Volume-based trends in surgical care of patients with oropharyngeal cancer

Christine G. Gourin; Arlene A. Forastiere; Giuseppe Sanguineti; Shanthi Marur; Wayne M. Koch; Robert E. Bristow

doi:10.1002/lary.21457

Volume-based trends in surgical care of patients with oropharyngeal cancer

Christine G. Gourin, Arlene A. Forastiere, Giuseppe Sanguineti, Shanthi Marur, Wayne M. Koch, Robert E. Bristow

Istituto Regina Elena

Research output: Contribution to journal › Article › peer-review

Abstract

Objective: Positive volume-outcome relationships exist for diseases treated with technically complex surgery. Contemporary patterns of oropharyngeal cancer surgery by hospital and surgeon volume are poorly defined. Methods: The Maryland Health Service Cost Review Commission database was queried for hospital and surgeon oropharyngeal cancer surgical case volumes from 1990 to 2009. Results: Overall, 1,534 oropharyngeal cancer surgeries were performed by 238 surgeons at 41 hospitals. Cases performed by high-volume surgeons increased from 18.9% in 1990 to 1999 to 24.8% in 2000 to 2009 (odds ratio [OR] = 1.5, P =.002), whereas cases performed at high-volume hospitals increased from 35.0% to 41.8% (OR = 1.7, P

Original language	English
Pages (from-to)	738-745
Number of pages	8
Journal	Laryngoscope
Volume	121
Issue number	4
DOIs	https://doi.org/10.1002/lary.21457
Publication status	Published - Apr 2011

Keywords

oropharyngeal neoplasms
squamous cell cancer
surgery.
Volume

ASJC Scopus subject areas

Otorhinolaryngology

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10.1002/lary.21457

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title = "Volume-based trends in surgical care of patients with oropharyngeal cancer",

abstract = "Objective: Positive volume-outcome relationships exist for diseases treated with technically complex surgery. Contemporary patterns of oropharyngeal cancer surgery by hospital and surgeon volume are poorly defined. Methods: The Maryland Health Service Cost Review Commission database was queried for hospital and surgeon oropharyngeal cancer surgical case volumes from 1990 to 2009. Results: Overall, 1,534 oropharyngeal cancer surgeries were performed by 238 surgeons at 41 hospitals. Cases performed by high-volume surgeons increased from 18.9% in 1990 to 1999 to 24.8% in 2000 to 2009 (odds ratio [OR] = 1.5, P =.002), whereas cases performed at high-volume hospitals increased from 35.0% to 41.8% (OR = 1.7, P ",

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AU - Gourin, Christine G.

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AU - Marur, Shanthi

AU - Koch, Wayne M.

AU - Bristow, Robert E.

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Volume-based trends in surgical care of patients with oropharyngeal cancer

Abstract

Keywords

ASJC Scopus subject areas

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