Impact of Young Age on the Prognosis for Oral Cancer: A Population-Based Study in Taiwan

Autor: Ching-Chih Lee, Chun-Ming Chang, Yu-Chieh Su, Li-Fu Chen, Ting-Shou Chang, Pesus Chou, Hsu-Chieh Ho
Rok vydání: 2013
Předmět:
Zdroj: PLoS ONE, Vol 8, Iss 9, p e75855 (2013)
PLoS ONE
ISSN: 1932-6203
DOI: 10.1371/journal.pone.0075855
Popis: BACKGROUND: Oral cancer leads to a considerable use of health care resources. Wide resection of the tumor and reconstruction with a pedicle flap/ free flap is widely used. This study was conducted to investigate if young age at the time of diagnosis of oral cancer requiring this treatment confers a worse prognosis. METHODS: A total of 2339 patients who underwent resections for oral cancer from 2004 to 2005 were identified from The Taiwan National Health Insurance Research Database. Survival analysis, Cox proportional regression model, propensity scores, and sensitivity test were used to evaluate the association between 5-year survival rates and age. RESULTS: In the Cox proportional regression model, the older age group (>65 years) had the worst survival rate (hazard ratio [HR], 1.80; 95% confidence interval [CI], 1.45-2.22; P65 years), compared to those with younger age (
Databáze: OpenAIRE