{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T02:02:02Z","timestamp":1787623322432,"version":"build-2736575974"},"reference-count":23,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2023,5,16]],"date-time":"2023-05-16T00:00:00Z","timestamp":1684195200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Special Care in Dentistry"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims<\/jats:title><jats:p>To determine the Oral Health Assessment Tool (OHAT) critical score in palliative care patients and the optimal timing for predicting mortality using time\u2010dependent receiver operating characteristic (ROC) curves.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods and Results<\/jats:title><jats:p>A retrospective observational study was conducted on 176 patients treated by the palliative care team of our medical center between April 2017 and March 2020. Oral health was assessed using the OHAT. Prediction accuracy was evaluated using the area under the curve (AUC) analysis, sensitivity, and specificity, using time\u2010dependent ROC curves. Overall survival (OS) was compared using Kaplan\u2010Meier curves with the log\u2010rank test; hazard ratios (HRs) adjusted for covariates were calculated using a Cox proportional hazard model. A OHAT score of 6 was shown to best predict 21\u2010day OS (AUC 0.681, sensitivity 42.2%, specificity 80.0%). The median OS was significantly shorter in patients with total OHAT scores \u22656 than in patients with scores\u00a0&lt;\u00a06 (21 days vs. 43 days, <jats:italic>p<\/jats:italic>\u00a0=\u00a0.017). For individual OHAT items, the unhealthy status of the lips and tongue was associated with decreased OS (HR\u00a0=\u00a01.91; 95% confidence interval [CI], 1.19\u20133.05 and adjusted HR\u00a0=\u00a01.48; 95% CI, 1.00\u20132.20).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Predicting disease prognosis based on patient oral health can enable clinicians to provide timely treatment.<\/jats:p><\/jats:sec>","DOI":"10.1111\/scd.12874","type":"journal-article","created":{"date-parts":[[2023,5,16]],"date-time":"2023-05-16T13:52:35Z","timestamp":1684245155000},"page":"513-519","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Association between poor oral health and overall mortality in palliative care patients: An analysis using time\u2010dependent receiver operating characteristic curves"],"prefix":"10.1111","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3714-7308","authenticated-orcid":false,"given":"Mifumi","family":"Nakao","sequence":"first","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery National Hospital Organization Kumamoto Medical Center  Kumamoto Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1734-9447","authenticated-orcid":false,"given":"Maiko","family":"Shimosato","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery National Hospital Organization Kyoto Medical Center  Kyoto Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2625-571X","authenticated-orcid":false,"given":"Naoki","family":"Sakane","sequence":"additional","affiliation":[{"name":"Division of Preventive Medicine Clinical Research Institute National Hospital Organization Kyoto Medical Center  Kyoto Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takeshi","family":"Nakashima","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery National Hospital Organization Kumamoto Medical Center  Kumamoto Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,5,16]]},"reference":[{"issue":"8","key":"e_1_2_8_2_1","first-page":"529","article-title":"Palliative care dentistry: focusing on quality of life","volume":"38","author":"Wiseman M","year":"2017","journal-title":"Compend Contin Educ Dent"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903-020-01075-w"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-015-2759-9"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-012-1441-8"},{"issue":"6","key":"e_1_2_8_6_1","article-title":"Palliative dental care\u2010 a boon for 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