed as

Cancer SurvivorsNeoplasmsChildHumansOral HealthRetrospective StudiesRisk FactorsSurvivorsCohort studiesDental careDental cariesMouth diseasesPeriodontal diseasesRadiation effects

Identifiers

PMID36739372
PMCPMC9899385
OpenAlexW4319225492

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.