دورية أكاديمية
Treatment trends for advanced oropharyngeal squamous cell carcinoma in the era of human papillomavirus.
العنوان: | Treatment trends for advanced oropharyngeal squamous cell carcinoma in the era of human papillomavirus. |
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المؤلفون: | Mirza FA; Department of Otolaryngology - Head and Neck Surgery, Medical College of Georgia at Augusta University, Augusta, Georgia, USA., Johnson CZ; Department of Otolaryngology - Head and Neck Surgery, Medical College of Georgia at Augusta University, Augusta, Georgia, USA., Byrd JK; Department of Otolaryngology - Head and Neck Surgery, Medical College of Georgia at Augusta University, Augusta, Georgia, USA., Albergotti WG 3rd; Department of Otolaryngology - Head and Neck Surgery, Medical College of Georgia at Augusta University, Augusta, Georgia, USA. |
المصدر: | Head & neck [Head Neck] 2021 Nov; Vol. 43 (11), pp. 3476-3492. Date of Electronic Publication: 2021 Sep 09. |
نوع المنشور: | Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: John Wiley And Sons Country of Publication: United States NLM ID: 8902541 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1097-0347 (Electronic) Linking ISSN: 10433074 NLM ISO Abbreviation: Head Neck Subsets: MEDLINE |
أسماء مطبوعة: | Publication: New York, NY : John Wiley And Sons Original Publication: New York, NY : J. Wiley, c1989- |
مواضيع طبية MeSH: | Alphapapillomavirus* , Head and Neck Neoplasms* , Oropharyngeal Neoplasms*/surgery , Papillomavirus Infections*/epidemiology, Humans ; Papillomaviridae ; Squamous Cell Carcinoma of Head and Neck |
مستخلص: | Background: Given recent increase in prevalence of oropharyngeal squamous cell carcinoma (OPSCC) and advances in surgical capabilities, we sought to determine whether a change in frequency of surgery-based treatment for locally advanced OPSCC has occurred. Methods: Patients with T3-T4b OPSCC in the National Cancer Database diagnosed from 2010 to 2016 were categorized as receiving primary surgery or radiation-based therapy and stratified by human papillomavirus (HPV) status. Trends in treatment selection and factors associated with treatment type were examined. Results: 6566 patients with HPV-positive were included, of whom 489 (7.45%) received surgery and 4698 patients with HPV-negative, of whom 362 (7.71%) received surgery. The percentage of patients treated with surgery decreased from 11.8% to 5.9% for HPV-positive disease and from 9.8% to 6.3% for HPV-negative disease. Factors associated with surgery included younger age, health insurance, and treatment at academic centers. Conclusions: In HPV-positive and HPV-negative disease, the percentage of locally advanced OPSCC undergoing surgery-based therapy has decreased. (© 2021 Wiley Periodicals LLC.) |
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فهرسة مساهمة: | Keywords: chemoradiation; human papillomavirus; oropharynx; squamous cell carcinoma; transoral robotic surgery |
تواريخ الأحداث: | Date Created: 20210909 Date Completed: 20211028 Latest Revision: 20211028 |
رمز التحديث: | 20221213 |
DOI: | 10.1002/hed.26860 |
PMID: | 34499392 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1097-0347 |
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DOI: | 10.1002/hed.26860 |