Evidence map›Paper›PMID 38376617›Full record

ArticleEsophagus : official journal of the Japan Esophageal Society2024

Pretreatment periodontitis is predictive of a poorer prognosis after esophagectomy for esophageal cancer.

Shu Nozaki, Yusuke Sato, Hiroshi Takano, Kyoko Nomura, Akiyuki Wakita, Jiajia Liu, Yushi Nagaki, Ryohei Sasamori, Yoshihiro Sasaki, Tsukasa Takahashi and 4 more

Open access · hybridAbstract read
In one paragraph

Article in Esophagus : official journal of the Japan Esophageal Society, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.0field-weighted citation impact, top 16% 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

4 citing papers in PubMed, 5 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

14 authors at 1 institution in 1 country.

Shu NozakiEsophageal Surgery, Akita University Hospital, Akita, 010-8543, Japan.
Yusuke SatoEsophageal Surgery, Akita University Hospital, Akita, 010-8543, Japan. yusuke@doc.med.akita-u.ac.jp.ORCID 0000-0002-2729-7284
Hiroshi TakanoDepartment of Dentistry and Oral Surgery, Akita University Graduate School of Medicine, Akita, 010-8543, Japan.
Kyoko NomuraDepartment of Environmental Health Science and Public Health, Akita University Graduate School of Medicine, Akita, 010-8543, Japan.
Akiyuki WakitaEsophageal Surgery, Akita University Hospital, Akita, 010-8543, Japan.
Jiajia LiuEsophageal Surgery, Akita University Hospital, Akita, 010-8543, Japan.
Yushi NagakiEsophageal Surgery, Akita University Hospital, Akita, 010-8543, Japan.
Ryohei SasamoriEsophageal Surgery, Akita University Hospital, Akita, 010-8543, Japan.
Yoshihiro SasakiEsophageal Surgery, Akita University Hospital, Akita, 010-8543, Japan.
Tsukasa TakahashiEsophageal Surgery, Akita University Hospital, Akita, 010-8543, Japan.
Hidemitsu IgarashiDepartment of Dentistry and Oral Surgery, Akita University Graduate School of Medicine, Akita, 010-8543, Japan.
Yasunori KonnoDepartment of Dentistry and Oral Surgery, Akita University Graduate School of Medicine, Akita, 010-8543, Japan.
Masayuki FukudaDepartment of Dentistry and Oral Surgery, Akita University Graduate School of Medicine, Akita, 010-8543, Japan.
Yoshihiro MinamiyaEsophageal Surgery, Akita University Hospital, Akita, 010-8543, Japan.
Akita University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPoor oral health is an independent risk factor for upper-aerodigestive tract cancers, including esophageal cancer. Several studies have investigated short-term outcomes after esophagectomy and the impact of periodontal disease, but few have examined the impact of periodontal disease on long-term outcomes. The purpose of this study was to investigate the rate of periodontitis among esophagectomy patients and the prognostic value of periodontitis and its effect on prognosis after esophagectomy.

methodsA total of 508 patients who underwent esophagectomy received oral health care from a dentist before cancer treatment at Akita University Hospital between January 2009 and December 2021. We assessed the presence and severity of the patients' periodontitis and divided them into no-periodontitis, mild periodontitis, severe periodontitis and edentulous jaw groups. We then assessed 10-year overall survival (OS) and disease-specific survival (DSS) and determined whether periodontitis was an independent prognostic factor affecting OS and DSS.

resultsWe found that 101 (19.9%) patients had no periodontitis, 207 (40.8%) had mild periodontitis, 176 (34.6%) had severe periodontitis requiring tooth extraction, and 24 (4.7%) had edentulous jaw. Both OS and DSS were significantly poorer in the periodontitis than no-periodontitis group (p < 0.001). In detail, the edentulous jaw group had the poorest prognosis (p < 0.001). Multivariate analysis showed that periodontitis was an independent risk factor affecting OS and DSS.

conclusionEsophageal cancer patients had a high prevalence of periodontitis. Moreover, the presence of periodontitis and severity of periodontitis are independent risk factors contributing to a poorer prognosis after esophagectomy.

Indexed as

Esophageal NeoplasmsJaw, EdentulousPeriodontitisEsophagectomyHumansNeoplasm StagingPrognosisESCCEsophageal cancerEsophageal squamous cell carcinomaOral conditionPeriodontitisPrognosisTLRToll-like receptor

Identifiers

PMID38376617
PMCPMC10957679
OpenAlexW4391961754

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Registered trials

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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.