Journal article
Impact of Surveillance on Survival After Laryngeal Cancer in the Medicare Population
The Laryngoscope, Vol.119(12), pp.2337-2344
12/01/2009
DOI: 10.1002/lary.20576
PMID: 19718759
Abstract
Objectives/Hypothesis: Routine surveillance is advocated to detect recurrent disease after treatment for laryngeal cancer. This aim of this study was to determine the 1- and 5-year postrecurrence mortality for laryngeal cancers and evaluate whether more intensive surveillance improved survival.
Study Design: Retrospective cohort study.
Methods: Patients with recurrent cancers (19921999) were identified in a national cancer clinical database. Multivariate analysis was used to evaluate the effect of surveillance on postrecurrence survival.
Results: Of 2,121 recurrent cancers identified, 913 were laryngeal. Patients with laryngeal cancer recurrence had 27% (P = .001) and 22% (P = .007) better odds of 1- and 5-year survival than other sites. The land 5-year postrecurrence survival rates for laryngeal cancer patients were 72.4% and 41.3%, respectively. Glottic cancer cases had the best postrecurrence life expectancy. Multivariate regression revealed that clinical surveillance intensity had no independent impact on their survival (P < .05). However, patients with recurrent glottic cancer seen in surveillance had 23% improved odds of survival (P = .037).
Conclusions: More frequent surveillance visits was not associated with a survival advantage in the overall population. Patients with glottic cancer had a postrecurrence survival advantage if seen during the surveillance period. Laryngeal cancer patients had better postrecurrence survival than other head and neck sites.
Details
- Title: Subtitle
- Impact of Surveillance on Survival After Laryngeal Cancer in the Medicare Population
- Creators
- David O. Francis - University of WashingtonBevan Yueh - University of MinnesotaErnest A. Weymuller - University of WashingtonAlbert L. Merati - University of Washington
- Resource Type
- Journal article
- Publication Details
- The Laryngoscope, Vol.119(12), pp.2337-2344
- DOI
- 10.1002/lary.20576
- PMID
- 19718759
- NLM abbreviation
- Laryngoscope
- ISSN
- 0023-852X
- eISSN
- 1531-4995
- Publisher
- Wiley
- Number of pages
- 8
- Language
- English
- Date published
- 12/01/2009
- Academic Unit
- Otolaryngology
- Record Identifier
- 9984966753102771
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