{
    "abstract": "To examine the impact of oral health care provided by nurses who received instruction from dental professionals on the oral health of terminally ill cancer patients and determine the optimal cutoff value of the Oral Health Assessment Tool (OHAT) total score for triaging patients in need of oral health management by dental professionals.\nIn total, 115 terminally ill cancer patients (66 males and 49 females; average age 73.5\u2009\u00b1\u200910.9\u00a0years) who received oral health management during palliative care at Tokyo Medical and Dental University Hospital between April 2017 and August 2019 were included. Oral health management was conducted by dental professionals (D group) or nurses educated by dental professionals (Ns group). Oral health status was evaluated using the OHAT at the initial dental consultation in palliative care and approximately 2\u00a0weeks later.\nBoth groups showed significant improvement in the OHAT total score and OHAT sub-items of the lips, tongue, gums and tissues, saliva, oral cleanliness, and dental pain. However, sub-items of natural teeth and dentures improved significantly only in the D group. Additionally, the optimal cutoff value for the OHAT total score in determining the need for oral health management by dental professionals was 6.\nOral health care conducted by nurses who received instruction from dental professionals can improve oral health status. Patients with OHAT total scores of\u2009\u2265\u20096 should be considered for oral health management by dental professionals.",
    "authors": [
        {
            "affiliation": "Department of Gerodontology and Oral Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Tokyo, Japan.\nDepartment of Oral Function Management, Graduate School of Dentistry, Showa Medical University, Tokyo, Japan.",
            "firstname": "Hiroyuki",
            "initials": "H",
            "lastname": "Suzuki"
        },
        {
            "affiliation": "Department of Oral Function Management, Graduate School of Dentistry, Showa Medical University, Tokyo, Japan. furuyajunichi@gmail.com.\nDepartment of Dysphagia Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Tokyo, Japan. furuyajunichi@gmail.com.",
            "firstname": "Junichi",
            "initials": "J",
            "lastname": "Furuya"
        },
        {
            "affiliation": "Department of Oral Health Sciences for Community Welfare, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Tokyo, Japan.",
            "firstname": "Rena",
            "initials": "R",
            "lastname": "Hidaka"
        },
        {
            "affiliation": "Department of Nursing, Tokyo Medical and Dental University Hospital, Tokyo, Japan.",
            "firstname": "Yuko",
            "initials": "Y",
            "lastname": "Motomatsu"
        },
        {
            "affiliation": "Department of Oral Function Management, Graduate School of Dentistry, Showa Medical University, Tokyo, Japan.",
            "firstname": "Ryuzo",
            "initials": "R",
            "lastname": "Hara"
        },
        {
            "affiliation": "Department of Oral Care for Systemic Health Support, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Tokyo, Japan.",
            "firstname": "Yuji",
            "initials": "Y",
            "lastname": "Kabasawa"
        },
        {
            "affiliation": "Department of Dysphagia Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Tokyo, Japan.",
            "firstname": "Haruka",
            "initials": "H",
            "lastname": "Tohara"
        },
        {
            "affiliation": "Department of Gerodontology and Oral Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Tokyo, Japan.",
            "firstname": "Shunsuke",
            "initials": "S",
            "lastname": "Minakuchi"
        }
    ],
    "conclusions": "Oral health care conducted by nurses who received instruction from dental professionals can improve oral health status. Patients with OHAT total scores of\u2009\u2265\u20096 should be considered for oral health management by dental professionals.",
    "copyrights": "\u00a9 2025. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.",
    "doi": "10.1007/s00520-025-09453-2\n10.1016/S0140-6736(13)62416-2\n10.1136/bmjopen-2017-018284\n10.1177/0269216306071065\n10.1186/s12903-020-01075-w\n10.1007/s00520-021-06547-5\n10.1007/s00520-022-06984-w\n10.1007/s00520-012-1441-8\n10.1007/s00520-022-07211-2\n10.1186/s12904-020-00684-0\n10.1111/joor.12855\n10.3390/ijerph182111379\n10.1111/joor.12964\n10.1111/ger.12582\n10.3390/ijerph182111725\n10.3390/ijerph19169784\n10.1007/s00520-015-2734-5\n10.1111/j.1447-0594.2011.00709.x\n10.1186/s12904-021-00859-3\n10.1007/s00784-019-02812-4\n10.1186/s12903-023-03517-7\n10.1002/nop2.480\n10.1111/joor.13565\n10.1016/0021-9681(87)90171-8\n10.3171/jns.1986.64.3.0420\n10.1097/00000421-198212000-00014\n10.1111/j.1834-7819.2005.tb00360.x\n10.1007/s00520-024-08671-4\n10.1177/02692163241233974\n10.1155/2012/157874\n10.1186/s12904-022-01029-9\n10.1002/nop2.591\n10.1177/17449871211016524\n10.1186/s12903-022-02426-5\n10.1111/ajag.12588\n10.1111/joor.13660\n10.1016/j.identj.2020.12.003\n10.1111/j.1601-5037.2009.00423.x\n10.1111/j.1365-2702.2012.04197.x\n10.1186/s12877-019-1349-y\n10.1111/scd.12874\n10.1186/s12916-020-01829-x\n10.1007/s00520-015-2759-9\n10.21037/apm-23-456\n10.1016/j.jds.2023.11.011",
    "journal": "Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer",
    "keywords": [
        "Cancer",
        "Dental professional-led oral health management",
        "Multidisciplinary team approach",
        "Nurse-led oral health care",
        "OHAT",
        "Oral health",
        "Palliative care"
    ],
    "methods": null,
    "publication_date": "2025-04-16",
    "pubmed_id": "40237889\n24559581\n29386222\n17060255\n32188452\n34529140\n35344101\n22434497\n33246449\n31283027\n34769895\n32196723\n34235787\n34770239\n36011422\n25894884\n21592269\n34753462\n30707299\n37884891\n32802353\n37574822\n3558716\n3512795\n7165009\n2270610\n16238218\n38976073\n38506274\n22619708\n35907806\n33318810\n35265164\n36071441\n30294826\n38366354\n33642042\n21226847\n22905928\n31900125\n37191549\n33239021\n25962615\n38073294\n39035268",
    "results": "Both groups showed significant improvement in the OHAT total score and OHAT sub-items of the lips, tongue, gums and tissues, saliva, oral cleanliness, and dental pain. However, sub-items of natural teeth and dentures improved significantly only in the D group. Additionally, the optimal cutoff value for the OHAT total score in determining the need for oral health management by dental professionals was 6.",
    "title": "Comparison of nurse-led oral health care and dental professional-led oral health management in terminally ill cancer patients receiving palliative care: a longitudinal study.",
    "xml": "<Element 'PubmedArticle' at 0x788505425c10>"
}