神戸大学附属図書館デジタルアーカイブ
入力補助
English
カテゴリ
学内刊行物
ランキング
アクセスランキング
ダウンロードランキング
https://hdl.handle.net/20.500.14094/90007313
このアイテムのアクセス数:
10
件
(
2024-04-26
19:20 集計
)
閲覧可能ファイル
ファイル
フォーマット
サイズ
閲覧回数
説明
90007313 (fulltext)
pdf
203 KB
3
メタデータ
ファイル出力
メタデータID
90007313
アクセス権
open access
出版タイプ
Version of Record
タイトル
A multicenter retrospective investigation on the efficacy of perioperative oral management in cancer patients
著者
Yamada, Shin-Ichi ; Soutome, Sakiko ; Hasegawa, Takumi ; Tojyo, Itaru ; Nakahara, Hirokazu ; Kawakami, Mao ; Hirose, Marina ; Fujita, Shigeyuki ; Komori, Takahide ; Kirita, Tadaaki ; Shibuya, Yasuyuki ; Umeda, Masahiro ; Kurita, Hiroshi
著者名
Yamada, Shin-Ichi
著者名
Soutome, Sakiko
著者ID
A1489
研究者ID
1000050546497
KUID
https://kuid-rm-web.ofc.kobe-u.ac.jp/search/detail?systemId=322ffbb7f3848e30520e17560c007669
著者名
Hasegawa, Takumi
長谷川, 巧実
ハセガワ, タクミ
所属機関名
医学研究科
著者名
Tojyo, Itaru
著者名
Nakahara, Hirokazu
著者名
Kawakami, Mao
著者名
Hirose, Marina
著者名
Fujita, Shigeyuki
著者ID
A0121
研究者ID
1000050251294
著者名
Komori, Takahide
古森, 孝英
コモリ, タカヒデ
所属機関名
大学院医学研究科 医科学専攻
著者名
Kirita, Tadaaki
著者名
Shibuya, Yasuyuki
著者名
Umeda, Masahiro
著者名
Kurita, Hiroshi
収録物名
Medicine
巻(号)
99(10)
ページ
e19129-e19129
出版者
Lippincott, Williams & Wilkins
刊行日
2020-03
公開日
2020-07-30
抄録
Patients develop a number of oral complications during cancer treatments. Oral bacteria are associated with the onset of dental focal infections and the progression of oral mucositis. Dental focal infections are frequently associated with the systemic onset of bacteremia, sepsis, and pneumonia. The degeneration of oral function with these complications may become an obstacle to cancer treatments. Although comprehensive oral management, including oral care, the removal of dental focal infections, and improvements in oral function with dentures, is conducted for cancer patients in Japan, few studies have assessed its efficacy. The aim of the present study was to investigate the incidence of dental/oral complications in cancer patients with perioperative oral managements (POMs) based on a large number of case series with a multicenter retrospective analysis. The medical records of cancer patients with POMs were retrospectively reviewed and the incidence of oral complications and efficacy of oral management were investigated. A total of 2744 cancer patients with POMs (1684 males and 1080 females, mean age 65.9 ± 13.0 years) were included and investigated in the present study. Among these patients, 2097 (76.4%) started POM before the initiation of cancer treatments, with 2130 (77.6%) receiving oral care only and 391 (14.2%) being subjected to invasive treatments, such as tooth extraction. The incidence of dental focal infections during the period of cancer treatments was 8.2%. The most frequent infection was acute periodontitis, including alveolar abscesses (112 patients, 4.1%). The incidence of grade 2 and 3 oral mucositis was 2.8%. Prolonged fever was observed in 113 patients (4.1%), with 7 having dental focal infections (6.2%). These incidence rates were lower than those reported previously. Based on analyses of a large number of patients, the present results support the efficacy of oral management in cancer patients. However, further studies are needed to establish adequate oral management guidelines for cancer patients.
キーワード
cancer treatment
dental focal infection
perioperative oral management
risk factor
カテゴリ
医学研究科
学術雑誌論文
権利
© 2020 the Author(s). Published by Wolters Kluwer Health, Inc.
This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC), where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal.
詳細を表示
資源タイプ
journal article
言語
English (英語)
ISSN
0025-7974
OPACで所蔵を検索
CiNiiで学外所蔵を検索
eISSN
1536-5964
OPACで所蔵を検索
CiNiiで学外所蔵を検索
NCID
AA00728867
OPACで所蔵を検索
CiNiiで表示
関連情報
DOI
https://doi.org/10.1097/MD.0000000000019129
ホームへ戻る