Evidence map›Paper›PMID 29898181›Full record

ArticleJournal of applied oral science : revista FOB2018

Changes in bacterial number at different sites of oral cavity during perioperative oral care management in gastrointestinal cancer patients: preliminary study.

Tomoko Kawano, Hideo Shigeishi, Eri Fukada, Takamichi Yanagisawa, Nobukazu Kuroda, Toshinobu Takemoto, Masaru Sugiyama

Open access · diamondAbstract readComparative Study
In one paragraph

Article in Journal of applied oral science : revista FOB, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.3field-weighted citation impact, top 19% 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

5 citing papers in PubMed, 12 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

7 authors at 2 institutions in 1 country.

Tomoko KawanoHiroshima University, Graduate School of Biomedical & Health Sciences, Program of Oral Health Sciences, Department of Public Oral Health, Hiroshima, Japan.
Hideo ShigeishiHiroshima University, Graduate School of Biomedical & Health Sciences, Program of Oral Health Sciences, Department of Public Oral Health, Hiroshima, Japan.
Eri FukadaHiroshima University, Graduate School of Biomedical & Health Sciences, Program of Oral Health Sciences, Department of Public Oral Health, Hiroshima, Japan.
Takamichi YanagisawaTakarazuka Municipal Hospital, Department of Dentistry & Oral Surgery, Takarazuka, Japan.
Nobukazu KurodaTakarazuka Municipal Hospital, Department of Surgery, Takarazuka, Japan.
Toshinobu TakemotoHiroshima University, Graduate School of Biomedical & Health Sciences, Program of Oral Health Sciences, Department of Oral Health Management, Hiroshima, Japan.
Masaru SugiyamaHiroshima University, Graduate School of Biomedical & Health Sciences, Program of Oral Health Sciences, Department of Public Oral Health, Hiroshima, Japan.
Hiroshima University of Economics · JPTakarazuka City Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe objective of this study was to clarify differences in bacterial accumulation between gastrointestinal cancer patients who underwent severely invasive surgery and those who underwent minimally invasive surgery. MATERIAL AND

methodsWe performed a preliminary investigation of gastrointestinal cancer patients who were treated at the Department of Surgery, Takarazuka Municipal Hospital, from 2015 to 2017 (n=71; 42 laparoscopic surgery, 29 open surgery) to determine changes in bacterial numbers at different sites of the oral cavity (tongue dorsum, gingiva of upper anterior teeth, palatoglossal arch), as well as mouth dryness and tongue coating indices. Specifically, patients received professional tooth cleaning (PTC), scaling, tongue cleaning, and self-care instruction regarding tooth brushing from a dental hygienist a day before the operation. Professional oral health care was also performed by a dental hygienist two and seven days after surgery. Oral bacteria numbers were determined using a bacterial counter with a dielectrophoretic impedance measurement method.

resultsThe number of bacteria at all three examined sites were significantly higher in the open surgery group when compared to the laparoscopic surgery group on the second postoperative day. Relevantly, bacterial count in samples from the gingiva of the upper anterior teeth remained greater seven days after the operation in patients who underwent open surgery. Furthermore, the dry mouth index level was higher in the open surgery group when compared to the laparoscopic surgery group on postoperative days 2 and 7.

conclusionsEven with regular oral health care, bacterial numbers remained high in the upper incisor tooth gingiva in gastrointestinal cancer patients who received open surgery. Additional procedures are likely needed to effectively reduce the number of bacteria in the gingival area associated with the upper anterior teeth.

Indexed as

Oral HealthPerioperative CareAdultAgedAged, 80 and overBacterial LoadBody TemperatureC-Reactive ProteinFemaleGastrointestinal NeoplasmsHumansLaparoscopyLeukocyte CountMaleMiddle AgedMouthC-Reactive Protein

Identifiers

PMID29898181
PMCPMC6010331
OpenAlexW2807854139

What OpenQuestion holds

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LicenceCC BY
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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.