ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2020
Prevention of postoperative pneumonia by perioperative oral care in patients with esophageal cancer undergoing surgery: a multicenter retrospective study of 775 patients.
Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 3 of them syntheses that pooled it.
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Who cites it
25 citing papers in PubMed, 3 syntheses or guidelines pooled it, 45 citations in OpenAlex.
- Preoperative risk factors for postoperative pneumonia in patients with esophageal cancer: A systematic review and meta-analysis.Surgery today · 2026Pooled it
- Effect of perioperative oral care on postoperative pneumonia in thoracic surgery patients: a systematic review and meta-analysis.Scientific reports · 2025Pooled it
- Oral care reduces incidence of pneumonia after esophagectomy: systematic review and meta-analysis.Langenbeck's archives of surgery · 2023Pooled it
- Efficacy of 3% hydrogen peroxide solution in cleaning tongue coating before and after surgery: a randomized phase II study.BMC oral health · 2022Trial
- Timing of perioperative oral care and postoperative pneumonia: a propensity score-matched cohort study.BMC oral health · 2026Article
- Survey on status of oral care practices and factors associated with confidence in oral care skills in ward nurses at an acute hospital in Japan.BMC oral health · 2026Article
- Oral Environment of Esophageal Cancer Patients, the Incidence of Complications, and Long-Term Prognoses.Current oncology (Toronto, Ont.) · 2026Review
- Comparison of the inhibitory effects of tooth brushing and povidone-iodine mouthwash on salivary bacterial counts in patients undergoing surgery for malignant solid tumors other than head and neck cancers.Journal of dental sciences · 2025Article
- Oral care methods to reduce salivary bacteria in infants undergoing cardiac surgery: A randomized controlled trial.Journal of dental sciences · 2025Article
- Dental and oral management in the perioperative period of surgery: A scoping review.The Japanese dental science review · 2024Article
- Article
- Effect of oral function and postoperative eating patterns on salivary bacterial counts in gastrointestinal tract surgery patients: A preliminary study.Journal of dental sciences · 2024Article
- Relationship of oral bacterial number with medical hospitalization costs in analysis of Diagnosis Procedure Combination database from single institution in Japan.Scientific reports · 2024Article
- Article
- Status of the oral environment in patients with digestive system tumors during the perioperative period.American journal of translational research · 2024Article
- Impact of oral/dental disease burden on postoperative infective complications: a prospective cohort study.Clinical oral investigations · 2023Article
- Esophageal cancer practice guidelines 2022 edited by the Japan Esophageal Society: part 2.Esophagus : official journal of the Japan Esophageal Society · 2023Article
- General Factors and Dental-Related Risk Factors for Postoperative Pneumonia or Infectious Complications: A Retrospective Study.Journal of clinical medicine · 2023Article
- Difficult intubation and postoperative aspiration pneumonia associated with Moebius syndrome: a case report.BMC anesthesiology · 2022Article
- Association between masseter muscle sarcopenia and postoperative pneumonia in patients with esophageal cancer.Scientific reports · 2022Article
Corrections and comments
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Authors and funding
12 authors at 11 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposePostoperative pneumonia is one of the major complications after esophageal cancer surgery. The risk factors associated with postoperative pneumonia are poor general health, smoking, decreased pulmonary function, diabetes mellitus, surgical stress, old age, postoperative aspiration, and oral hygiene. In this study, we examined the effect of perioperative oral care on reducing postoperative pneumonia since the evidence to-date is not clear.
methodsA multicenter, retrospective investigation of the relationship between perioperative oral care and incidence of postoperative pneumonia in patients undergoing esophageal cancer surgery was conducted. A total of 775 patients who underwent thoracoscopic esophageal resection at 25 hospitals between 2016 and 2017 were enrolled in the study. Various factors were examined for correlation with development of postoperative pneumonia.
resultsMultivariate analysis showed that old age, smoking habit, lower hemoglobin, higher creatinine, postoperative dysphagia, and lack of oral care intervention were independent risk factors for pneumonia. Oral care was more effective in preventing pneumonia in hospitals in which the incidence of postoperative pneumonia was lower than 20%, while it was not effective in hospitals in which the incidence was higher than 20%.
conclusionResults of the study suggest that it is recommended to carry out perioperative oral care in esophageal cancer surgery.
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