Patients scheduled to undergo esophageal surgery should have the highest priority for perioperative oral management triage: a cross-sectional study

Reiko Yamanaka-Kohno, Yasuhiro Shirakawa, Aya Yokoi, Mami Inoue-Minakuchi, Motomu Kobayashi, Kazuhiro Noma, Manabu Morita, Takuo Kuboki, Hiroshi Morimatsu, Yoshihiko Soga

Research output: Contribution to journalArticlepeer-review

Abstract

Objectives: An increasing number of patients visiting the dental office have a growing need for perioperative oral management (POM) to prevent postoperative complications. Therefore, it is necessary to determine which patients should receive preferential POM. This study investigated the dental status of patients scheduled to undergo surgery and addressed the priority for POM. Methods: This retrospective study included a total of 150 patients who were scheduled to undergo surgery at the Department of Respiratory Surgery (DRS), Department of Neurological Surgery (DNS), Department of Gynecological Surgery (DGS), Department of Breast and Endocrine Surgery (DBES), and Department of Esophageal Surgery (DES) managed by the Perioperative Management Center of Okayama University Hospital. We compared the general and dental status of patients among the five groups. Results: The DES group had significantly fewer teeth than the DBES group (p = 0.012), more severe periodontitis than both the DBES (p = 0.005) and DNS groups (p = 0.020), and poorer molar occlusal support status than both the DBES (p = 0.002) and DGS groups (p = 0.041). The DES group exhibited a significantly higher median age (p = 0.002), a higher ratio of males (p < 0.001), a higher prevalence of malignant tumors (p < 0.001), and higher proportions of smokers (p < 0.001) and drinkers (p < 0.001) than the other groups. Conclusion: Patients who underwent surgery at the DES had more dental problems than other surgery patients. Accordingly, these patients should be given the highest priority for POM triage.

Original languageEnglish
Pages (from-to)378-385
Number of pages8
JournalGeneral Thoracic and Cardiovascular Surgery
Volume70
Issue number4
DOIs
Publication statusPublished - Apr 2022
Externally publishedYes

Keywords

  • Dental care
  • Esophageal cancer
  • Perioperative period
  • Respiratory cancer
  • Triage

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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