Evidence map›Paper›PMID 38212720›Full record

ArticleBMC geriatrics2024

Oral frailty among dentate and edentate older adults in long-term care.

Lina Julkunen, Riitta Saarela, Hanna-Maria Roitto, Hannu Kautiainen, Kaisu Pitkälä, Päivi Mäntylä, Kaija Hiltunen

Abstract read
In one paragraph

Article in BMC geriatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

13 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  12. [Analysis of the Occurrence and Influencing Factors of Oral Frailty in Elderly Residents of Elderly Care Facilities].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2024
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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

7 authors.

Lina JulkunenDepartment of Oral and Maxillofacial Diseases, University of Helsinki, Helsinki, Finland.
Riitta SaarelaSocial Services, Health Care and Rescue Services Division, Oral Health Care, City of Helsinki, Finland.
Hanna-Maria RoittoFaculty of Medicine (Clinicum), University of Helsinki, Helsinki, Finland.
Hannu KautiainenPrimary Health Care Unit, Kuopio University Hospital, Kuopio, Finland.
Kaisu PitkäläDepartment of General Practice, University of Helsinki, Helsinki, Finland.
Päivi MäntyläInstitute of Dentistry, University of Eastern Finland, Kuopio, Finland.
Kaija HiltunenDepartment of Oral and Maxillofacial Diseases, University of Helsinki, Helsinki, Finland. kaija.hiltunen@helsinki.fi.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe objectives of this study were to compare oral frailty (OFr) among edentate and dentate older adults living in long-term care facilities (LTCF) and to clarify how edentulism and oral disease burden (ODB) of dentate older adults are associated with OFr.

methodsThe population of this study comprised 94 edentate and 209 dentate residents in LTCF in Helsinki, Finland, who had previously participated in a nutritional study. The participants underwent a clinical oral examination. The dentate residents were further divided into three ODB groups based on asymptotic dental score. The edentate and different ODB groups were compared with each other regarding demographics and oral and medical findings. OFr was defined as ≥ 2 of following: having a diet of soft/pureed food, residue of food in the oral cavity, inability to keep the mouth open during examination, unclearness of speech, dry mouth. The association between OFr and edentulousness and various levels of ODB was analyzed by a multivariate logistic model.

resultsParticipants with low ODB had significantly less OFr than their edentate peers (p = 0.009). Furthermore, the edentate and dentate with high ODB had similar odds for OFr.

conclusionsEdentulousness and high ODB are equally harmful conditions and may predispose to OFr. This study suggests that maintaining healthy natural teeth and good oral health (low ODB) may protect against OFr.

trial registrationThe Ethics Committee of the Hospital District of Helsinki and Uusimaa approved the protocols for the nutritional status and oral healthcare studies and the merging of the data, including patient medical records (Register number HUS/968/2017).

Indexed as

FrailtyMouth, EdentulousAgedHealth StatusHumansLong-Term CareNutritional StatusOral HealthEdentulismLong-term careOlder adultsOral disease burdenOral frailtyOral health

Identifiers

PMID38212720
PMCPMC10782602

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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.