Prognostic impact of elective tracheotomy in resected oral cavity squamous cell carcinoma: A nationwide cohort study

Autor: Ku‐Hao Fang, Chung‐Jan Kang, Li‐Yu Lee, Shu‐Hang Ng, Chien‐Yu Lin, Wen‐Cheng Chen, Jin‐Ching Lin, Yao‐Te Tsai, Shu‐Ru Lee, Chih‐Yen Chien, Chun‐Hung Hua, Cheng Ping Wang, Tsung‐Ming Chen, Shyuang‐Der Terng, Chi‐Ying Tsai, Hung‐Ming Wang, Chia‐Hsun Hsieh, Kang‐Hsing Fan, Chih‐Hua Yeh, Chih‐Hung Lin, Chung‐Kan Tsao, Nai‐Ming Cheng, Tuan‐Jen Fang, Shiang‐Fu Huang, Li‐Ang Lee, Yu‐Chien Wang, Wan‐Ni Lin, Li‐Jen Hsin, Tzu‐Chen Yen, Yu‐Wen Wen, Chun‐Ta Liao
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Cancer Medicine, Vol 13, Iss 12, Pp n/a-n/a (2024)
Druh dokumentu: article
ISSN: 2045-7634
DOI: 10.1002/cam4.7213
Popis: Abstract Background Elective tracheotomy is commonly performed in resected oral squamous cell carcinoma (OCSCC) to maintain airway patency. However, the indications for this procedure vary among surgeons. This nationwide study evaluated the impact of tracheotomy on both the duration of in‐hospital stay and long‐term survival outcomes in patients with OCSCC. Methods A total of 18,416 patients with OCSCC were included in the analysis, comprising 7981 patients who underwent elective tracheotomy and 10,435 who did not. The primary outcomes assessed were 5‐year disease‐specific survival (DSS) and overall survival (OS). To minimize potential confounding factors, a propensity score (PS)‐matched analysis was performed on 4301 patients from each group. The duration of hospital stay was not included as a variable in the PS‐matched analysis. Results Prior to PS matching, patients with tracheotomy had significantly lower 5‐year DSS and OS rates compared to those without (71% vs. 82%, p
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