PMID- 38482913
OWN - NLM
STAT- Publisher
LR  - 20240314
IS  - 1097-0347 (Electronic)
IS  - 1043-3074 (Linking)
DP  - 2024 Mar 14
TI  - Treatment discordance in the utilization of neck dissection for stage I-II 
      supraglottic tumors.
LID - 10.1002/hed.27736 [doi]
AB  - BACKGROUND: In 2018, the National Comprehensive Cancer Network treatment 
      guidelines began recommending the use of neck dissection during surgical 
      management of stage I-II supraglottic laryngeal squamous cell carcinoma (LSCC). 
      METHODS: Trends and factors associated with the use of neck dissection during 
      larynx-preserving surgery for patients with cT1-2, N0, M0 supraglottic LSCC in 
      the National Cancer Database (2004-2020) were evaluated using 
      multivariable-adjusted logistic regression. RESULTS: Of the 2080 patients who 
      satisfied study eligibility criteria, 633 (30.4%) underwent neck dissection. 
      Between 2018 and 2020, the rate of neck dissection was 39.0% (114/292). After 
      multivariable adjustment, academic facility type, undergoing biopsy prior to 
      surgery, and more radical surgery were significant predictors of receiving neck 
      dissection. CONCLUSIONS: The results of this national analysis suggest that the 
      utilization of guideline-concordant neck dissection for management of stage I-II 
      supraglottic LSCC remains low and highlight the need to promote the practice of 
      neck dissection for this patient population.
CI  - (c) 2024 Wiley Periodicals LLC.
FAU - Gilja, Shivee
AU  - Gilja S
AUID- ORCID: 0000-0001-5574-8620
AD  - Department of Otolaryngology - Head and Neck Surgery, Icahn School of Medicine at 
      Mount Sinai, New York, New York, USA.
FAU - Vasan, Vikram
AU  - Vasan V
AUID- ORCID: 0000-0003-2754-4107
AD  - Department of Otolaryngology - Head and Neck Surgery, Icahn School of Medicine at 
      Mount Sinai, New York, New York, USA.
FAU - Kumar, Arvind
AU  - Kumar A
AD  - Department of Otolaryngology - Head and Neck Surgery, Icahn School of Medicine at 
      Mount Sinai, New York, New York, USA.
FAU - Roof, Scott A
AU  - Roof SA
AD  - Department of Otolaryngology - Head and Neck Surgery, Icahn School of Medicine at 
      Mount Sinai, New York, New York, USA.
FAU - Genden, Eric M
AU  - Genden EM
AD  - Department of Otolaryngology - Head and Neck Surgery, Icahn School of Medicine at 
      Mount Sinai, New York, New York, USA.
FAU - Kirke, Diana N
AU  - Kirke DN
AD  - Department of Otolaryngology - Head and Neck Surgery, Icahn School of Medicine at 
      Mount Sinai, New York, New York, USA.
LA  - eng
PT  - Journal Article
DEP - 20240314
PL  - United States
TA  - Head Neck
JT  - Head & neck
JID - 8902541
SB  - IM
OTO - NOTNLM
OT  - elective neck dissection
OT  - guideline-concordant treatment
OT  - laryngeal squamous cell carcinoma
OT  - larynx-preserving surgery
OT  - supraglottic cancer
EDAT- 2024/03/14 12:43
MHDA- 2024/03/14 12:43
CRDT- 2024/03/14 08:07
PHST- 2024/02/27 00:00 [revised]
PHST- 2023/08/05 00:00 [received]
PHST- 2024/03/05 00:00 [accepted]
PHST- 2024/03/14 12:43 [medline]
PHST- 2024/03/14 12:43 [pubmed]
PHST- 2024/03/14 08:07 [entrez]
AID - 10.1002/hed.27736 [doi]
PST - aheadofprint
SO  - Head Neck. 2024 Mar 14. doi: 10.1002/hed.27736.