17 results on '"Stubbs, Vanessa C."'
Search Results
2. Predictors of nodal metastasis in sinonasal squamous cell carcinoma: A national cancer database analysis
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Ranasinghe, Viran J., Stubbs, Vanessa C., Reny, Danielle C., Fathy, Ramie, Brant, Jason A., and Newman, Jason G.
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- 2020
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3. Chapter 18 - Head and neck squamous cell carcinoma
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Thomas, Giovana R., Gross, Jennifer H., and Stubbs, Vanessa C.
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- 2022
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4. Second window indocyanine green for oropharyngeal tumours: A case series and comparison of near‐infrared camera systems.
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De Ravin, Emma, Carey, Ryan M., Stubbs, Vanessa C., Jaffe, Samantha, Lee, John Y. K., Rajasekaran, Karthik, and Newman, Jason G.
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HEAD & neck cancer ,INDOCYANINE green ,TUMORS ,SURGICAL margin ,CAMERAS ,RECTAL surgery - Abstract
We also did not conduct performance characterisation studies and relied upon imaging and infusion protocols from a prior proof of concept study.12 The fluorophore dose and imaging time points were not individually optimised for each of the imaging platforms, but these techniques have demonstrated efficacy in NIR imaging of multiple malignancies.14-16 Finally, our study relies upon the primary surgeon's subjective impression of tumour NIR fluorescence and adequate tumour-margin delineation, rather than a standardised, quantifiable measure of fluorescence. Head and neck cancer, indocyanine green dye, intraoperative imaging, optical imaging, near-infrared imaging, precision surgery In this study, we compared the performance of a surgical robot-integrated NIR camera system to a dedicated NIR imaging platform for SWIG imaging during TORS for OPSCC. Keywords: head and neck cancer; indocyanine green dye; intraoperative imaging; near-infrared imaging; optical imaging; precision surgery EN head and neck cancer indocyanine green dye intraoperative imaging near-infrared imaging optical imaging precision surgery 589 593 5 08/05/22 20220901 NES 220901 Key Points Prior studies demonstrated a failure to identify and localise head and neck cancers via near-infrared (NIR) imaging of indocyanine green (ICG) with a robot-integrated platform. [Extracted from the article]
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- 2022
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5. Transoral robotic surgery with neck dissection versus nonsurgical treatment in stage I and II human papillomavirus‐negative oropharyngeal cancer.
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Bollig, Craig A., Morris, Brian, and Stubbs, Vanessa C.
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NECK dissection ,SURGICAL robots ,OROPHARYNGEAL cancer ,PROPORTIONAL hazards models - Abstract
Background: Surgery + adjuvant therapy was shown to have improved overall survival (OS) versus nonsurgical treatment in T1‐T2N1‐N2b human papillomavirus (HPV)‐negative oropharyngeal cancer (OPC). Our objective was to compare OS in transoral robotic surgery (TORS) with neck dissection versus nonsurgical treatment for T1‐T2N0 HPV‐negative OPC. Methods: Patients with T1‐T2N0 HPV‐negative OPC were identified in the National Cancer Database. OS was compared between groups: (1) TORS with neck dissection +/− adjuvant therapy, (2) primary radiotherapy (>60 Gy) +/− chemotherapy using Kaplan–Meier and multivariable Cox proportional hazards models. Results: There were 665 (78.4%) patients treated nonsurgically and 183 (21.6%) patients in the TORS group. Adjusting for age, comorbidity score, facility type, tumor subsite, and tumor stage, primary nonsurgical treatment was associated with worse OS (hazard ratio: 1.90, 95% CI: 1.34–2.69). Conclusion: For T1‐T2N0 HPV‐negative OPC, TORS with neck dissection may be associated with a survival benefit over nonsurgical treatment. [ABSTRACT FROM AUTHOR]
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- 2022
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6. Sex bias exists in basic science and translational surgical research
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Yoon, Dustin Y., Mansukhani, Neel A., Stubbs, Vanessa C., Helenowski, Irene B., Woodruff, Teresa K., and Kibbe, Melina R.
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- 2014
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7. National Analysis of Oropharyngeal Salivary Gland Malignancies Treated With Transoral Robotic Surgery.
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Bollig, Craig A., Wang, Kevin, Llerena, Pablo, Puram, Sidharth V., Pipkorn, Patrik J., Jackson, Ryan S., and Stubbs, Vanessa C.
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Objectives: (1) To compare perioperative outcomes and overall survival of patients with oropharyngeal salivary gland malignancies (OPSGMs) treated with transoral robotic surgery (TORS) versus other approaches. (2) To identify clinical factors associated with a robotic surgical approach. Study Design: Retrospective analysis of the National Cancer Database (NCDB). Setting: NCDB. Methods: Data obtained from the NCDB were analyzed between 2010 and 2017 for patients with T1-T4a OPSGMs without distant metastases treated surgically. Patients were stratified by surgical approach (TORS vs nonrobotic), and clinicopathologic factors were compared with the t test or chi-square test for continuous or categorical variables, respectively. Overall survival was analyzed by patient demographics and clinical factors according to Kaplan-Meier and Cox proportional hazards models. Factors associated with TORS were assessed with logistic regression. Results: A total of 785 patients were analyzed. A non–soft palate primary site (odds ratio, 12.9; 95% CI, 6.6-25.2) and treatment at an academic facility (odds ratio, 2.0; 95% CI, 1.2-3.5) were independently associated with TORS. There were no significant differences in the positive margin rate, 30-day mortality, or overall survival between the groups. The 30-day unplanned readmission rate was higher in patients treated with TORS versus nonrobotic resections (5.8% vs 1.7%, P =.0004). When stratified by tumor subsite, there was a significant decrease in hospital length of stay in patients with tongue base tumors undergoing TORS versus nonrobotic resections (P =.029). Conclusion: This study suggests that TORS may be a viable treatment modality for appropriately selected patients with OPSGM. [ABSTRACT FROM AUTHOR]
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- 2022
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8. A rare pattern of local recurrence in the nasopharyngeal carcinoma: Case report
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Kim, Jongmyung, Mukherji, Suresh, Haigentz, Missak, Stubbs, Vanessa C., and Kim, Sung
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- 2023
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9. List of contributors
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Anderson, Matthew L., Beasley, Georgia M., Berchuck, Andrew, Brody, Jonathan R., Ciombor, Kristen K., Clarke, Jeffrey, Dave, Sandeep, Emmet, Matthew, Farrow, Norma E., Galal, Ahmed, Green, Michelle F., Gross, Jennifer H., Hari Ramalingam, Sendhilnathan, Harnden, Kathleen, Isaacs, James, Jia, Jingquan, Klempner, Samuel, M. Nanus, David, Madan, Ankit, Mauro, Lauren, McKinney, Matthew S., Mehta, Arnav, Montes de Oca, Mary Katherine, Odunsi, Kunle, Orlando, Lori A., Payne, Philip R.O., Pejovic, Tanja, Pennisi, Angela, Pishvaian, Michael J., Previs, Rebecca Ann, Reddy, Timothy E., Roth, Marc T., Shroff, Rachna, Spinosa, Daniel, Strickler, John H., Stubbs, Vanessa C., Therien, Aaron, Thomas, Giovana R., Tyler, Douglas S., Watson, Catherine H., Wu, R. Ryanne, and Zhu, Jason
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- 2022
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10. Ethical surgical triage of patients with head and neck cancer during the COVID‐19 pandemic.
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Civantos, Francisco J., Leibowitz, Jason M., Arnold, David J., Stubbs, Vanessa C., Gross, Jennifer H., Thomas, Giovana R., Sargi, Zoukaa, Casiano, Roy R., Franzmann, Elizabeth J., Weed, Donald, Perez, Cesar, Samuels, Michael, Goodman, Kenneth W., and Goodwin, W. Jarrard
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COVID-19 pandemic ,HEAD & neck cancer ,ADULT respiratory distress syndrome ,MEDICAL masks ,URBAN hospitals ,HIGH-frequency ventilation (Therapy) - Abstract
Background: Coronavirus has serially overtaken our metropolitan hospitals. At peak, patients with acute respiratory distress syndrome may outnumber mechanical ventilators. In our Miami Hospital System, COVID‐19 cases have multiplied for 4 weeks and elective surgery has been suspended. Methods: An Otolaryngologic Triage Committee was created to appropriately allocate resources to patients. Hospital ethicists provided support. Our tumor conference screened patients for nonsurgical options. Patients were tested twice for coronavirus before performing urgent contaminated operations. N95 masks and protective equipment were conserved when possible. Patients with low‐grade cancers were advised to delay surgery, and other difficult decisions were made. Results: Hundreds of surgeries were canceled. Sixty‐five cases screened over 3 weeks are tabulated. Physicians and patients expressed discomfort regarding perceived deviations from standards, but risk of COVID‐19 exposure tempered these discussions. Conclusions: We describe the use of actively managed surgical triage to fairly balance our patient's health with public health concerns. [ABSTRACT FROM AUTHOR]
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- 2020
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11. Intraoperative Imaging with Second Window Indocyanine Green for Head and Neck Lesions and Regional Metastasis.
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Stubbs, Vanessa C., Jaffe, Samantha, Rajasekaran, Karthik, Cannady, Steven B., Shanti, Rabie M., Lee, John Y. K., and Newman, Jason G.
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While optical imaging with near-infrared (NIR) fluorescent dye has been used in oncologic surgery, its use in the head and neck has not been established. We aimed to evaluate the feasibility of using NIR to visualize primary tumor and regional metastasis in head and neck malignancy. Patients undergoing resection of primary head and neck tumors were included in this pilot study. Each patient was injected with indocyanine green dye (ICG) the day prior to surgery. The VisionSense Iridium camera system was used to visualize the primary lesion, its margins, and neck dissection specimen intraoperatively. Fourteen patients were enrolled. Eighty-six percent of primary tumors showed fluorescence as compared with surrounding tissues. ICG positivity showed 100% sensitivity for pathologic nodes in 7 neck dissection specimens; however, for 3 patients, nonpathologic nodes also showed ICG positivity. NIR imaging with ICG dye can be considered for intraoperative imaging of head and neck lesions. [ABSTRACT FROM AUTHOR]
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- 2019
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12. Management of the Airway for Transoral Robotic Supraglottic Partial Laryngectomy.
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Stubbs, Vanessa C., Rajasekaran, Karthik, Gigliotti, Adam R., Mahmoud, Ahmad F., Brody, Robert M., Newman, Jason G., Rassekh, Christopher H., and Weinstein, Gregory S.
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LARYNGECTOMY ,AIRWAY (Anatomy) ,CHEMORADIOTHERAPY - Abstract
Introduction: Over the last several decades, transoral resection techniques for treatment of supraglottic lesions have become increasingly favored to reduce the need for either open transcervical resection or primary chemoradiation. Transoral robotic surgery (TORS) offers advantages in visualization, dissection control, and access to remove bulky tumors en bloc. However, the management of the airway for these cases tends to vary, without clear guidelines as to when a tracheostomy is necessary. Materials and Methods: A retrospective review of all patients who underwent transoral robotic supraglottic partial laryngectomy at a large academic center from May 2005 through December 2016 was performed. Airway management was examined, specifically as it pertains to whether a tracheostomy was performed at the time of surgery or otherwise. Demographic and tumor characteristics were also evaluated. Results: Sixty-three patients were included. Forty (63%) were male, the average age at surgery was 63.6, and the majority (90.5%) underwent resection for squamous cell carcinoma of the supraglottis. Thirty-nine patients (62%) underwent the procedure with standard endotracheal intubation using a wire-reinforced tube. Of these, four patients required subsequent tracheostomy- 2 for laryngeal edema postoperatively, one for airway management during a postoperative bleeding event, and one for laryngeal edema following initiation of adjuvant chemoradiation. Twenty patients (32%) underwent tracheostomy at the time of transoral resection for airway management, 17 of whom were decannulated an average of 12.2 weeks following surgery. Those who underwent tracheostomy at the time of surgery had a higher percentage of tumors involving multiple supraglottic subsites (p = 0.031), 85 vs. 54% in the group who did not undergo tracheostomy. No difference in age, BMI, clinical T-stage, or clinical N stage was found between the two groups. Conclusion: Performing a tracheostomy at the time of surgery should be considered for those patients with more extensive malignant disease (≥T2 tumors). While avoiding tracheostomy is often preferred by the patient, the maintenance of the patent airway peri- operatively should be first priority when considering airwaymanagement. Furthermore, as the majority of those patients receiving tracheostomy are decannulated within 4 months of surgery, the tracheostomy could be considered a short-term adjunct to the procedure. [ABSTRACT FROM AUTHOR]
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- 2018
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13. Determining If Sex Bias Exists in Human Surgical Clinical Research.
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Mansukhani, Neel A., Yoon, Dustin Y., Teter, Katherine A., Stubbs, Vanessa C., Helenowski, Irene B., Woodruff, Teresa K., and Kibbe, Melina R.
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- 2016
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14. Nasopharyngeal Angiofibroma: A Forgotten Entity in Older Patients.
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Stubbs, Vanessa C, Miller, Lauren E, Parasher, Arjun K, Glicksman, Jordan T, Adappa, Nithin D, and Palmer, James
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BLOOD-vessel tumors , *BRAIN , *NASAL cavity , *NOSE diseases , *NOSEBLEED , *RARE diseases , *RESPIRATORY diseases , *TUMOR classification , *CRANIAL sinuses , *MIDDLE age ,NASOPHARYNX tumors - Abstract
Introduction: Nasopharyngeal angiofibroma (NA) characteristically affects adolescent men. Although benign, these tumors can cause local destruction and surgical resection is warranted. Objective: We present a case of a 62-year-old man with nasal congestion and epistaxis, found to be a right NA on pathology. We also present a review of the available NA staging systems. Findings: In this case of NA, imaging revealed an aggressive, hypervascular mass in the nasal cavity with involvement of the middle cranial fossa and cavernous sinus. The patient underwent complete endoscopic surgical resection following vascular embolization. Conclusions: Although it is rare, NA should not be disregarded in the elderly population. [ABSTRACT FROM AUTHOR]
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- 2019
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15. Pectoralis major muscle flap use in a modern head and neck free flap practice.
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Miller LE, Stubbs VC, Silberthau KB, Rajasekaran K, Newman JG, Chalian AA, Shanti R, and Cannady SB
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- Aged, Female, Free Tissue Flaps trends, Humans, Male, Middle Aged, Reoperation, Retrospective Studies, Tissue and Organ Harvesting, Treatment Outcome, Free Tissue Flaps transplantation, Head and Neck Neoplasms surgery, Otorhinolaryngologic Surgical Procedures methods, Pectoralis Muscles surgery, Pectoralis Muscles transplantation, Plastic Surgery Procedures methods
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Purpose: Pectoralis major muscle flaps (PMMF) are a commonly used reconstructive modality to repair head and neck defects. As the use of free flap reconstruction is increasingly practiced in the head and neck, the role of the PMMF may be changing as well. This study sought to analyze indications and outcomes for PMMF following head and neck resections from one surgeon's experience., Materials and Methods: Retrospective review from December 1, 2013 through September 30, 2017 at a tertiary care academic medical center. Indications for the PMMF were examined as well as surgical outcomes. Basic demographic data, patient head and neck cancer history, history of radiation and/or chemotherapy, and history of previous reconstructive procedures were obtained and compared across all subjects., Results: Forty patients underwent a PMMF within the designated time frame. The majority of patients were male (83%) and the average age was 65 years (range 55.4-74.6 years). Of the 40 cases, 9 of the PMMFs were performed as primary reconstruction of the defect. In the remaining 31 cases, these flaps were utilized as a secondary reconstructive option following fistula formation (13), dehiscence (6), need for an additional flap for recurrent disease (6) infection (4), or major bleeding (2). In every case that it was utilized, the PMMF was the definitive reconstruction. Within the same time frame, 429 free flaps were performed by the same surgeon, with an average of 125 free flaps performed yearly. The rate of total flap failure overall was 3.9%. The other failed free flap reconstructive options used besides a PMMF were secondary free flaps (11), local wound care (4), or obturator placement (2). The secondary pectoralis flaps occurred following 7.2% of free flaps with total or partial failure that were performed within the same time range. The indications for the PMMF did not change or evolve during the time frame of the study., Conclusions: Although free flaps were performed with far greater frequency than PMMFs at our institution, the PMMF demonstrated continued utility as a secondary reconstructive option. For a surgeon who performs a high volume of free flaps, preservation of the pectoralis muscle and associated vasculature for possible later secondary reconstruction should be considered due to its strong efficacy., (Copyright © 2020 Elsevier Inc. All rights reserved.)
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- 2020
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16. Social determinants of health and survivorship in parotid cancer: An analysis of the National Cancer Database.
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Stubbs VC, Rajasekaran K, Cannady SB, Newman JG, Ibrahim SA, and Brant JA
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- Demography, Female, Humans, Male, Middle Aged, Social Class, United States, Parotid Neoplasms mortality, Social Determinants of Health, Survivorship
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Background: Given the rarity of parotid cancer, there is relatively few data published regarding outcomes. Utilizing the large sample population of the National Cancer Database (NCDB), we aim to examine the relationship between two key social determinants of health, demographics and socioeconomic status (SES), and parotid malignancy survival rates., Methods: Our analytic sample consists of patients with a diagnosis of primary malignancy of the parotid gland between 2004 and 2012 in the NCDB. We used univariable and multivariable Cox proportional hazard models to evaluate the relationship between overall survival rate and two key social determinants of health: demographics and SES., Results: 15,815 cases met inclusion criteria. Average age was 60.1 years and 8255 were male (52.2%). Median overall survival was 121 months with 5-year overall survival of 67.4%. Male sex and older age at diagnosis were associated with poorer overall survival (p < 0.0001). We found that Asian Americans compared to whites had better overall survival (HR 0.75; 95% CI [0.58-0.95]). Black patients had improved survival compared to whites on univariate (HR 0.71; 95% CI [0.64-0.79]); but not multivariate analysis. Hispanic ethnicity and higher education level were protective (HR 0.76 95% CI [0.63-0.91] and HR 0.84 95% CI [0.74-0.96], respectively). We found no significant survival association based on income level., Conclusion: In this national sample of patients with parotid malignancy, a rare form of cancer, we found a significant correlation between important social determinants of health and overall survival rate. Females, Asian-Americans, Hispanics, and patients with higher education level have better overall survival., (Copyright © 2019 Elsevier Inc. All rights reserved.)
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- 2020
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17. Impact of payer status on survival in parotid malignancy.
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Stubbs VC, Rajasekaran K, Chen J, Cannady SB, Brant JA, and Newman JG
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- Adult, Aged, Databases as Topic, Female, Humans, Male, Medicaid statistics & numerical data, Medically Uninsured statistics & numerical data, Medicare statistics & numerical data, Middle Aged, Neoplasm Staging, Parotid Neoplasms pathology, Retrospective Studies, Survival Rate, United States epidemiology, Healthcare Disparities, Insurance Coverage statistics & numerical data, Parotid Neoplasms mortality
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Objective: In the setting of current national healthcare reform, it becomes especially relevant to understand the current state of healthcare disparities with regards to insurance status. To determine the impact of payer status on survival in parotid malignancy, we utilized the National Cancer Database (NCDB)., Study Design: Retrospective database review., Setting: National Cancer Database (2004-2012)., Subjects and Methods: The NCDB was queried for cases of primary malignancy of the parotid gland between 2004 and 2012. The impact of payer status on overall survival was evaluated, as well as the relationship of insurance status with patient and tumor variables., Results: 15,815 cases met inclusion criteria. A majority had private insurance (47.8%), followed by Medicare (40.9%), Medicaid (5.0%), uninsured (3.2%) and other government sources (1.3%). Medicare patients had the lowest 5 and 10-year survival rates (50.7% (95% CI [49.3-52.1]) and 27.8% (95% CI [25.0-30.9]), respectively). On multivariable analysis, uninsured, Medicare, and Medicaid patients had worse overall survival than the privately insured (HR 1.42, 95% CI [1.17-1.74]; HR 1.29, 95% CI [1.17-1.42]; HR 1.36, 95% CI [1.13-1.62], respectively). Uninsured and Medicaid patients were more likely than the privately insured to present with advanced stage disease, nodal metastasis and longer times to treatment following diagnosis., Conclusion: In parotid malignancy, uninsured, Medicaid, and Medicare patients have worse survival outcomes compared to those with private insurance. Uninsured and Medicaid patients also present with more advanced stage disease and have increased wait times before definitive treatment is initiated., (Copyright © 2019 Elsevier Inc. All rights reserved.)
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- 2019
- Full Text
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