A retrospective cohort study of the oral healthcare needs of cancer patients.

IF 2.8 3区医学 Q2 HEALTH CARE SCIENCES & SERVICES

Supportive Care in Cancer Pub Date : 2025-03-22 DOI:10.1007/s00520-025-09314-y

Sophie Beaumont, Aimee Liu, Katrusha Hull

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引用次数: 0

Abstract

Purpose: Oral health and its impact on general well-being is acutely evident with a cancer diagnosis. Most cancer treatments will affect the oral environment, with poor oral health having the potential to negatively impact cancer treatment outcomes.

Methods: This retrospective study included 1500 patients referred for dental examination prior to cancer therapy at the Peter MacCallum Cancer Centre, Australia, between January 2017 and August 2019. Demographic characteristics, cancer diagnosis, and baseline oral health information were recorded.

Results: Patients were referred from the head and neck tumour stream (56%), haematology (27.7%), breast and genitourinary (6.1%), and others (9.7%). Of the patients who required dental treatment 49% required a dental extraction prior to their cancer treatment to optimise oral health. Head and neck cancer patients presented with poorer oral hygiene and required more dental extractions than other patient groups (χ² = 17.59, p = 0.00003).

Conclusions: Baseline oral health for cancer patients was below expected compared with the Australian average. Dental treatment was necessary for more than half of patients to reduce infection risk and improve function and quality of life during and following cancer treatment, highlighting the essential role of oral health clinicians in the multidisciplinary team.

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癌症患者口腔保健需求的回顾性队列研究。

目的：口腔健康及其对整体健康的影响与癌症诊断非常明显。大多数癌症治疗都会影响口腔环境，口腔健康状况不佳有可能对癌症治疗结果产生负面影响。方法：本回顾性研究纳入了2017年1月至2019年8月期间在澳大利亚Peter MacCallum癌症中心进行癌症治疗前牙科检查的1500例患者。记录人口统计学特征、癌症诊断和基线口腔健康信息。结果：患者来自头颈部肿瘤流（56%），血液科（27.7%），乳腺和泌尿生殖系统（6.1%）和其他（9.7%）。在需要牙科治疗的患者中，49%的人在接受癌症治疗前需要拔牙，以优化口腔健康。头颈癌患者口腔卫生状况较差，拔牙次数多于其他组（χ2 = 17.59, p = 0.00003）。结论：与澳大利亚平均水平相比，癌症患者的口腔健康基线低于预期。超过一半的患者在癌症治疗期间和之后需要进行牙科治疗，以降低感染风险并改善功能和生活质量，这突出了口腔健康临床医生在多学科团队中的重要作用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Supportive Care in Cancer 医学-康复医学

CiteScore

5.70

自引率

9.70%

发文量

751

审稿时长

3 months

期刊介绍： Supportive Care in Cancer provides members of the Multinational Association of Supportive Care in Cancer (MASCC) and all other interested individuals, groups and institutions with the most recent scientific and social information on all aspects of supportive care in cancer patients. It covers primarily medical, technical and surgical topics concerning supportive therapy and care which may supplement or substitute basic cancer treatment at all stages of the disease. Nursing, rehabilitative, psychosocial and spiritual issues of support are also included.