Evidence map›Paper›PMID 37118817›Full record

Trial reportBMC medicine2023

Impact of oral intervention on the oral and overall health of children living with HIV in Cambodia: a randomized controlled trial.

Kimiyo Kikuchi, Sovannary Tuot, Junko Yasuoka, Makoto Murayama, Sumiyo Okawa, Akira Shibanuma, Keiko Nanishi, Sothearith Eng, Chantheany Huot, Siyan Yi

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.9field-weighted citation impact, top 26% 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, 3 citations in OpenAlex.

  1. Article
  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

10 authors at 8 institutions in 4 countries.

Kimiyo KikuchiDepartment of Health Sciences, Faculty of Medical Sciences, Kyushu University, Fukuoka, Japan. kikuchi.kimiyo.715@m.kyushu-u.ac.jp.ORCID 0000-0002-9397-4327
Sovannary TuotKHANA Center for Population Health Research, Phnom Penh, Cambodia.
Junko YasuokaCenter for Infectious Disease Epidemiology and Prevention Research, Tokyo University of Agriculture and Technology, Tokyo, Japan.
Makoto MurayamaKawasaki City Dentists Association, Kanagawa, Japan.
Sumiyo OkawaInstitute for Global Health Policy Research, Bureau of International Health Cooperation, National Center for Global Health and Medicine, Tokyo, Japan.
Akira ShibanumaDepartment of Community and Global Health, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Keiko NanishiOffice of International Academic Affairs, Graduate School of Medicine and Faculty of Medicine, The University of Tokyo, Tokyo, Japan.
Sothearith EngKHANA Center for Population Health Research, Phnom Penh, Cambodia.
Chantheany HuotNational Pediatric Hospital, Phnom Penh, Cambodia.
Siyan YiKHANA Center for Population Health Research, Phnom Penh, Cambodia.
The University of Tokyo · JPCambodia National Malaria Center · KHKanagawa Prefecture Medical Association · JPKyushu University · JPNational Center for Global Health and Medicine · JPNational University of Singapore · SGTokyo University of Agriculture and Technology · JPUniversity of Tsukuba · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMaintaining oral health is essential for improving overall health of children living with HIV. Therefore, we evaluated the effectiveness of an oral health intervention for improving their oral and overall health. In addition, we examined their longitudinal association between changes in oral and overall health.

methodsWe conducted a 2-year randomized controlled trial involving children living with HIV in Cambodia. Children aged 3-15 years and their caregivers were randomly allocated either to the intervention (group A) or control (group B) arm. A second control arm (group C) included children without HIV. The group A children received oral health education sessions and practiced home-based daily care.

resultsIn the baseline survey, 482 children participated (group A: n = 160, group B: n = 168, group C: n = 154), and 350 completed the endline survey. An interaction effect in teeth brushing duration was observed in children in group A relative to group B (AOR = 2.69, 95% CI: 1.37-5.31) and group C (AOR = 3.78, 95% CI: 1.70-8.40). Longitudinal associations were observed between changes in oral hygiene and overall health, as presented by alterations in dental caries in permanent teeth with viral load detection (adjusted odds ratio = 3.58, 95% CI: 1.10 - 11.73), in salivary flow quantity with the overall quality of life (β = 0.07, 95% CI: < 0.01 - 0.13), as well as in dental caries, salivary pH, debris index with body mass index for age among group A children.

conclusionsOral health intervention may improve oral care behaviors and potentially enhance overall health among children living with HIV in antiretroviral therapy in a resource-constrained setting.

trial registrationISRCTN 15177479.

Indexed as

Dental CariesHIV InfectionsCambodiaChildHumansOral HealthQuality of LifeCambodiaChildHIVOral healthRandomized controlled trial

Identifiers

PMID37118817
PMCPMC10144884
OpenAlexW4367298509

What OpenQuestion holds

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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.