Measuring Institutional Quality in Head and Neck Surgery Using Hospital-Level Data: Negative Margin Rates and Neck Dissection Yield.

ABSTRACT:

Importance

Negative margins and lymph node yields (LNY) of 18 or more from neck dissections in patients with head and neck squamous cell carcinomas (HNSCC) have been associated with improved patient survival. It is unclear whether these metrics can be used to identify hospitals with improved outcomes.

Objective

To determine whether 2 patient-level metrics would predict outcomes at the hospital level.

Design, setting, and participants

A retrospective review of records from the National Cancer Database (NCDB) was used to identify patients who underwent primary surgery and concurrent neck dissection for HNSCC between 2004 and 2013. The percentage of patients at each hospital with negative margins on primary resection and an LNY 18 or more from a neck dissection was quant

SUBMITTER: Schoppy DW 

PROVIDER: S-EPMC5710350 | biostudies-literature | 2017 Nov

REPOSITORIES: biostudies-literature