Evidence map›Paper›PMID 28816937›Full record

Observational studyMedicine2017

Effect of perioperative oral care on prevention of postoperative pneumonia associated with esophageal cancer surgery: A multicenter case-control study with propensity score matching analysis.

Sakiko Soutome, Souichi Yanamoto, Madoka Funahara, Takumi Hasegawa, Takahide Komori, Shin-Ichi Yamada, Hiroshi Kurita, Chika Yamauchi, Yasuyuki Shibuya, Yuka Kojima and 3 more

Registry-linked trialOpen access · goldAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04251312 (Minimizing Pathologic Aspiration in Patients Undergoing Esophageal and Lung Resections for Cancer), which is not on this map. Cited by 54 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed, 2 pooled it
8.9field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04251312 nacompletednot on this mapstarted 2020, after this paper: background citation

Minimizing Pathologic Aspiration in Patients Undergoing Esophageal and Lung Resections for Cancer

TypeinterventionalSponsorUniversity of Mississippi Medical CenterRan2020 to 2021Enrolled49ConditionsEsophageal Cancer, Lung CancerArmsOral Hygiene Education and Oral Hygiene Packets
3 · Its place in the literature

Who cites it

54 citing papers in PubMed, 2 syntheses or guidelines pooled it, 106 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 8 institutions in 1 country.

Sakiko SoutomePerioperative Oral Management Center, Nagasaki University Hospital Department of Clinical Oral Oncology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki Department of Oral and Maxillofacial Surgery, Kobe University Graduate School of Medicine, Kobe Department of Dentistry and Oral Surgery, Shinshu University School of Medicine, Matsumoto Department of Oral Maxillofacial Surgery, Graduate School of Medical Sciences, Nagoya City University, Nagoya Department of Dentistry and Oral Surgery, Kansai Medical University, Hirakata Department of Oral and Maxillofacial Surgery, Osaka City University Graduate School of Medicine, Osaka Department of Preventive Dentistry, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan.
Souichi Yanamoto
Madoka Funahara
Takumi Hasegawa
Takahide Komori
Shin-Ichi Yamada
Hiroshi Kurita
Chika Yamauchi
Yasuyuki Shibuya
Yuka Kojima
Hirokazu Nakahara
Takahiko Oho
Masahiro Umeda
Nagasaki University · JPKobe University · JPNagoya City University · JPShinshu University · JPKagoshima University · JPKansai Medical University · JPNagasaki University Hospital · JPOsaka City University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim of this study was to investigate the effectiveness of oral care in prevention of postoperative pneumonia associated with esophageal cancer surgery.Postoperative pneumonia is a severe adverse event associated with esophageal cancer surgery. It is thought to be caused by aspiration of oropharyngeal fluid containing pathogens. However, the relationship between oral health status and postoperative pneumonia has not been well investigated.This study included 539 patients with esophageal cancer undergoing surgery at 1 of 7 university hospitals. While 306 patients received perioperative oral care, 233 did not. Various clinical factors as well as occurrence of postoperative pneumonia were retrospectively evaluated. Propensity-score matching was performed to minimize selection biases associated with comparison of retrospective data between the oral care and control groups. Factors related to postoperative pneumonia were analyzed by logistic regression analysis.Of the original 539 patients, 103 (19.1%) experienced postoperative pneumonia. The results of multivariate analysis of the 420 propensity score-matched patients revealed longer operation time, postoperative dysphagia, and lack of oral care intervention to be significantly correlated with postoperative pneumonia.The present findings demonstrate that perioperative oral care can reduce the risk of postoperative pneumonia in patients undergoing esophageal cancer surgery.

Indexed as

AgedCase-Control StudiesDeglutition DisordersDental CareEsophageal NeoplasmsHospitals, UniversityHumansMiddle AgedPerioperative CarePneumoniaPostoperative ComplicationsPropensity ScoreRetrospective Studies

Identifiers

PMID28816937
PMCPMC5571674
OpenAlexW2747508490

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.