The Effect of tumor subsite on short-term outcomes and costs of care after oral cancer surgery

Ryan Li, Carole Fakhry, Wayne M. Koch, Christine G. Gourin

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Objectives/Hypothesis To determine if epidemiologic differences exist between patients with oral tongue carcinoma compared to tumors arising from other oral cavity subsites, and the relationship between primary site and in-hospital mortality, postoperative complications, length of stay, and costs in patients undergoing surgery for oral cavity cancer. Study Design Retrospective cross-sectional study. Methods The Nationwide Inpatient Sample was analyzed for patients who underwent an ablative procedure for a malignant oral cavity neoplasm in 2001 to 2008 using cross-tabulations and multivariate regression modeling. Results Overall, there were 45,071 patients treated surgically for oral cavity cancer, with oral tongue cancer comprising 35% of all oral cavity tumors. Patients with oral tongue cancer were significantly more likely to be female (odds ratio [OR] = 1.4) and undergo neck dissection (OR = 1.4), and significantly less likely to be black (OR = 0.4), over 40 years of age (OR = 0.4), have Medicaid payer status (OR = 0.7), advanced comorbidity (OR = 0.7), receive care at a teaching hospital (OR = 0.5), and undergo pedicled or free flap reconstruction (OR = 0.6, P

Original languageEnglish (US)
Pages (from-to)1652-1659
Number of pages8
JournalLaryngoscope
Volume123
Issue number7
DOIs
StatePublished - Jul 2013
Externally publishedYes

Fingerprint

Oral Surgery
Mouth Neoplasms
Odds Ratio
Costs and Cost Analysis
Mouth
Neoplasms
Tongue Neoplasms
Surgical Flaps
Neck Dissection
Free Tissue Flaps
Medicaid
Hospital Mortality
Tongue
Teaching Hospitals
Comorbidity
Inpatients
Length of Stay
Retrospective Studies
Cross-Sectional Studies
Carcinoma

Keywords

  • complications
  • epidemiology
  • head and neck neoplasms
  • Nationwide Inpatient Sample
  • oral cavity neoplasms
  • Oral tongue neoplasm
  • surgery

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

The Effect of tumor subsite on short-term outcomes and costs of care after oral cancer surgery. / Li, Ryan; Fakhry, Carole; Koch, Wayne M.; Gourin, Christine G.

In: Laryngoscope, Vol. 123, No. 7, 07.2013, p. 1652-1659.

Research output: Contribution to journalArticle

Li, Ryan ; Fakhry, Carole ; Koch, Wayne M. ; Gourin, Christine G. / The Effect of tumor subsite on short-term outcomes and costs of care after oral cancer surgery. In: Laryngoscope. 2013 ; Vol. 123, No. 7. pp. 1652-1659.
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