The association between oral health and general health and quality of life in older male cancer patients

Sally S. Ingram, Pearl H Seo, Richard Sloane, Thomas Francis, Elizabeth C. Clipp, Martha E. Doyle, Gustavo S. Montana, Harvey J. Cohen

Research output: Contribution to journalArticle

19 Citations (Scopus)

Abstract

OBJECTIVES: To describe the long-term effects of oral health problems on quality of life (QoL), functional status, pain, and general health in older male cancer patients. DESIGN: Secondary analysis of a prospective observational study. SETTING: Community dwelling cancer patients served by a Department of Veterans Affairs hospital. PARTICIPANTS: One hundred fifty male cancer patients responded to the question "Do you have tooth or mouth problems making it hard to eat?" The relationship between patients answering "yes" and the following parameters was assessed: demographics, comorbid conditions, habits, activities of daily living, pain, anxiety, depression, social support, spirituality, QoL, and overall health ratings. MEASUREMENTS: Chi-square contingency tables for dichotomous variables, Cochran-Mantel-Haenszel for ordered categorical variables, and t tests for associations with continuous variables. RESULTS: The median age of respondents was 67. Those reporting tooth or mouth problems had had their cancer diagnosed on average 2.9 years before, and 83.3% were found clinically to be cancer free. Patients with these problems had significantly lower global (P = .003) and subscale scores on QoL analysis and higher levels of anxiety (P < .001) and depression (P = .01) than those without tooth or mouth problems; they also had significantly more pain (P < .001) and lower physical functioning (P < .001) and were more impaired in activities of daily living (P < .001). Those with tooth or mouth problems were more likely to describe their overall health as fair or poor (P = .01). Having cancer located in the head and neck region related significantly to having mouth or tooth problems (P = .005), but these problems were not associated with race, education, income, insurance coverage, age, comorbid conditions, alcohol consumption, tobacco or medication usage, type of cancer treatment, tumor stage at diagnosis or follow-up, perceived social support, or spirituality. CONCLUSION: Older male cancer patients with mouth or tooth problems making it hard to eat are more likely to have a lower QoL, poorer emotional health, lower levels of physical functioning, and greater pain than patients without these problems.

Original languageEnglish
Pages (from-to)1504-1509
Number of pages6
JournalJournal of the American Geriatrics Society
Volume53
Issue number9
DOIs
StatePublished - Sep 1 2005
Externally publishedYes

Fingerprint

Oral Health
Quality of Life
Mouth
Tooth
Health
Neoplasms
Pain
Spirituality
Activities of Daily Living
Social Support
Anxiety
Health Fairs
Depression
Independent Living
Veterans Hospitals
Insurance Coverage
Alcohol Drinking
Health Status
Habits
Tobacco

Keywords

  • Cancer
  • Geriatrics
  • Oral health
  • Quality of life
  • Survivors

ASJC Scopus subject areas

  • Geriatrics and Gerontology

Cite this

The association between oral health and general health and quality of life in older male cancer patients. / Ingram, Sally S.; Seo, Pearl H; Sloane, Richard; Francis, Thomas; Clipp, Elizabeth C.; Doyle, Martha E.; Montana, Gustavo S.; Cohen, Harvey J.

In: Journal of the American Geriatrics Society, Vol. 53, No. 9, 01.09.2005, p. 1504-1509.

Research output: Contribution to journalArticle

Ingram, Sally S. ; Seo, Pearl H ; Sloane, Richard ; Francis, Thomas ; Clipp, Elizabeth C. ; Doyle, Martha E. ; Montana, Gustavo S. ; Cohen, Harvey J. / The association between oral health and general health and quality of life in older male cancer patients. In: Journal of the American Geriatrics Society. 2005 ; Vol. 53, No. 9. pp. 1504-1509.
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AU - Seo, Pearl H

AU - Sloane, Richard

AU - Francis, Thomas

AU - Clipp, Elizabeth C.

AU - Doyle, Martha E.

AU - Montana, Gustavo S.

AU - Cohen, Harvey J.

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N2 - OBJECTIVES: To describe the long-term effects of oral health problems on quality of life (QoL), functional status, pain, and general health in older male cancer patients. DESIGN: Secondary analysis of a prospective observational study. SETTING: Community dwelling cancer patients served by a Department of Veterans Affairs hospital. PARTICIPANTS: One hundred fifty male cancer patients responded to the question "Do you have tooth or mouth problems making it hard to eat?" The relationship between patients answering "yes" and the following parameters was assessed: demographics, comorbid conditions, habits, activities of daily living, pain, anxiety, depression, social support, spirituality, QoL, and overall health ratings. MEASUREMENTS: Chi-square contingency tables for dichotomous variables, Cochran-Mantel-Haenszel for ordered categorical variables, and t tests for associations with continuous variables. RESULTS: The median age of respondents was 67. Those reporting tooth or mouth problems had had their cancer diagnosed on average 2.9 years before, and 83.3% were found clinically to be cancer free. Patients with these problems had significantly lower global (P = .003) and subscale scores on QoL analysis and higher levels of anxiety (P < .001) and depression (P = .01) than those without tooth or mouth problems; they also had significantly more pain (P < .001) and lower physical functioning (P < .001) and were more impaired in activities of daily living (P < .001). Those with tooth or mouth problems were more likely to describe their overall health as fair or poor (P = .01). Having cancer located in the head and neck region related significantly to having mouth or tooth problems (P = .005), but these problems were not associated with race, education, income, insurance coverage, age, comorbid conditions, alcohol consumption, tobacco or medication usage, type of cancer treatment, tumor stage at diagnosis or follow-up, perceived social support, or spirituality. CONCLUSION: Older male cancer patients with mouth or tooth problems making it hard to eat are more likely to have a lower QoL, poorer emotional health, lower levels of physical functioning, and greater pain than patients without these problems.

AB - OBJECTIVES: To describe the long-term effects of oral health problems on quality of life (QoL), functional status, pain, and general health in older male cancer patients. DESIGN: Secondary analysis of a prospective observational study. SETTING: Community dwelling cancer patients served by a Department of Veterans Affairs hospital. PARTICIPANTS: One hundred fifty male cancer patients responded to the question "Do you have tooth or mouth problems making it hard to eat?" The relationship between patients answering "yes" and the following parameters was assessed: demographics, comorbid conditions, habits, activities of daily living, pain, anxiety, depression, social support, spirituality, QoL, and overall health ratings. MEASUREMENTS: Chi-square contingency tables for dichotomous variables, Cochran-Mantel-Haenszel for ordered categorical variables, and t tests for associations with continuous variables. RESULTS: The median age of respondents was 67. Those reporting tooth or mouth problems had had their cancer diagnosed on average 2.9 years before, and 83.3% were found clinically to be cancer free. Patients with these problems had significantly lower global (P = .003) and subscale scores on QoL analysis and higher levels of anxiety (P < .001) and depression (P = .01) than those without tooth or mouth problems; they also had significantly more pain (P < .001) and lower physical functioning (P < .001) and were more impaired in activities of daily living (P < .001). Those with tooth or mouth problems were more likely to describe their overall health as fair or poor (P = .01). Having cancer located in the head and neck region related significantly to having mouth or tooth problems (P = .005), but these problems were not associated with race, education, income, insurance coverage, age, comorbid conditions, alcohol consumption, tobacco or medication usage, type of cancer treatment, tumor stage at diagnosis or follow-up, perceived social support, or spirituality. CONCLUSION: Older male cancer patients with mouth or tooth problems making it hard to eat are more likely to have a lower QoL, poorer emotional health, lower levels of physical functioning, and greater pain than patients without these problems.

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