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

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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.

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Acknowledgements

The authors are deeply grateful to the team members at the PERiO, Okayama University Hospital. This work was supported by the Japan Society for the Promotion of Science (JSPS) and the Ministry of Education, Culture, Sports, Science, and Technology (MEXT) through a Grant-in-Aid for Scientific Research (KAKENHI) (C) (Nos. 19K10444, C16K11857, and 16K11858) and a Grant-in-Aid for Young Scientists (B) (No. 25862082).

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Authors and Affiliations

  1. Division of Hospital Dentistry, Central Clinical Department, Okayama University Hospital, Okayama, Japan

    Reiko Yamanaka-Kohno & Yoshihiko Soga

  2. Department of Gastroenterological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan

    Yasuhiro Shirakawa & Kazuhiro Noma

  3. Department of Surgery, Hiroshima City Hiroshima Citizens Hospital, 7-33 Motomachi, Naka-ku, Hiroshima, 730-8518, Japan

    Yasuhiro Shirakawa

  4. Department of Preventive Dentistry, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan

    Aya Yokoi & Manabu Morita

  5. Department of Oral Rehabilitation and Regenerative Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan

    Mami Inoue-Minakuchi & Takuo Kuboki

  6. Perioperative Management Center, Central Clinical Department, Okayama University Hospital, Okayama, Japan

    Motomu Kobayashi & Hiroshi Morimatsu

  7. Department of Anesthesiology and Resuscitology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan

    Motomu Kobayashi & Hiroshi Morimatsu

Authors
  1. Reiko Yamanaka-Kohno
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  2. Yasuhiro Shirakawa
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  3. Aya Yokoi
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  4. Mami Inoue-Minakuchi
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  5. Motomu Kobayashi
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  7. Manabu Morita
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  8. Takuo Kuboki
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  10. Yoshihiko Soga
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Correspondence to Yasuhiro Shirakawa.

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Yamanaka-Kohno, R., Shirakawa, Y., Yokoi, A. et al. Patients scheduled to undergo esophageal surgery should have the highest priority for perioperative oral management triage: a cross-sectional study. Gen Thorac Cardiovasc Surg 70, 378–385 (2022). https://doi.org/10.1007/s11748-021-01757-4

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  • DOI: https://doi.org/10.1007/s11748-021-01757-4

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