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 |
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Pages (from-to) | 738-745 |
Number of pages | 8 |
Journal | Laryngoscope |
Volume | 121 |
Issue number | 4 |
DOIs | |
Publication status | Published - Apr 2011 |
Keywords
- oropharyngeal neoplasms
- squamous cell cancer
- surgery.
- Volume
ASJC Scopus subject areas
- Otorhinolaryngology