Details der Publikation - Preoperative evaluation of oral hygiene may predict the overall survival of patients with esophageal cancer

Preoperative evaluation of oral hygiene may predict the overall survival of patients with esophageal cancer

Background Previously, the association between tooth loss and prognosis after esophagectomy was reported; however, the presence of periodontal disease has not been assessed. This study investigated the association between the degree of oral hygiene, as evaluated by tooth loss and periodontal disease, and the prognosis of patients with esophageal cancer. Methods A total of 163 esophageal cancer patients who underwent surgery with perioperative oral care and examination were enrolled. We assessed the periodontal pocket depth for the presence of periodontal disease and established a periodontal pocket index, defined as the sum of the periodontal pocket depth of the remaining tooth divided by the total count of the remaining teeth. Patients were divided into three groups: Group A (tooth loss < 13 and periodontal pocket index < 3.67); Group B (tooth loss < 13 and periodontal pocket index ≥ 3.67); and Group C (tooth loss ≥ 13). Overall survival and cancer-specific survival were analyzed, and a multivariate analysis was performed. Results There was a significant difference in the 5-year overall survival rates between the groups (A:B:C = 74.8%:62.8%:50.5%; p = 0.0098), but not in the 5-year cancer-specific survival rates (A:B:C = 80.2%:64.2%:62.2%; p = 0.0849). In multivariate analysis, oral hygiene (tooth loss < 13 and periodontal pocket index ≥ 3.67 + tooth loss ≥ 13; p = 0.041) was a significant independent poor prognostic factor for overall survival. Conclusions Oral evaluation, focusing on tooth loss and periodontal disease, is meaningful in predicting the long-term prognosis of postoperative esophageal cancer patients..

Medienart:	E-Artikel

Erscheinungsjahr:	2022
Erschienen:	2022

Enthalten in:	Zur Gesamtaufnahme - volume:20
Enthalten in:	Esophagus - 20(2022), 1 vom: 26. Juli, Seite 99-108

Sprache:	Englisch

Beteiligte Personen:	Watanabe, Takayoshi [VerfasserIn] Sohda, Makoto [VerfasserIn] Kim, Mai [VerfasserIn] Saito, Hideyuki [VerfasserIn] Ubukata, Yasunari [VerfasserIn] Nakazawa, Nobuhiro [VerfasserIn] Kuriyama, Kengo [VerfasserIn] Hara, Keigo [VerfasserIn] Sano, Akihiko [VerfasserIn] Sakai, Makoto [VerfasserIn] Ogawa, Hiroomi [VerfasserIn] Yokobori, Takehiko [VerfasserIn] Yokoo, Satoshi [VerfasserIn] Shirabe, Ken [VerfasserIn] Saeki, Hiroshi [VerfasserIn]

Links:	Volltext [lizenzpflichtig]

BKL:	44.87$jGastroenterologie
Themen:	Esophageal cancer Periodontal disease Prognosis Tooth loss

Anmerkungen:	© The Author(s) under exclusive licence to The Japan Esophageal Society 2022

doi:	10.1007/s10388-022-00941-6

funding:
Förderinstitution / Projekttitel:

PPN (Katalog-ID):	OLC213323893X

Internformat


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520			\|a Background Previously, the association between tooth loss and prognosis after esophagectomy was reported; however, the presence of periodontal disease has not been assessed. This study investigated the association between the degree of oral hygiene, as evaluated by tooth loss and periodontal disease, and the prognosis of patients with esophageal cancer. Methods A total of 163 esophageal cancer patients who underwent surgery with perioperative oral care and examination were enrolled. We assessed the periodontal pocket depth for the presence of periodontal disease and established a periodontal pocket index, defined as the sum of the periodontal pocket depth of the remaining tooth divided by the total count of the remaining teeth. Patients were divided into three groups: Group A (tooth loss < 13 and periodontal pocket index < 3.67); Group B (tooth loss < 13 and periodontal pocket index ≥ 3.67); and Group C (tooth loss ≥ 13). Overall survival and cancer-specific survival were analyzed, and a multivariate analysis was performed. Results There was a significant difference in the 5-year overall survival rates between the groups (A:B:C = 74.8%:62.8%:50.5%; p = 0.0098), but not in the 5-year cancer-specific survival rates (A:B:C = 80.2%:64.2%:62.2%; p = 0.0849). In multivariate analysis, oral hygiene (tooth loss < 13 and periodontal pocket index ≥ 3.67 + tooth loss ≥ 13; p = 0.041) was a significant independent poor prognostic factor for overall survival. Conclusions Oral evaluation, focusing on tooth loss and periodontal disease, is meaningful in predicting the long-term prognosis of postoperative esophageal cancer patients.
650		4	\|a Tooth loss
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650		4	\|a Esophageal cancer
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700	1		\|a Saeki, Hiroshi \|4 aut
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Preoperative evaluation of oral hygiene may predict the overall survival of patients with esophageal cancer

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