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

Research output: Contribution to journalArticlepeer-review


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 languageEnglish
Pages (from-to)738-745
Number of pages8
Issue number4
Publication statusPublished - Apr 2011


  • oropharyngeal neoplasms
  • squamous cell cancer
  • surgery.
  • Volume

ASJC Scopus subject areas

  • Otorhinolaryngology


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