Evidence map›Paper›PMID 41146341›Full record

ArticleJournal of pharmaceutical health care and sciences2025

Impact of coronavirus disease on the incidence rate of methicillin-resistant Staphylococcus aureus among hospitalized patients with lung cancer: a nationwide retrospective cohort study in Japan.

Yasutaka Ihara, Hisafumi Kihara, Waki Imoto, Naoto Okada, Hiroshi Kakeya, Yukihiro Kaneko

Abstract read
In one paragraph

Article in Journal of pharmaceutical health care and sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
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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

6 authors.

Yasutaka Ihara *Clinical Research Promotion Unit, Clinical Therapeutic Trial Center, Ehime University Hospital, 454, Shitsukawa, Toon, Ehime, 791-0295, Japan. ihara.yasutaka.gr@ehime-u.ac.jp.
Hisafumi Kihara *Integrated Medical and Agricultural School of Public Health, Ehime University, 454, Shitsukawa, Toon, Ehime, 791-0295, Japan.
Waki ImotoDepartment of Infection Control Science, Osaka Metropolitan University Graduate School of Medicine, 1-4-3, Asahi-machi, Abeno-ku, Osaka, 545-8585, Japan.
Naoto OkadaPharmacy Department, Yamaguchi University Hospital, 1-1-1, Minamikogushi, Ube, Yamaguchi, 755-8505, Japan.
Hiroshi KakeyaDepartment of Infection Control Science, Osaka Metropolitan University Graduate School of Medicine, 1-4-3, Asahi-machi, Abeno-ku, Osaka, 545-8585, Japan.
Yukihiro KanekoResearch Center for Infectious Disease Sciences (RCIDS), Osaka Metropolitan University Graduate School of Medicine, 1-4-3, Asahi- machi, Abeno-ku, Osaka, 545-8585, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients with lung cancer are at increased risk for methicillin-resistant Staphylococcus aureus (MRSA) infection, which prolongs treatment and worsens prognosis. Therefore, preventing MRSA infection is critically important in this population. We aimed to investigate whether the incidence rate of MRSA among patients with lung cancer declined after the coronavirus disease (COVID-19) pandemic, owing to the widespread reinforcement of hand-rub use.

methodsWe conducted a nationwide, retrospective, interrupted time-series analysis using a claims database in Japan Medical Data Vision. Hospitalized patients diagnosed with lung cancer between December 2016 and August 2022 were followed for 6 months. MRSA was identified using International Classification of Diseases, 10th Revision, codes in combination with a same-month prescription for an anti-MRSA agent. The incidence rate of MRSA among patients with lung cancer was compared between the pre-COVID (December 2016-April 2020) and post-COVID (April 2020-August 2022) periods using segmented Poisson regression with Newey-West errors and seasonal adjustment.

resultsAmong 93,508 eligible patients, 364 developed MRSA. The pre-COVID slope for the incidence rate of MRSA among patients with lung cancer was flat (0.20 per 1,000 person-years/year), whereas the post-COVID slope declined to -8.97 per 1,000 person-years/year. The slope difference (-9.17 per 1,000 person-years/year) indicates a sustained decline in the incidence rate of MRSA among this population after April 2020.

conclusionsThe incidence rate of MRSA among hospitalized patients with lung cancer decreased steadily after the COVID-19 pandemic. These findings suggest that routine hospital-wide infection control measures implemented during the pandemic may yield lasting benefits even in the absence of targeted interventions.

Indexed as

Coronavirus disease pandemicInterrupted time-series analysisLung cancerMethicillin-resistant Staphylococcus aureus

Identifiers

PMID41146341
PMCPMC12560535

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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.