The Impact of Facility Type and Volume on Outcomes in Head and Neck Mucosal Melanoma

The Impact of Facility Type and Volume on Outcomes in Head and Neck Mucosal Melanoma

Objective To evaluate differences in treatment outcomes for head and neck mucosal melanoma (HNMM) patients seen at academic versus nonacademic centers and high versus low volume facilities. Study Design Retrospective cohort study. Setting National Cancer Database. Methods Differences in treatment co...

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Veröffentlicht in:Otolaryngology-head and neck surgery 2023-05, Vol.168 (5), p.1079-1088
Hauptverfasser: Roman, Kelsey M., Torabi, Sina J., Bitner, Benjamin F., Goshtasbi, Khodayar, Haidar, Yarah M., Tjoa, Tjoson, Kuan, Edward C.
Format: Artikel
Sprache:eng
Schlagworte:
academic facilities
facility type
facility volume
head and neck
Head and Neck Neoplasms - surgery
Humans
Melanoma - surgery
mucosal melanoma
Proportional Hazards Models
Retrospective Studies
Treatment Outcome
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Zusammenfassung:Objective To evaluate differences in treatment outcomes for head and neck mucosal melanoma (HNMM) patients seen at academic versus nonacademic centers and high versus low volume facilities. Study Design Retrospective cohort study. Setting National Cancer Database. Methods Differences in treatment course and overall survival (OS) by facility type and volume were assessed for 2772 HNMM cases reported by the 2004 to 2017 National Cancer Database. A subgroup analysis was performed with a smaller cohort containing staging data. The analysis employed Kaplan‐Meier and Cox proportional hazards models. Results A higher proportion of patients treated at academic centers within the HNMM cohort waited longer for surgery after diagnosis (p 
ISSN:0194-5998
1097-6817
DOI:10.1002/ohn.173