Evidence map›Paper›PMID 29310375›Full record

Trial reportMedicine2017

Prevention of surgical site infection after oral cancer surgery by topical tetracycline: Results of a multicenter randomized control trial.

Madoka Funahara, Souichi Yanamoto, Michihiro Ueda, Takatsugu Suzuki, Yoshihide Ota, Fumihiro Nishimaki, Hiroshi Kurita, Nobuhiro Yamakawa, Tadaaki Kirita, Masaya Okura and 3 more

Open access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 3 pooled it
3.0field-weighted citation impact, top 9% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 3 syntheses or guidelines pooled it, 38 citations in OpenAlex.

  1. Pooled it
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  12. Using theMicrobiology (Reading, England) · 2023
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  16. Number of Bacteria in Saliva in the Perioperative Period and Factors Associated with Increased Numbers.International journal of environmental research and public health · 2022
    Article
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  18. Review
  19. Prevention of postoperative pneumonia by perioperative oral care in patients with esophageal cancer undergoing surgery: a multicenter retrospective study of 775 patients.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2020
    Article
  20. Review
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 6 institutions in 1 country.

Madoka FunaharaDepartment of Clinical Oral Oncology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki Department of Dentistry and Oral Surgery, Hokkaido Cancer Center, Hokkaido Department of Oral and Maxillofacial Surgery, Division of Surgery, Tokai University School of Medicine, Kanagawa Department of Dentistry and Oral Surgery, Shinshu University School of Medicine, Nagano Department of Oral and Maxillofacial Surgery, Nara Medical University, Nara First Department of Oral and Maxillofacial Surgery, Graduate School of Dentistry, Osaka University, Osaka Department of Dentistry and Oral Surgery, Okinawa Prefectural Chubu Hospital, Okinawa, Japan.
Souichi Yanamoto
Michihiro Ueda
Takatsugu Suzuki
Yoshihide Ota
Fumihiro Nishimaki
Hiroshi Kurita
Nobuhiro Yamakawa
Tadaaki Kirita
Masaya Okura
Yasuaki Mekaru
Keiichi Arakaki
Masahiro Umeda
Nagasaki University · JPNara Medical University · JPShinshu University · JPTokai University · JPHokkaido University Hospital · JPOsaka University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn a pilot study, we showed that topical administration of a tetracycline could decrease oral bacteria levels for 6 hours in patients who underwent oral cancer surgery combined with tracheotomy and flap reconstruction. This multicenter, randomized control trial aimed to investigate the effectiveness of topical application of tetracycline ointment for prevention of surgical site infection (SSI) associated with major oral cancer surgery.

methodsOne hundred seventeen patients who underwent oral cancer resection combined with neck dissection, flap reconstruction, and tracheotomy were divided randomly into an intervention group (n = 56) and a control group (n = 61). The intervention consisted of topical administration of tetracycline ointment on the dorsum of the tongue every 6 hours for 48 hours postoperatively. Factors relating to the occurrence of SSI in both groups were subjected to logistic regression analysis.

resultsSSI occurred in 11 patients (19.6%) in the intervention group and 22 patients (36.1%) in the control group. Multivariate analysis showed that a longer operating time and not receiving topical tetracycline were independent risk factors for development of SSI.

conclusionAdministration of topical tetracycline for 48 hours postoperatively is an effective way of preventing SSI after oral cancer surgery.

Indexed as

Administration, TopicalAgedAnti-Bacterial AgentsCarcinoma, Squamous CellFemaleHumansMaleMouth NeoplasmsPilot ProjectsSurgical FlapsSurgical Wound InfectionTetracyclineTreatment OutcomeAnti-Bacterial AgentsTetracycline

Identifiers

PMID29310375
PMCPMC5728776
OpenAlexW2769411810

What OpenQuestion holds

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LicenceCC BY-ND
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Registered trials

None linked

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.