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The Effectiveness of Pre-Operative Screening Tests in Determining Viral Infections in Patients Undergoing Oral and Maxillofacial Surgery
We analyzed the rate of patients with hepatitis B virus (HBV), hepatitis C virus (HCV), or human immunodeficiency virus (HIV) infection diagnosed by pre-operative screening and estimated its cost. We retrospectively analyzed patients who underwent elective surgery at our maxillofacial surgery depart...
Autores principales: | , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9324129/ https://www.ncbi.nlm.nih.gov/pubmed/35885875 http://dx.doi.org/10.3390/healthcare10071348 |
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author | Sukegawa, Shintaro Sukegawa, Yuka Hasegawa, Kazuaki Ono, Sawako Nakamura, Tomoya Fujimura, Ai Fujisawa, Ayaka Nakano, Keisuke Takabatake, Kiyofumi Kawai, Hotaka Mukainaka, Yumika Nagatsuka, Hitoshi Furuki, Yoshihiko |
author_facet | Sukegawa, Shintaro Sukegawa, Yuka Hasegawa, Kazuaki Ono, Sawako Nakamura, Tomoya Fujimura, Ai Fujisawa, Ayaka Nakano, Keisuke Takabatake, Kiyofumi Kawai, Hotaka Mukainaka, Yumika Nagatsuka, Hitoshi Furuki, Yoshihiko |
author_sort | Sukegawa, Shintaro |
collection | PubMed |
description | We analyzed the rate of patients with hepatitis B virus (HBV), hepatitis C virus (HCV), or human immunodeficiency virus (HIV) infection diagnosed by pre-operative screening and estimated its cost. We retrospectively analyzed patients who underwent elective surgery at our maxillofacial surgery department between April 2014 and March 2022. We compared the number of patients with each infection identified by pre-operative screening and a pre-operative questionnaire. We also compared the prevalence of infections with varying age, sex, and oral diseases, and calculated the cost of screening per positive result. The prevalence of HBV, HCV, and HIV was 0.39% (62/15,842), 0.76% (153/15,839), and 0.07% (10/12,745), respectively. The self-reported rates were as follows: HBV, 63.4% (26/41); HCV, 50.4% (62/123); HIV, 87.5% (7/8). Differences in sex were statistically significant for all infectious diseases; age significantly affected HBV and HCV rates. There was no association between the odds ratio of oral disease and viral infections. The cost per positive result was $1873.8, $905.8, and $11,895.3 for HBV, HCV, and HIV, respectively. Although self-assessment using questionnaires is partially effective, it has inadequate screening accuracy. Formulating an auxiliary diagnosis of infectious diseases with oral diseases was challenging. The cost determined was useful for hepatitis, but not HIV. |
format | Online Article Text |
id | pubmed-9324129 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-93241292022-07-27 The Effectiveness of Pre-Operative Screening Tests in Determining Viral Infections in Patients Undergoing Oral and Maxillofacial Surgery Sukegawa, Shintaro Sukegawa, Yuka Hasegawa, Kazuaki Ono, Sawako Nakamura, Tomoya Fujimura, Ai Fujisawa, Ayaka Nakano, Keisuke Takabatake, Kiyofumi Kawai, Hotaka Mukainaka, Yumika Nagatsuka, Hitoshi Furuki, Yoshihiko Healthcare (Basel) Article We analyzed the rate of patients with hepatitis B virus (HBV), hepatitis C virus (HCV), or human immunodeficiency virus (HIV) infection diagnosed by pre-operative screening and estimated its cost. We retrospectively analyzed patients who underwent elective surgery at our maxillofacial surgery department between April 2014 and March 2022. We compared the number of patients with each infection identified by pre-operative screening and a pre-operative questionnaire. We also compared the prevalence of infections with varying age, sex, and oral diseases, and calculated the cost of screening per positive result. The prevalence of HBV, HCV, and HIV was 0.39% (62/15,842), 0.76% (153/15,839), and 0.07% (10/12,745), respectively. The self-reported rates were as follows: HBV, 63.4% (26/41); HCV, 50.4% (62/123); HIV, 87.5% (7/8). Differences in sex were statistically significant for all infectious diseases; age significantly affected HBV and HCV rates. There was no association between the odds ratio of oral disease and viral infections. The cost per positive result was $1873.8, $905.8, and $11,895.3 for HBV, HCV, and HIV, respectively. Although self-assessment using questionnaires is partially effective, it has inadequate screening accuracy. Formulating an auxiliary diagnosis of infectious diseases with oral diseases was challenging. The cost determined was useful for hepatitis, but not HIV. MDPI 2022-07-20 /pmc/articles/PMC9324129/ /pubmed/35885875 http://dx.doi.org/10.3390/healthcare10071348 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Sukegawa, Shintaro Sukegawa, Yuka Hasegawa, Kazuaki Ono, Sawako Nakamura, Tomoya Fujimura, Ai Fujisawa, Ayaka Nakano, Keisuke Takabatake, Kiyofumi Kawai, Hotaka Mukainaka, Yumika Nagatsuka, Hitoshi Furuki, Yoshihiko The Effectiveness of Pre-Operative Screening Tests in Determining Viral Infections in Patients Undergoing Oral and Maxillofacial Surgery |
title | The Effectiveness of Pre-Operative Screening Tests in Determining Viral Infections in Patients Undergoing Oral and Maxillofacial Surgery |
title_full | The Effectiveness of Pre-Operative Screening Tests in Determining Viral Infections in Patients Undergoing Oral and Maxillofacial Surgery |
title_fullStr | The Effectiveness of Pre-Operative Screening Tests in Determining Viral Infections in Patients Undergoing Oral and Maxillofacial Surgery |
title_full_unstemmed | The Effectiveness of Pre-Operative Screening Tests in Determining Viral Infections in Patients Undergoing Oral and Maxillofacial Surgery |
title_short | The Effectiveness of Pre-Operative Screening Tests in Determining Viral Infections in Patients Undergoing Oral and Maxillofacial Surgery |
title_sort | effectiveness of pre-operative screening tests in determining viral infections in patients undergoing oral and maxillofacial surgery |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9324129/ https://www.ncbi.nlm.nih.gov/pubmed/35885875 http://dx.doi.org/10.3390/healthcare10071348 |
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