Postoperative radiation performed at the same surgical facility associated with improved overall survival in oral cavity squamous cell carcinoma

Arya Amini, William A. Stokes, Bernard L. Jones, Sagus Sampath, Robert S. Kang, Thomas J. Gernon, Ellie G. Maghami, Erminia Massarelli, Cathy J. Bradley, Sana D. Karam

Research output: Contribution to journalArticlepeer-review

4 Scopus citations

Abstract

Background: The purpose of this analysis is to evaluate whether postoperative radiotherapy (PORT) at the same facility as surgery portends to better survival outcomes compared to PORT given at a different facility. Methods: Patients underwent upfront surgery at the National Cancer Database reporting facility followed by PORT. PORT was coded as performed at either the same facility or at a different facility as surgery. Results: A total of 10 832 patients were selected. Five-year overall survival (OS) was higher in patients undergoing PORT at the same facility: 52.5% vs 48.4% (P < 0.001). PORT performed at the same facility was associated with improved OS under multivariate (HR, 0.92; P = 0.01) and propensity score matched (hazard ratio, 0.90; P = 0.004) analyses. Conclusions: OS was better among patients with head and neck cancer who received PORT at the same facility as surgery.

Original languageEnglish (US)
Pages (from-to)2299-2308
Number of pages10
JournalHead and Neck
Volume41
Issue number7
DOIs
StatePublished - Jul 2019

Keywords

  • National Cancer Database (NCDB)
  • facility location
  • oral cavity cancer
  • outcomes
  • postoperative radiation therapy (PORT)

ASJC Scopus subject areas

  • Otorhinolaryngology

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