Affiliation:
1. Department of Oral and Maxillofacial Surgery National Hospital Organization Kumamoto Medical Center Kumamoto Japan
2. Department of Oral and Maxillofacial Surgery National Hospital Organization Kyoto Medical Center Kyoto Japan
3. Division of Preventive Medicine Clinical Research Institute National Hospital Organization Kyoto Medical Center Kyoto Japan
Abstract
AbstractAimsTo determine the Oral Health Assessment Tool (OHAT) critical score in palliative care patients and the optimal timing for predicting mortality using time‐dependent receiver operating characteristic (ROC) curves.Methods and ResultsA retrospective observational study was conducted on 176 patients treated by the palliative care team of our medical center between April 2017 and March 2020. Oral health was assessed using the OHAT. Prediction accuracy was evaluated using the area under the curve (AUC) analysis, sensitivity, and specificity, using time‐dependent ROC curves. Overall survival (OS) was compared using Kaplan‐Meier curves with the log‐rank test; hazard ratios (HRs) adjusted for covariates were calculated using a Cox proportional hazard model. A OHAT score of 6 was shown to best predict 21‐day OS (AUC 0.681, sensitivity 42.2%, specificity 80.0%). The median OS was significantly shorter in patients with total OHAT scores ≥6 than in patients with scores < 6 (21 days vs. 43 days, p = .017). For individual OHAT items, the unhealthy status of the lips and tongue was associated with decreased OS (HR = 1.91; 95% confidence interval [CI], 1.19–3.05 and adjusted HR = 1.48; 95% CI, 1.00–2.20).ConclusionPredicting disease prognosis based on patient oral health can enable clinicians to provide timely treatment.
Reference23 articles.
1. Palliative care dentistry: focusing on quality of life;Wiseman M;Compend Contin Educ Dent,2017
2. Oral health problems among palliative and terminally ill patients: an integrated systematic review
3. Associations between oral complications and days to death in palliative care patients
4. Palliative dental care‐ a boon for debilitating;Mulk BS;J Clin Diagn Res,2014
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