Self-perception of periodontal condition in cancer patients: association with stress and anxiety levels
DOI:
https://doi.org/10.11606/issn.2176-7262.rmrp.2024.214329Palabras clave:
Antineoplastic agents, Anxiety, Oral health, Periodontal disease, RadiotherapyResumen
Background: This study aimed to evaluate the self-perception of periodontal condition and its
association with perceived stress and dental anxiety in patients undergoing cancer treatment.
Methods: 60 patients undergoing cancer treatment at the University Hospital were interviewed, using questionnaires containing multiple-choice questions. Variables related to medical and sociodemographic data, self-perception of oral health and periodontal condition, levels of perceived stress, and dental anxiety obtained while patients were receiving treatment were collected. Data were tabulated, and adjusted Poisson regression with robust variance was used to assess the prevalence ratio (PR) and its 95% confidence interval. Results: Most of the sample showed a positive perception of periodontal condition and satisfaction with oral health. Adjusted analysis showed that males (PR: 1.84; p=0.017) and non-white (PR: 2.24; p=0.001) individuals were significantly associated with higher history of self-reported periodontal disease. Likewise, marital status (PR: 1.27; p=0.044) and perceived stress (PR: 2.07; p=0.010) were significantly associated with the dentist’s diagnosis of periodontal disease and history of periodontal disease, respectively. Patients undergoing other antineoplastic therapies had a 2.72-fold higher PR of self-perceived periodontal disease than those who received chemotherapy alone (p=0.025). Conclusions: Patients undergoing cancer treatment report positive self-perception of periodontal condition. However, levels of stress were associated with a self-reported history of periodontal disease.
Descargas
Referencias
Hausman DM. What is cancer? Perspect Biol Med. 2019 Sep 1;62(4):778–84. Available from: https://pubmed.ncbi.nlm.nih.gov/31761807/
Talmadge JE, Fidler IJ. AACR centennial series: The biology of cancer metastasis: Historical perspective. Cancer Res. 2010;70(14):5649–69.
World Health Organization. WHO . Cancer. Retrieved from: . Available from: https://www.who.int/health-topics/cancer#tab=tab_1
INCA. Ministério da Saúde Instituto Nacional de Câncer José Alencar Gomes da Silva Ministério da Saúde Instituto Nacional de Câncer. 2023;
López-Lázaro M. Cancer etiology: Variation in cancer risk among tissues is poorly explained by the number of gene mutations. Genes Chromosom Cancer. 2018;57(6):281–93.
Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA). Estimativa 2020 : incidência de câncer no Brasil / Instituto Nacional de Câncer. MINISTÉRIO DA SAÚDE. 2020. 120 p.
Low SK, Nakamura Y. The road map of cancer precision medicine with the innovation of advanced cancer detection technology and personalized immunotherapy. Jpn J Clin Oncol. 2019;49(7):596–603.
Roy PS, Saikia BJ. Cancer and cure: A critical analysis . Vol. 53, Indian Journal of Cancer. Medknow Publications; 2016 . p. 441–2. Available from: https://pubmed.ncbi.nlm.nih.gov/28244479/
Trapani JA, Darcy PK. Immunotherapy of cancer. Aust Fam Physician . 2017;46(4):194–8. Available from: https://pubmed.ncbi.nlm.nih.gov/28376571/
Mun EJ, Babiker HM, Weinberg U, Kirson ED, Von Hoff DD. Tumor-treating fields: A fourth modality in cancer treatment . Vol. 24, Clinical Cancer Research. American Association for Cancer Research Inc.; 2018. p. 266–75. Available from: https://pubmed.ncbi.nlm.nih.gov/28765323/
Wang YH, Li JQ, Shi JF, Que JY, Liu JJ, Lappin JM, et al. Depression and anxiety in relation to cancer incidence and mortality: a systematic review and meta-analysis of cohort studies. Mol Psychiatry . 2019;25(7). Available from: https://pubmed.ncbi.nlm.nih.gov/31745237/
Vargas-Villafuerte KR, Dantas FT, Messora MR, Novaes AB, Grisi MF, Taba M, et al. Preliminary Results of Non-Surgical Periodontal Treatment in Patients With Breast Cancer Undergoing Chemotherapy. J Periodontol . 2016 Nov ;87(11):1268–77. Available from: https://pubmed.ncbi.nlm.nih.gov/27353440/
Epstein JB, Thariat J, Bensadoun R-J, Barasch A, Murphy BA, Kolnick L, et al. Oral complications of cancer and cancer therapy. CA Cancer J Clin . 2012 Nov ;62(6):400–22. Available from: https://pubmed.ncbi.nlm.nih.gov/22972543/
Nachar VR, Farris K, Beekman K, Griggs J, Hough S, Mackler E. Clinician Report of Oral Oncolytic Symptoms and Adherence Obtained via a Patient-Reported Outcome Measure (PROM). JCO Clin Cancer Informatics. 2019;(3):1–6.
Dahlen G, Basic A, Bylund J. Importance of Virulence Factors for the Persistence of Oral Bacteria in the Inflamed Gingival Crevice and in the Pathogenesis of Periodontal Disease. J Clin Med. 2019;8(9):1339.
Vidal AM, Sarria JC, Kimbrough RC, Keung YK. Anaerobic bacteremia in a neutropenic patient with oral mucositis. Am J Med Sci . 2000 ;319(3):189–90. Available from: https://pubmed.ncbi.nlm.nih.gov/10746831/
Bui FQ, Almeida-da-Silva CLC, Huynh B, Trinh A, Liu J, Woodward J, et al. Association between periodontal pathogens and systemic disease. Biomed J . 2019;42(1):27–35. Available from: https://doi.org/10.1016/j.bj.2018.12.001
Shrestha B, Dunn L. The Declaration of Helsinki on Medical Research involving Human Subjects: A Review of Seventh Revision. J Nepal Health Res Counc . 2020 Jan 21 ;17(4):548–52. Available from: https://pubmed.ncbi.nlm.nih.gov/32001865/
Vandenbroucke JP, Von Elm E, Altman DG, Gøtzsche PC, Mulrow CD, Pocock SJ, et al. Strengthening the Reporting of Observational Studies in Epidemiology (STROBE): Explanation and elaboration . Vol. 18, Epidemiology. Epidemiology; 2007 . p. 805–35. Available from: https://pubmed.ncbi.nlm.nih.gov/18049195/
Bidinotto AB, D’Ávila OP, Martins AB, Hugo FN, Neutzling MB, Bairros F de S, et al. Autopercepção de saúde bucal em comunidades quilombolas no Rio Grande do Sul: Um estudo transversal exploratório. Rev Bras Epidemiol . 2017;20(1):91–101. Available from: http://www.scielo.br/j/rbepid/a/nLDM8gnmKjgVNYsYgrDxpMv/?lang=en
Likert R. A technique for the measurement of attitudes. Arch Psychol . 1932; Available from: https://psycnet.apa.org/record/1933-01885-001
Reiniger APP, Londero AB, Ferreira T de GM, da Rocha JM, Moreira CHC, Kantorski KZ. Validity of self-reported measures for periodontitis surveillance in a rural sample. J Periodontol. 2020;91(5):617–27.
Cohen S, Kamarck T, Mermelstein R. A Global Measure of Percieved Stress. J Health Soc Behav. 1983;24(4):385–96.
Faro A. Análise fatorial confirmatória e normatização da Hospital Anxiety and Depression Scale (HADS). Psicol Teor e Pesqui. 2015;31(3):349–53.
Vankim NA, Nelson TF. Vigorous physical activity, mental health, perceived stress, and socializing among college students. Am J Heal Promot. 2013;28(1):7–15.
Corah NL, Gale EN, Illig SJ. Assessment of a dental anxiety scale. J Am Dent Assoc. 1978;97(5):816–9.
Li WH, Gorenstein C, Fuentes D. Portuguese version of Corah’s Dental Anxiety Scale: Transcultural adaptation and reliability analysis. Depress Anxiety . 2007;24(7):467–71. Available from: https://pubmed.ncbi.nlm.nih.gov/17096400/
Eke PI, Borgnakke WS, Genco RJ. Recent epidemiologic trends in periodontitis in the USA. Periodontol 2000. 2020;82(1):257–67.
Lipsky MS, Su S, Crespo CJ, Hung M. Men and Oral Health: A Review of Sex and Gender Differences. Am J Mens Health. 2021;15(3).
Farmer J, Phillips RC, Singhal S, Quiñonez C. Inequalities in oral health: Understanding the contributions of education and income. Can J Public Heal . 2017;108(3):e240–5. Available from: https://pubmed.ncbi.nlm.nih.gov/28910244/
Kim SR, Nam SH. Comparison of diagnosed depression and self-reported depression symptom as a risk factor of periodontitis: Analysis of 2016–2018 korean national health and nutrition examination survey data. Int J Environ Res Public Health. 2021;18(3):1–13.
Schuurhuis JM, Stokman MA, Witjes MJH, Reintsema H, Langendijk JA, Vissink A, et al. Patients with advanced periodontal disease before intensity-modulated radiation therapy are prone to develop bone healing problems: a 2-year prospective follow-up study. Support Care Cancer . 2018 Apr 1;26(4):1133–42. Available from: https://pubmed.ncbi.nlm.nih.gov/29090383/
Irie MS, Mendes EM, Borges JS, Osuna LGG, Rabelo GD, Soares PBF. Periodontal therapy for patients before and after radiotherapy: A review of the literature and topics of interest for clinicians. Med Oral Patol Oral y Cir Bucal. 2018;23(5):e524–30.
Rohleder N. Stress and inflammation – The need to address the gap in the transition between acute and chronic stress effects. Psychoneuroendocrinology. 2019;105(August 2018):164–71.
Castro MML, Ferreira RDO, Fagundes NCF, Almeida APCPSC, Maia LC, Lima RR. Association between Psychological Stress and Periodontitis: A Systematic Review. Eur J Dent. 2020;14(1):171–9.
Gale MJ, Maritato MS, Chen YL, Abdulateef SS, Ruiz JE. Pseudomonas aeruginosa causing inflammatory mass of the nasopharynx in an immunocompromised HIV infected patient: A mimic of malignancy. IDCases . 2015;2(2):40–3. Available from: http://dx.doi.org/10.1016/j.idcr.2015.01.004
Levi LE, Lalla R V. Dental Treatment Planning for the Patient with Oral Cancer. Dent Clin North Am . 2018;62(1):121–30. Available from: https://doi.org/10.1016/j.cden.2017.08.009
Descargas
Publicado
Número
Sección
Licencia
Derechos de autor 2024 Caroline Fernandes e Silva, Bárbara João Godinho, Taciane Menezes da Silveira, Frederico Saueressig, Caril Constante Ferreira do Amaral, Francisco Wilker Mustafa Gomes Muniz, Natália Marcumini Pola

Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.
Cómo citar
Datos de los fondos
-
Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
Números de la subvención 001