Association between perioperative oral care and postoperative pneumonia after cancer resection: conventional versus high-dimensional propensity score matching analysis
Objectives Perioperative oral care was reported to decrease postoperative pneumonia after cancer resections. However, the effect remains controversial because previous studies were limited due to their small sample sizes and lack of strict control for patient backgrounds. The present study evaluated...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Ishimaru, Miho [verfasserIn] Ono, Sachiko [verfasserIn] Matsui, Hiroki [verfasserIn] Yasunaga, Hideo [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2019 |
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| Schlagwörter: |
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| Übergeordnetes Werk: |
Enthalten in: Clinical Oral Investigations - Springer-Verlag, 2001, 23(2019), 9 vom: 08. Jan., Seite 3581-3588 |
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| Übergeordnetes Werk: |
volume:23 ; year:2019 ; number:9 ; day:08 ; month:01 ; pages:3581-3588 |
| Links: |
|---|
| DOI / URN: |
10.1007/s00784-018-2783-5 |
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SPR00782761X |
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| 520 | |a Objectives Perioperative oral care was reported to decrease postoperative pneumonia after cancer resections. However, the effect remains controversial because previous studies were limited due to their small sample sizes and lack of strict control for patient backgrounds. The present study evaluated the association between perioperative oral care and postoperative pneumonia using high-dimensional propensity score (hd-PS) matching to adjust for confounding factors. Materials and methods Using a Japanese health insurance claims database, we identified patients who underwent surgical treatment of cancer from April 2014 to March 2015. To compare outcomes (postoperative pneumonia and procedure-related complications) between patients with and without perioperative oral care, we performed hd-PS matching and conventional PS matching and chi-square test. Results We identified 621 patients with oral care and 4374 patients without oral care. The occurrences of postoperative pneumonia were not significantly different between patients with and without oral care in the unmatched (2.9% vs. 3.2%), conventional PS-matched (2.9% vs. 2.9%), or hd-PS-matched (2.9% vs. 3.3%) groups. The occurrences of procedure-related complication were not significantly different between patients with and without oral care in the unmatched (23.8% vs. 24.5%), conventional PS-matched (23.8% vs. 26.4%), or hd-PS-matched (24.4% vs. 27.7%) groups. Conclusions There was no significant difference in postoperative pneumonia or procedure-related complications between patients with and without perioperative oral care. Clinical relevance While maintaining optimal oral care in cancer patients is an important goal, the present study revealed no significant difference in postoperative outcomes. Further investigations would be needed to determine the effect of perioperative oral care. | ||
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10.1007/s00784-018-2783-5 doi (DE-627)SPR00782761X (SPR)s00784-018-2783-5-e DE-627 ger DE-627 rakwb eng Ishimaru, Miho verfasserin aut Association between perioperative oral care and postoperative pneumonia after cancer resection: conventional versus high-dimensional propensity score matching analysis 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objectives Perioperative oral care was reported to decrease postoperative pneumonia after cancer resections. However, the effect remains controversial because previous studies were limited due to their small sample sizes and lack of strict control for patient backgrounds. The present study evaluated the association between perioperative oral care and postoperative pneumonia using high-dimensional propensity score (hd-PS) matching to adjust for confounding factors. Materials and methods Using a Japanese health insurance claims database, we identified patients who underwent surgical treatment of cancer from April 2014 to March 2015. To compare outcomes (postoperative pneumonia and procedure-related complications) between patients with and without perioperative oral care, we performed hd-PS matching and conventional PS matching and chi-square test. Results We identified 621 patients with oral care and 4374 patients without oral care. The occurrences of postoperative pneumonia were not significantly different between patients with and without oral care in the unmatched (2.9% vs. 3.2%), conventional PS-matched (2.9% vs. 2.9%), or hd-PS-matched (2.9% vs. 3.3%) groups. The occurrences of procedure-related complication were not significantly different between patients with and without oral care in the unmatched (23.8% vs. 24.5%), conventional PS-matched (23.8% vs. 26.4%), or hd-PS-matched (24.4% vs. 27.7%) groups. Conclusions There was no significant difference in postoperative pneumonia or procedure-related complications between patients with and without perioperative oral care. Clinical relevance While maintaining optimal oral care in cancer patients is an important goal, the present study revealed no significant difference in postoperative outcomes. Further investigations would be needed to determine the effect of perioperative oral care. Oral hygiene (dpeaa)DE-He213 Perioperative care (dpeaa)DE-He213 Postoperative complications (dpeaa)DE-He213 Propensity score analysis (dpeaa)DE-He213 Ono, Sachiko verfasserin aut Matsui, Hiroki verfasserin aut Yasunaga, Hideo verfasserin aut Enthalten in Clinical Oral Investigations Springer-Verlag, 2001 23(2019), 9 vom: 08. Jan., Seite 3581-3588 (DE-627)SPR007794231 nnns volume:23 year:2019 number:9 day:08 month:01 pages:3581-3588 https://dx.doi.org/10.1007/s00784-018-2783-5 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 23 2019 9 08 01 3581-3588 |
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10.1007/s00784-018-2783-5 doi (DE-627)SPR00782761X (SPR)s00784-018-2783-5-e DE-627 ger DE-627 rakwb eng Ishimaru, Miho verfasserin aut Association between perioperative oral care and postoperative pneumonia after cancer resection: conventional versus high-dimensional propensity score matching analysis 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objectives Perioperative oral care was reported to decrease postoperative pneumonia after cancer resections. However, the effect remains controversial because previous studies were limited due to their small sample sizes and lack of strict control for patient backgrounds. The present study evaluated the association between perioperative oral care and postoperative pneumonia using high-dimensional propensity score (hd-PS) matching to adjust for confounding factors. Materials and methods Using a Japanese health insurance claims database, we identified patients who underwent surgical treatment of cancer from April 2014 to March 2015. To compare outcomes (postoperative pneumonia and procedure-related complications) between patients with and without perioperative oral care, we performed hd-PS matching and conventional PS matching and chi-square test. Results We identified 621 patients with oral care and 4374 patients without oral care. The occurrences of postoperative pneumonia were not significantly different between patients with and without oral care in the unmatched (2.9% vs. 3.2%), conventional PS-matched (2.9% vs. 2.9%), or hd-PS-matched (2.9% vs. 3.3%) groups. The occurrences of procedure-related complication were not significantly different between patients with and without oral care in the unmatched (23.8% vs. 24.5%), conventional PS-matched (23.8% vs. 26.4%), or hd-PS-matched (24.4% vs. 27.7%) groups. Conclusions There was no significant difference in postoperative pneumonia or procedure-related complications between patients with and without perioperative oral care. Clinical relevance While maintaining optimal oral care in cancer patients is an important goal, the present study revealed no significant difference in postoperative outcomes. Further investigations would be needed to determine the effect of perioperative oral care. Oral hygiene (dpeaa)DE-He213 Perioperative care (dpeaa)DE-He213 Postoperative complications (dpeaa)DE-He213 Propensity score analysis (dpeaa)DE-He213 Ono, Sachiko verfasserin aut Matsui, Hiroki verfasserin aut Yasunaga, Hideo verfasserin aut Enthalten in Clinical Oral Investigations Springer-Verlag, 2001 23(2019), 9 vom: 08. Jan., Seite 3581-3588 (DE-627)SPR007794231 nnns volume:23 year:2019 number:9 day:08 month:01 pages:3581-3588 https://dx.doi.org/10.1007/s00784-018-2783-5 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 23 2019 9 08 01 3581-3588 |
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10.1007/s00784-018-2783-5 doi (DE-627)SPR00782761X (SPR)s00784-018-2783-5-e DE-627 ger DE-627 rakwb eng Ishimaru, Miho verfasserin aut Association between perioperative oral care and postoperative pneumonia after cancer resection: conventional versus high-dimensional propensity score matching analysis 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objectives Perioperative oral care was reported to decrease postoperative pneumonia after cancer resections. However, the effect remains controversial because previous studies were limited due to their small sample sizes and lack of strict control for patient backgrounds. The present study evaluated the association between perioperative oral care and postoperative pneumonia using high-dimensional propensity score (hd-PS) matching to adjust for confounding factors. Materials and methods Using a Japanese health insurance claims database, we identified patients who underwent surgical treatment of cancer from April 2014 to March 2015. To compare outcomes (postoperative pneumonia and procedure-related complications) between patients with and without perioperative oral care, we performed hd-PS matching and conventional PS matching and chi-square test. Results We identified 621 patients with oral care and 4374 patients without oral care. The occurrences of postoperative pneumonia were not significantly different between patients with and without oral care in the unmatched (2.9% vs. 3.2%), conventional PS-matched (2.9% vs. 2.9%), or hd-PS-matched (2.9% vs. 3.3%) groups. The occurrences of procedure-related complication were not significantly different between patients with and without oral care in the unmatched (23.8% vs. 24.5%), conventional PS-matched (23.8% vs. 26.4%), or hd-PS-matched (24.4% vs. 27.7%) groups. Conclusions There was no significant difference in postoperative pneumonia or procedure-related complications between patients with and without perioperative oral care. Clinical relevance While maintaining optimal oral care in cancer patients is an important goal, the present study revealed no significant difference in postoperative outcomes. Further investigations would be needed to determine the effect of perioperative oral care. Oral hygiene (dpeaa)DE-He213 Perioperative care (dpeaa)DE-He213 Postoperative complications (dpeaa)DE-He213 Propensity score analysis (dpeaa)DE-He213 Ono, Sachiko verfasserin aut Matsui, Hiroki verfasserin aut Yasunaga, Hideo verfasserin aut Enthalten in Clinical Oral Investigations Springer-Verlag, 2001 23(2019), 9 vom: 08. Jan., Seite 3581-3588 (DE-627)SPR007794231 nnns volume:23 year:2019 number:9 day:08 month:01 pages:3581-3588 https://dx.doi.org/10.1007/s00784-018-2783-5 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 23 2019 9 08 01 3581-3588 |
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10.1007/s00784-018-2783-5 doi (DE-627)SPR00782761X (SPR)s00784-018-2783-5-e DE-627 ger DE-627 rakwb eng Ishimaru, Miho verfasserin aut Association between perioperative oral care and postoperative pneumonia after cancer resection: conventional versus high-dimensional propensity score matching analysis 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objectives Perioperative oral care was reported to decrease postoperative pneumonia after cancer resections. However, the effect remains controversial because previous studies were limited due to their small sample sizes and lack of strict control for patient backgrounds. The present study evaluated the association between perioperative oral care and postoperative pneumonia using high-dimensional propensity score (hd-PS) matching to adjust for confounding factors. Materials and methods Using a Japanese health insurance claims database, we identified patients who underwent surgical treatment of cancer from April 2014 to March 2015. To compare outcomes (postoperative pneumonia and procedure-related complications) between patients with and without perioperative oral care, we performed hd-PS matching and conventional PS matching and chi-square test. Results We identified 621 patients with oral care and 4374 patients without oral care. The occurrences of postoperative pneumonia were not significantly different between patients with and without oral care in the unmatched (2.9% vs. 3.2%), conventional PS-matched (2.9% vs. 2.9%), or hd-PS-matched (2.9% vs. 3.3%) groups. The occurrences of procedure-related complication were not significantly different between patients with and without oral care in the unmatched (23.8% vs. 24.5%), conventional PS-matched (23.8% vs. 26.4%), or hd-PS-matched (24.4% vs. 27.7%) groups. Conclusions There was no significant difference in postoperative pneumonia or procedure-related complications between patients with and without perioperative oral care. Clinical relevance While maintaining optimal oral care in cancer patients is an important goal, the present study revealed no significant difference in postoperative outcomes. Further investigations would be needed to determine the effect of perioperative oral care. Oral hygiene (dpeaa)DE-He213 Perioperative care (dpeaa)DE-He213 Postoperative complications (dpeaa)DE-He213 Propensity score analysis (dpeaa)DE-He213 Ono, Sachiko verfasserin aut Matsui, Hiroki verfasserin aut Yasunaga, Hideo verfasserin aut Enthalten in Clinical Oral Investigations Springer-Verlag, 2001 23(2019), 9 vom: 08. Jan., Seite 3581-3588 (DE-627)SPR007794231 nnns volume:23 year:2019 number:9 day:08 month:01 pages:3581-3588 https://dx.doi.org/10.1007/s00784-018-2783-5 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 23 2019 9 08 01 3581-3588 |
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10.1007/s00784-018-2783-5 doi (DE-627)SPR00782761X (SPR)s00784-018-2783-5-e DE-627 ger DE-627 rakwb eng Ishimaru, Miho verfasserin aut Association between perioperative oral care and postoperative pneumonia after cancer resection: conventional versus high-dimensional propensity score matching analysis 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objectives Perioperative oral care was reported to decrease postoperative pneumonia after cancer resections. However, the effect remains controversial because previous studies were limited due to their small sample sizes and lack of strict control for patient backgrounds. The present study evaluated the association between perioperative oral care and postoperative pneumonia using high-dimensional propensity score (hd-PS) matching to adjust for confounding factors. Materials and methods Using a Japanese health insurance claims database, we identified patients who underwent surgical treatment of cancer from April 2014 to March 2015. To compare outcomes (postoperative pneumonia and procedure-related complications) between patients with and without perioperative oral care, we performed hd-PS matching and conventional PS matching and chi-square test. Results We identified 621 patients with oral care and 4374 patients without oral care. The occurrences of postoperative pneumonia were not significantly different between patients with and without oral care in the unmatched (2.9% vs. 3.2%), conventional PS-matched (2.9% vs. 2.9%), or hd-PS-matched (2.9% vs. 3.3%) groups. The occurrences of procedure-related complication were not significantly different between patients with and without oral care in the unmatched (23.8% vs. 24.5%), conventional PS-matched (23.8% vs. 26.4%), or hd-PS-matched (24.4% vs. 27.7%) groups. Conclusions There was no significant difference in postoperative pneumonia or procedure-related complications between patients with and without perioperative oral care. Clinical relevance While maintaining optimal oral care in cancer patients is an important goal, the present study revealed no significant difference in postoperative outcomes. Further investigations would be needed to determine the effect of perioperative oral care. Oral hygiene (dpeaa)DE-He213 Perioperative care (dpeaa)DE-He213 Postoperative complications (dpeaa)DE-He213 Propensity score analysis (dpeaa)DE-He213 Ono, Sachiko verfasserin aut Matsui, Hiroki verfasserin aut Yasunaga, Hideo verfasserin aut Enthalten in Clinical Oral Investigations Springer-Verlag, 2001 23(2019), 9 vom: 08. Jan., Seite 3581-3588 (DE-627)SPR007794231 nnns volume:23 year:2019 number:9 day:08 month:01 pages:3581-3588 https://dx.doi.org/10.1007/s00784-018-2783-5 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 23 2019 9 08 01 3581-3588 |
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Ishimaru, Miho |
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10.1007/s00784-018-2783-5 |
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verfasserin |
| title_sort |
association between perioperative oral care and postoperative pneumonia after cancer resection: conventional versus high-dimensional propensity score matching analysis |
| title_auth |
Association between perioperative oral care and postoperative pneumonia after cancer resection: conventional versus high-dimensional propensity score matching analysis |
| abstract |
Objectives Perioperative oral care was reported to decrease postoperative pneumonia after cancer resections. However, the effect remains controversial because previous studies were limited due to their small sample sizes and lack of strict control for patient backgrounds. The present study evaluated the association between perioperative oral care and postoperative pneumonia using high-dimensional propensity score (hd-PS) matching to adjust for confounding factors. Materials and methods Using a Japanese health insurance claims database, we identified patients who underwent surgical treatment of cancer from April 2014 to March 2015. To compare outcomes (postoperative pneumonia and procedure-related complications) between patients with and without perioperative oral care, we performed hd-PS matching and conventional PS matching and chi-square test. Results We identified 621 patients with oral care and 4374 patients without oral care. The occurrences of postoperative pneumonia were not significantly different between patients with and without oral care in the unmatched (2.9% vs. 3.2%), conventional PS-matched (2.9% vs. 2.9%), or hd-PS-matched (2.9% vs. 3.3%) groups. The occurrences of procedure-related complication were not significantly different between patients with and without oral care in the unmatched (23.8% vs. 24.5%), conventional PS-matched (23.8% vs. 26.4%), or hd-PS-matched (24.4% vs. 27.7%) groups. Conclusions There was no significant difference in postoperative pneumonia or procedure-related complications between patients with and without perioperative oral care. Clinical relevance While maintaining optimal oral care in cancer patients is an important goal, the present study revealed no significant difference in postoperative outcomes. Further investigations would be needed to determine the effect of perioperative oral care. |
| abstractGer |
Objectives Perioperative oral care was reported to decrease postoperative pneumonia after cancer resections. However, the effect remains controversial because previous studies were limited due to their small sample sizes and lack of strict control for patient backgrounds. The present study evaluated the association between perioperative oral care and postoperative pneumonia using high-dimensional propensity score (hd-PS) matching to adjust for confounding factors. Materials and methods Using a Japanese health insurance claims database, we identified patients who underwent surgical treatment of cancer from April 2014 to March 2015. To compare outcomes (postoperative pneumonia and procedure-related complications) between patients with and without perioperative oral care, we performed hd-PS matching and conventional PS matching and chi-square test. Results We identified 621 patients with oral care and 4374 patients without oral care. The occurrences of postoperative pneumonia were not significantly different between patients with and without oral care in the unmatched (2.9% vs. 3.2%), conventional PS-matched (2.9% vs. 2.9%), or hd-PS-matched (2.9% vs. 3.3%) groups. The occurrences of procedure-related complication were not significantly different between patients with and without oral care in the unmatched (23.8% vs. 24.5%), conventional PS-matched (23.8% vs. 26.4%), or hd-PS-matched (24.4% vs. 27.7%) groups. Conclusions There was no significant difference in postoperative pneumonia or procedure-related complications between patients with and without perioperative oral care. Clinical relevance While maintaining optimal oral care in cancer patients is an important goal, the present study revealed no significant difference in postoperative outcomes. Further investigations would be needed to determine the effect of perioperative oral care. |
| abstract_unstemmed |
Objectives Perioperative oral care was reported to decrease postoperative pneumonia after cancer resections. However, the effect remains controversial because previous studies were limited due to their small sample sizes and lack of strict control for patient backgrounds. The present study evaluated the association between perioperative oral care and postoperative pneumonia using high-dimensional propensity score (hd-PS) matching to adjust for confounding factors. Materials and methods Using a Japanese health insurance claims database, we identified patients who underwent surgical treatment of cancer from April 2014 to March 2015. To compare outcomes (postoperative pneumonia and procedure-related complications) between patients with and without perioperative oral care, we performed hd-PS matching and conventional PS matching and chi-square test. Results We identified 621 patients with oral care and 4374 patients without oral care. The occurrences of postoperative pneumonia were not significantly different between patients with and without oral care in the unmatched (2.9% vs. 3.2%), conventional PS-matched (2.9% vs. 2.9%), or hd-PS-matched (2.9% vs. 3.3%) groups. The occurrences of procedure-related complication were not significantly different between patients with and without oral care in the unmatched (23.8% vs. 24.5%), conventional PS-matched (23.8% vs. 26.4%), or hd-PS-matched (24.4% vs. 27.7%) groups. Conclusions There was no significant difference in postoperative pneumonia or procedure-related complications between patients with and without perioperative oral care. Clinical relevance While maintaining optimal oral care in cancer patients is an important goal, the present study revealed no significant difference in postoperative outcomes. Further investigations would be needed to determine the effect of perioperative oral care. |
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Association between perioperative oral care and postoperative pneumonia after cancer resection: conventional versus high-dimensional propensity score matching analysis |
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https://dx.doi.org/10.1007/s00784-018-2783-5 |
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Ono, Sachiko Matsui, Hiroki Yasunaga, Hideo |
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2024-07-03T15:29:23.155Z |
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