title: The association between oral health and general health and quality of life in older male cancer patients.
abstract: OBJECTIVE
  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.
  
  
  METHODS
  Secondary analysis of a prospective observational study.
  
  
  METHODS
  Community dwelling cancer patients served by a Department of Veterans Affairs hospital.
  
  
  METHODS
  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.
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Department of Radiation Oncology, Duke University, Durham Veterans Affairs Medical Center, Durham, North Carolina 27710, USA. ingram@radonc.duke.edu
authors.forename: Sally S
authors.initials: SS
authors.lastname: Ingram
authors.forename: Pearl H
authors.initials: PH
authors.lastname: Seo
authors.forename: Richard
authors.initials: R
authors.lastname: Sloane
authors.forename: Thomas
authors.initials: T
authors.lastname: Francis
authors.forename: Elizabeth C
authors.initials: EC
authors.lastname: Clipp
authors.forename: Martha E
authors.initials: ME
authors.lastname: Doyle
authors.forename: Gustavo S
authors.initials: GS
authors.lastname: Montana
authors.forename: Harvey J
authors.initials: HJ
authors.lastname: Cohen
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001007:Anxiety / Q000150:complications; D015897:Comorbidity; D003863:Depression / Q000150:complications; D006304:Health Status; D006801:Humans; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000503:physiopathology* / Q000523:psychology; D009909:Oral Health; D010146:Pain; D011446:Prospective Studies; D011788:Quality of Life; D012944:Social Support; D029181:Spirituality