Evidence map›Paper›PMID 40085196›Full record

ArticleSurgery today2025

The impact of perioperative oral care on postoperative infection in patients with esophageal cancer: a retrospective cohort study before and during COVID-19.

Aoi Kubo, Kimie Fujita, Satomi Tanaka, Yasue Kimura, Naohisa Wada

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Article in Surgery today, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

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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

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Aoi KuboDepartment of Health Sciences, Graduate School of Medicine, Kyushu University, 3-1-1 Maidashi Higashiku Fukuoka City, Fukuoka, 812-8581, Japan. kubo.aoi.466@m.kyushu-u.ac.jp.
Kimie FujitaDepartment of Health Sciences, Graduate School of Medicine, Kyushu University, 3-1-1 Maidashi Higashiku Fukuoka City, Fukuoka, 812-8581, Japan.
Satomi TanakaDepartment of Health Sciences, Graduate School of Medicine, Kyushu University, 3-1-1 Maidashi Higashiku Fukuoka City, Fukuoka, 812-8581, Japan.
Yasue KimuraGastrointestinal Surgery, NHO Kyushu Cancer Center, 3-1-1 Notame Minamiku Fukuoka City, Fukuoka, 811-1395, Japan.
Naohisa WadaFaculty of Dental Science, Department of General Dentistry, Kyushu University, 3-1-1 Maidashi Higashiku Fukuoka City, Fukuoka, 812-8581, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study evaluated the impact of preoperative oral hygiene on the incidence of postoperative pneumonia (PP) and surgical site infection (SSI) in patients undergoing esophageal cancer surgery considering the influence of COVID-19 and developing effective perioperative oral care methods.

methodsThe medical records of patients who underwent esophageal cancer surgery between January 2017 and March 2022 were analyzed. Patient characteristics and the incidence of PP and SSI before and during COVID-19 were compared. A multiple logistic regression analysis was performed with PP and SSI as the dependent variables.

resultsThis analysis included 207 participants. The mean age was 66.6 ± 8.3 years old, and 78.3% were male. There were no significant changes in the incidence of PP or SSI before and during the COVID-19 pandemic. Preoperative xerostomia significantly increased the risk of PP (odds ratio = 3.34, 95% confidence interval 1.10-10.08, p = 0.033), an advanced cancer stage, and recurrent laryngeal nerve palsy. Surgical procedures and reconstructive organs, but not preoperative oral hygiene factors, were associated with SSI.

conclusionsThe incidence of PP and SSI in patients with esophageal cancer showed no marked changes before or during the COVID-19 pandemic. Managing preoperative xerostomia may be crucial for reducing the risk of PP.

Indexed as

COVID-19Esophageal NeoplasmsOral HygienePerioperative CarePneumoniaPostoperative ComplicationsSurgical Wound InfectionAgedCohort StudiesFemaleHumansIncidenceMaleMiddle AgedPandemicsRetrospective StudiesEsophageal cancerOral hygienePneumoniaSurgical site infectionXerostomia

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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.