Survival benefit for patients treated in a certified head and neck tumor center

Journal article


Publication Details

Author(s): von Wilmowsky C, Traxdorf M, Adler W, Neukam FW, Iro H, Nkenke E, Kesting MR, Wurm M
Journal: European Review For Medical and Pharmacological Sciences
Publication year: 2019
Volume: 23
Journal issue: 7
Pages range: 2863-2869
ISSN: 1128-3602


Abstract

OBJECTIVE: Increasing effort has been put in the implementation and certification of head and neck tumor centers in order to establish standardized, quality assured health care for head and neck tumor patients. This study evaluated survival rates after treatment in a certified head and neck tumor center (CHNTC) vs. a non-certified head and neck tumor center (non-CHNTC) in Middle Franconia, Germany. PATIENTS AND METHODS: Age, sex, possible obituary, and typical relevant prognostic variables were analyzed. Diagnosis was recorded according to ICD10. Clinical and pathological TNM staging, tumor grading, localization, R-stage, and morphology were assessed (ICD-0). Patients diagnosed with oral cancer (N=1047) were divided into groups based on where they received their primary treatment; CHNTCs or non-CHNTCs. RESULTS: Patients treated at CHNTCs had sig - nificantly higher survival rates vs. those treated at non-CHNTC (p=0.023) in univariate analysis. In a Cox regression model, survival rates for patients with pN0 and pN+ stage were similar at both types of centers. Men with pN0 had significantly lower survival rates (HR=0.497, p<0.001). Age had a statistically significant influence on survival rates independently from pN stage (HR=1.031 per year, p<0.001 in both groups). CONCLUSIONS: Patients treated at CHNTC had better survival rates than those treated at non-CHNTC.


FAU Authors / FAU Editors

Adler, Werner PD Dr.
Lehrstuhl für Biometrie und Epidemiologie
Iro, Heinrich Prof. Dr.
Lehrstuhl für Hals-, Nasen- und Ohrenheilkunde
Kesting, Marco Rainer Prof. Dr. Dr.
Lehrstuhl für Zahnmedizin, insbesondere Mund-, Kiefer-, und Gesichtschirurgie
Neukam, Friedrich Wilhelm Prof. Dr. Dr.
Medizinische Fakultät
Traxdorf, Maximilian Dr.
Medizinische Fakultät
von Wilmowsky, Cornelius PD Dr.
Mund-, Kiefer- und Gesichtschirurgische Klinik
Wurm, Matthias Dr.
Mund-, Kiefer- und Gesichtschirurgische Klinik


External institutions with authors

Medizinische Universität Wien


How to cite

APA:
von Wilmowsky, C., Traxdorf, M., Adler, W., Neukam, F.W., Iro, H., Nkenke, E.,... Wurm, M. (2019). Survival benefit for patients treated in a certified head and neck tumor center. European Review For Medical and Pharmacological Sciences, 23(7), 2863-2869. https://dx.doi.org/10.26355/eurrev_201904_17564

MLA:
von Wilmowsky, Cornelius, et al. "Survival benefit for patients treated in a certified head and neck tumor center." European Review For Medical and Pharmacological Sciences 23.7 (2019): 2863-2869.

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Last updated on 2019-17-05 at 09:23