Evidence map›Paper›PMID 42380937›Full record

Observational studyBMC oral health2026

Periodontitis prevalence and effects on postoperative complications in gastric surgery: a prospective observational study.

Emil A Pettersson, Tiina Vuorela, Johanna M Louhimo, Jaana Hagström, Caj H Haglund, Timo Sorsa, Hanna E Seppänen, Kethe M Hermunen

Registry-linked trialAbstract readObservational Study
In one paragraph

Observational study in BMC oral health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03144973 (Meaning of Periodontitis in Post-operative Complications After Upper Gastrointestinal Tract Surgery), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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.

NCT03144973 nacompletednot on this map

Meaning of Periodontitis in Post-operative Complications After Upper Gastrointestinal Tract Surgery

TypeinterventionalSponsorHelsinki University Central HospitalRan2017 to 2020Enrolled256ConditionsPeriodontitis, Surgery--ComplicationsArmsperiosafe
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Emil A PetterssonDepartment of Surgery, University of Helsinki, PO BOX 440, Stenbäckinkatu 9A, Helsinki, FIN- 00029 HUS, Finland.
Tiina VuorelaDepartment of Surgery, University of Helsinki, PO BOX 440, Stenbäckinkatu 9A, Helsinki, FIN- 00029 HUS, Finland.
Johanna M LouhimoDepartment of Surgery, University of Helsinki, PO BOX 440, Stenbäckinkatu 9A, Helsinki, FIN- 00029 HUS, Finland.
Jaana HagströmDepartment of Pathology, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Caj H HaglundDepartment of Surgery, University of Helsinki, PO BOX 440, Stenbäckinkatu 9A, Helsinki, FIN- 00029 HUS, Finland.
Timo SorsaOral and Maxillofacial Diseases, Helsinki University Hospital, Helsinki, Finland.
Hanna E Seppänen *Department of Surgery, University of Helsinki, PO BOX 440, Stenbäckinkatu 9A, Helsinki, FIN- 00029 HUS, Finland.
Kethe M Hermunen *Department of Surgery, University of Helsinki, PO BOX 440, Stenbäckinkatu 9A, Helsinki, FIN- 00029 HUS, Finland. kethe.hermunen@helsinki.fi.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPeriodontitis, a progressive inflammatory disease of the tooth-supporting structures, has direct adverse effects on systemic health. Links between periodontitis and gastrointestinal tract malignancies have also emerged in numerous studies. The aim of our study was to uncover the prevalence of periodontitis and its effects on postoperative complications among patients undergoing gastric surgery.

methodsThis prospective study took place between May 2017 and June 2019 at the Helsinki University Hospital, with data from patients undergoing gastric surgery. We recorded complications based on the Clavien-Dindo classification, and for periodontitis screening we used the aMMP-8 point-of-care test.

resultsOur study included 59 patients, of whom 29 (49%) tested positive for periodontitis. Malignant tumour histology was present in 75% of cases. Periodontitis showed no association with postoperative complications (p = 0.879): neither with surgical site infections (p = 0.149) nor with thrombotic events (p = 0.513).

conclusionsThe prevalence of periodontitis among patients undergoing gastric surgery matched that of the general population in Finland. Periodontitis did not associate with postoperative complications in surgical patients.

trial registrationClinicalTrials.gov, NCT03144973. Date of registration: 09/05/2017.

Indexed as

PeriodontitisPostoperative ComplicationsStomach NeoplasmsAgedFemaleFinlandHumansMaleMiddle AgedPrevalenceProspective StudiesRisk FactorsaMMP-8Gastrointestinal surgical proceduresOral healthPeriodontitisPostoperative complicationsProspective studyRisk factors

Identifiers

PMID42380937
PMCPMC13617782

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Registered trials

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.