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Comparison of dental health of patients with head and neck cancer receiving IMRT vs conventional radiation.

Identifieur interne : 000348 ( PubMed/Curation ); précédent : 000347; suivant : 000349

Comparison of dental health of patients with head and neck cancer receiving IMRT vs conventional radiation.

Auteurs : Victor M. Duarte [États-Unis] ; Yuan F. Liu ; Sassan Rafizadeh ; Tracey Tajima ; Vishad Nabili ; Marilene B. Wang

Source :

RBID : pubmed:24145147

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English descriptors

Abstract

To analyze the dental health of patients with head and neck cancer who received comprehensive dental care after intensity-modulated radiation therapy (IMRT) compared with radiation therapy (RT).

DOI: 10.1177/0194599813509586
PubMed: 24145147

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pubmed:24145147

Le document en format XML

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<title xml:lang="en">Comparison of dental health of patients with head and neck cancer receiving IMRT vs conventional radiation.</title>
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<name sortKey="Duarte, Victor M" sort="Duarte, Victor M" uniqKey="Duarte V" first="Victor M" last="Duarte">Victor M. Duarte</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Head and Neck Surgery, David E. Geffen School of Medicine at UCLA, Los Angeles, California, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Head and Neck Surgery, David E. Geffen School of Medicine at UCLA, Los Angeles, California</wicri:regionArea>
</affiliation>
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<author>
<name sortKey="Liu, Yuan F" sort="Liu, Yuan F" uniqKey="Liu Y" first="Yuan F" last="Liu">Yuan F. Liu</name>
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<name sortKey="Rafizadeh, Sassan" sort="Rafizadeh, Sassan" uniqKey="Rafizadeh S" first="Sassan" last="Rafizadeh">Sassan Rafizadeh</name>
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<name sortKey="Tajima, Tracey" sort="Tajima, Tracey" uniqKey="Tajima T" first="Tracey" last="Tajima">Tracey Tajima</name>
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<name sortKey="Nabili, Vishad" sort="Nabili, Vishad" uniqKey="Nabili V" first="Vishad" last="Nabili">Vishad Nabili</name>
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<name sortKey="Wang, Marilene B" sort="Wang, Marilene B" uniqKey="Wang M" first="Marilene B" last="Wang">Marilene B. Wang</name>
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<name sortKey="Duarte, Victor M" sort="Duarte, Victor M" uniqKey="Duarte V" first="Victor M" last="Duarte">Victor M. Duarte</name>
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<nlm:affiliation>Department of Head and Neck Surgery, David E. Geffen School of Medicine at UCLA, Los Angeles, California, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Head and Neck Surgery, David E. Geffen School of Medicine at UCLA, Los Angeles, California</wicri:regionArea>
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<name sortKey="Liu, Yuan F" sort="Liu, Yuan F" uniqKey="Liu Y" first="Yuan F" last="Liu">Yuan F. Liu</name>
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<name sortKey="Rafizadeh, Sassan" sort="Rafizadeh, Sassan" uniqKey="Rafizadeh S" first="Sassan" last="Rafizadeh">Sassan Rafizadeh</name>
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<name sortKey="Tajima, Tracey" sort="Tajima, Tracey" uniqKey="Tajima T" first="Tracey" last="Tajima">Tracey Tajima</name>
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<name sortKey="Nabili, Vishad" sort="Nabili, Vishad" uniqKey="Nabili V" first="Vishad" last="Nabili">Vishad Nabili</name>
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<name sortKey="Wang, Marilene B" sort="Wang, Marilene B" uniqKey="Wang M" first="Marilene B" last="Wang">Marilene B. Wang</name>
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<series>
<title level="j">Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery</title>
<idno type="eISSN">1097-6817</idno>
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<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Cohort Studies</term>
<term>Dental Caries (etiology)</term>
<term>Female</term>
<term>Head and Neck Neoplasms (radiotherapy)</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Mucositis (etiology)</term>
<term>Osteoradionecrosis (etiology)</term>
<term>Patient Education as Topic</term>
<term>Radiotherapy, Intensity-Modulated (adverse effects)</term>
<term>Retrospective Studies</term>
<term>Stomatognathic Diseases (etiology)</term>
<term>Stomatognathic Diseases (prevention & control)</term>
<term>Xerostomia (etiology)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Caries dentaires (étiologie)</term>
<term>Femelle</term>
<term>Humains</term>
<term>Inflammation muqueuse (étiologie)</term>
<term>Maladies du système stomatognathique ()</term>
<term>Maladies du système stomatognathique (étiologie)</term>
<term>Mâle</term>
<term>Ostéoradionécrose (étiologie)</term>
<term>Radiothérapie conformationnelle avec modulation d'intensité (effets indésirables)</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Tumeurs de la tête et du cou (radiothérapie)</term>
<term>Xérostomie (étiologie)</term>
<term>Éducation du patient comme sujet</term>
<term>Études de cohortes</term>
<term>Études rétrospectives</term>
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<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en">
<term>Radiotherapy, Intensity-Modulated</term>
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<keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr">
<term>Radiothérapie conformationnelle avec modulation d'intensité</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Dental Caries</term>
<term>Mucositis</term>
<term>Osteoradionecrosis</term>
<term>Stomatognathic Diseases</term>
<term>Xerostomia</term>
</keywords>
<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en">
<term>Stomatognathic Diseases</term>
</keywords>
<keywords scheme="MESH" qualifier="radiotherapy" xml:lang="en">
<term>Head and Neck Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="radiothérapie" xml:lang="fr">
<term>Tumeurs de la tête et du cou</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr">
<term>Caries dentaires</term>
<term>Inflammation muqueuse</term>
<term>Maladies du système stomatognathique</term>
<term>Ostéoradionécrose</term>
<term>Xérostomie</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Cohort Studies</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Patient Education as Topic</term>
<term>Retrospective Studies</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Femelle</term>
<term>Humains</term>
<term>Maladies du système stomatognathique</term>
<term>Mâle</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Éducation du patient comme sujet</term>
<term>Études de cohortes</term>
<term>Études rétrospectives</term>
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<front>
<div type="abstract" xml:lang="en">To analyze the dental health of patients with head and neck cancer who received comprehensive dental care after intensity-modulated radiation therapy (IMRT) compared with radiation therapy (RT).</div>
</front>
</TEI>
<pubmed>
<MedlineCitation Status="MEDLINE" Owner="NLM">
<PMID Version="1">24145147</PMID>
<DateCompleted>
<Year>2014</Year>
<Month>02</Month>
<Day>18</Day>
</DateCompleted>
<DateRevised>
<Year>2013</Year>
<Month>12</Month>
<Day>20</Day>
</DateRevised>
<Article PubModel="Print-Electronic">
<Journal>
<ISSN IssnType="Electronic">1097-6817</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>150</Volume>
<Issue>1</Issue>
<PubDate>
<Year>2014</Year>
<Month>Jan</Month>
</PubDate>
</JournalIssue>
<Title>Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery</Title>
<ISOAbbreviation>Otolaryngol Head Neck Surg</ISOAbbreviation>
</Journal>
<ArticleTitle>Comparison of dental health of patients with head and neck cancer receiving IMRT vs conventional radiation.</ArticleTitle>
<Pagination>
<MedlinePgn>81-6</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1177/0194599813509586</ELocationID>
<Abstract>
<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To analyze the dental health of patients with head and neck cancer who received comprehensive dental care after intensity-modulated radiation therapy (IMRT) compared with radiation therapy (RT).</AbstractText>
<AbstractText Label="STUDY DESIGN" NlmCategory="METHODS">Historical cohort study.</AbstractText>
<AbstractText Label="SETTING" NlmCategory="METHODS">Veteran Affairs (VA) hospital.</AbstractText>
<AbstractText Label="SUBJECTS AND METHODS" NlmCategory="METHODS">In total, 158 patients at a single VA hospital who were treated with RT or IMRT between 2003 and 2011 were identified. A complete dental evaluation was performed prior to radiation treatment, including periodontal probing, tooth profile, cavity check, and mobility. The dental treatment plan was formulated to eliminate current and potential dental disease. The rates of dental extractions, infections, caries, mucositis, xerostomia, and osteoradionecrosis (ORN) were analyzed, and a comparison was made between patients treated with IMRT and those treated with RT.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Of the 158 patients, 99 were treated with RT and 59 were treated with IMRT. Compared with those treated with IMRT, significantly more patients treated with RT exhibited xerostomia (46.5% vs 16.9%; P < .001; odds ratio [OR], 0.24; 95% confidence interval [CI], 0.11-0.52), mucositis (46.5% vs 16.9%; P < .001; OR, 0.24; 95% CI, 0.11-0.52), and ORN (10.1% vs 0%; P = .014; OR, 0.07; 95% CI, 0.00-1.21). However, significantly more patients treated with IMRT were edentulous by the conclusion of radiation treatment (32.2% vs 11.1%; P = .002; OR, 3.8; 95% CI, 1.65-8.73).</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Patients who were treated with IMRT had fewer instances of dental disease, more salivary flow, and fewer requisite posttreatment extractions compared with those treated with RT. The number of posttreatment extractions has been reduced with the advent of IMRT and more so with a complete dental evaluation prior to treatment.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y">
<Author ValidYN="Y">
<LastName>Duarte</LastName>
<ForeName>Victor M</ForeName>
<Initials>VM</Initials>
<AffiliationInfo>
<Affiliation>Department of Head and Neck Surgery, David E. Geffen School of Medicine at UCLA, Los Angeles, California, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Liu</LastName>
<ForeName>Yuan F</ForeName>
<Initials>YF</Initials>
</Author>
<Author ValidYN="Y">
<LastName>Rafizadeh</LastName>
<ForeName>Sassan</ForeName>
<Initials>S</Initials>
</Author>
<Author ValidYN="Y">
<LastName>Tajima</LastName>
<ForeName>Tracey</ForeName>
<Initials>T</Initials>
</Author>
<Author ValidYN="Y">
<LastName>Nabili</LastName>
<ForeName>Vishad</ForeName>
<Initials>V</Initials>
</Author>
<Author ValidYN="Y">
<LastName>Wang</LastName>
<ForeName>Marilene B</ForeName>
<Initials>MB</Initials>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList>
<PublicationType UI="D003160">Comparative Study</PublicationType>
<PublicationType UI="D016428">Journal Article</PublicationType>
</PublicationTypeList>
<ArticleDate DateType="Electronic">
<Year>2013</Year>
<Month>10</Month>
<Day>21</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo>
<Country>England</Country>
<MedlineTA>Otolaryngol Head Neck Surg</MedlineTA>
<NlmUniqueID>8508176</NlmUniqueID>
<ISSNLinking>0194-5998</ISSNLinking>
</MedlineJournalInfo>
<CitationSubset>IM</CitationSubset>
<MeshHeadingList>
<MeshHeading>
<DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D015331" MajorTopicYN="N">Cohort Studies</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D003731" MajorTopicYN="N">Dental Caries</DescriptorName>
<QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D006258" MajorTopicYN="N">Head and Neck Neoplasms</DescriptorName>
<QualifierName UI="Q000532" MajorTopicYN="Y">radiotherapy</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D052016" MajorTopicYN="N">Mucositis</DescriptorName>
<QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D010025" MajorTopicYN="N">Osteoradionecrosis</DescriptorName>
<QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D010353" MajorTopicYN="N">Patient Education as Topic</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D050397" MajorTopicYN="Y">Radiotherapy, Intensity-Modulated</DescriptorName>
<QualifierName UI="Q000009" MajorTopicYN="N">adverse effects</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D009057" MajorTopicYN="N">Stomatognathic Diseases</DescriptorName>
<QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName>
<QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D014987" MajorTopicYN="N">Xerostomia</DescriptorName>
<QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName>
</MeshHeading>
</MeshHeadingList>
<KeywordList Owner="NOTNLM">
<Keyword MajorTopicYN="N">IMRT and dental</Keyword>
<Keyword MajorTopicYN="N">dental health</Keyword>
<Keyword MajorTopicYN="N">radiation and dental health</Keyword>
</KeywordList>
</MedlineCitation>
<PubmedData>
<History>
<PubMedPubDate PubStatus="entrez">
<Year>2013</Year>
<Month>10</Month>
<Day>23</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="pubmed">
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<Day>23</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="medline">
<Year>2014</Year>
<Month>2</Month>
<Day>19</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
</History>
<PublicationStatus>ppublish</PublicationStatus>
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<ArticleId IdType="doi">10.1177/0194599813509586</ArticleId>
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