Evidence map›Paper›PMID 40784870›Full record

ArticleOral surgery, oral medicine, oral pathology and oral radiology2025

The impact of medications on salivary flow and oral health-related quality of life in postradiation head and neck cancer patients: results of the OraRad study.

Adam M Rose, Erika S Helgeson, Kimberly C Valentino, Rajesh V Lalla, Nathaniel S Treister, Brian L Schmidt, Lauren L Patton, Alexander Lin, Michael T Brennan, Thomas P Sollecito

Registry-linked trialAbstract read
In one paragraph

Article in Oral surgery, oral medicine, oral pathology and oral radiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02057510 (Clinical Registry of Dental Outcomes in Head and Neck Cancer Patients), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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.

NCT02057510 completednot on this map

Clinical Registry of Dental Outcomes in Head and Neck Cancer Patients

Typeobservational_patient_registrySponsorWake Forest University Health SciencesRan2014 to 2020Enrolled613ConditionsHead and Neck Cancer, Dental Disease, Xerostomia, Osteoradionecrosis
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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.

Adam M RoseDepartment of Oral Medicine, University of Pennsylvania School of Dental Medicine, Philadelphia, PA, USA.
Erika S HelgesonDivision of Biostatistics and Health Data Science, University of Minnesota, Minneapolis, MN, USA.
Kimberly C ValentinoDepartment of Oral Medicine, University of Pennsylvania School of Dental Medicine, Philadelphia, PA, USA.
Rajesh V LallaSection of Oral Medicine, University of Connecticut Health, Farmington, CT, USA.
Nathaniel S TreisterDivision of Oral Medicine and Dentistry, Brigham and Women's Hospital, Boston, MA, USA; Department of Oral Medicine, Infection and Immunity, Harvard School of Dental Medicine, Boston, MA, USA.
Brian L SchmidtDepartment of Oral and Maxillofacial Surgery, New York University School of Dentistry, New York, NY, USA.
Lauren L PattonDivision of Craniofacial and Surgical Care, University of North Carolina, Adams School of Dentistry, Chapel Hill, NC, USA.
Alexander LinDepartment of Radiation Oncology, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.
Michael T BrennanDepartment Oral Medicine/Oral & Maxillofacial Surgery, Atrium Health Carolinas Medical Center, Charlotte, NC USA.
Thomas P SollecitoDepartment of Oral Medicine, University of Pennsylvania School of Dental Medicine, Philadelphia, PA, USA; Division of Oral Medicine, Penn Medicine, Philadelphia, PA, USA. Electronic address: tps@upenn.edu.

Funding

Long-term Oral Complications of an Established Head and Neck Cancer Cohort- Clinical Registry of Dental Outcomes in Head and Neck Cancer Patients: OraRadU01DE022939 · NIDCR · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI BRENNAN, MICHAEL T, LALLA, RAJESH V. · 2012 to 2023
$16.8M
NIDCR NIH HHS U01 DE022939
6 · The paper itself

Abstract

objectivesTo determine the relationships between the number and class of xerogenic medications on whole stimulated salivary flow rates and oral health-related quality of life (OH-QOL) measures in patients who received high-dose external beam radiation therapy (RT) for head and neck cancer (HNC). STUDY

designComplete medication lists were generated using patient electronic health records from every attended study visit for 146 HNC patients. Whole stimulated salivary flow was measured before RT, and 6 and 18-months after RT. Ten single-item questions and two composite scales of swallowing problems and senses problems (taste and smell) were assessed at baseline and at 6-month intervals up to 24 months after RT. Linear mixed-effects models examined associations between the total number and class of medications and stimulated salivary flow and OH-QOL.

resultsThere was no detected association between the total number of medications and stimulated salivary flow (p-value = .18). Only antidepressant usage was significantly associated with stimulated salivary flow (P = .006). Number of medications, narcotic analgesic, and antidepressant usage were significantly associated with a clinically meaningful decrease in OH-QOL.

conclusionAntidepressants were associated with reduced stimulated salivary flow, but no cumulative negative effect on whole stimulated salivary flow was identified. Polypharmacy was associated with worse OH-QOL.

Indexed as

Head and Neck NeoplasmsOral HealthQuality of LifeSalivaSalivationXerostomiaAgedFemaleHumansMaleMiddle AgedSurveys and Questionnaires

Identifiers

PMID40784870
PMCPMC13050463

What OpenQuestion holds

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Registered trials

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.