Association Between Oral Health Status and Survival Time in Terminally Ill Cancer Patients.

Autor:	Lee YJ; Palliative Care Center and Department of Family Medicine, Korea University Guro Hospital, Seoul, South Korea., Hwang IC; Department of Family Medicine, Gil Medical Center, Gachon University College of Medicine, Incheon, South Korea., Choi YS; Palliative Care Center and Department of Family Medicine, Korea University Guro Hospital, Seoul, South Korea., Ahn HY; Department of Statistics, Dongguk University, Seoul, South Korea., Lee EJ; Palliative Care Center, Korea University Guro Hospital, Seoul, South Korea., Kim DE; Department of Medicine, Korea University College of Medicine, Seoul, South Korea.
Jazyk:	angličtina
Zdroj:	The American journal of hospice & palliative care [Am J Hosp Palliat Care] 2024 Oct; Vol. 41 (10), pp. 1138-1144. Date of Electronic Publication: 2023 Dec 08.
DOI:	10.1177/10499091231221204
Abstrakt:	Introduction: Patients with terminal cancer often experience various oral problems. Whether oral health status is associated with the survival of terminally ill cancer patients receiving palliative care remains unclear. Methods: We analyzed the data of 59 Korean patients with terminal cancer receiving palliative care, including their oral health status, using a modified Korean version of the Oral Health Assessment Tool (OHAT). Patients were categorized into "Good," "Moderate," or "Poor" groups based on OHAT scores. The Kaplan-Meier method was used to compare the median survival time, and the prognosis between groups was estimated using Cox proportional hazard models. Results: The most common oral symptoms observed were xerostomia (69.5%) and mucositis (17.0%). Significantly shorter survival times were observed in patients with hyperbilirubinemia, elevated creatinine levels, and no use of dentures. The "Poor" group had a shorter survival than the "Good" oral group ( P = .010). A multivariate Cox proportional hazards analysis revealed that the "Poor" group was significantly associated with poor survival compared to the "Good" group (hazard ratio, 2.05; P = .047). Conclusion: Terminally ill cancer patients with poor oral health may have a higher risk of shorter survival. Palliative care professionals should pay attention to oral health. Further research is needed to determine the effects of oral care on survival. Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Databáze:	MEDLINE
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