{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T14:45:43Z","timestamp":1786977943189,"version":"build-2736575974"},"reference-count":45,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2019,1,24]],"date-time":"2019-01-24T00:00:00Z","timestamp":1548288000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Head &amp; Neck"],"published-print":{"date-parts":[[2019,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Emergency departments are playing an increasing role in cancer management. Emergency department utilization by patients with head and neck cancer, however, is unknown.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The 2009\u20102011 Nationwide Emergency Department Sample was queried for patients with a principle diagnosis of head and neck cancer. Descriptive analysis was performed to characterize patient and hospital characteristics, outcomes, and charges. Logistic regression identified predictors of admission and mortality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 31\u2009390 patients were seen in the emergency department with head and neck cancer: 72.8% were admitted, 0.5% died in the emergency department, and 5.0% died during admission. Patients with cancer of unknown primary site had the greatest odds of admission (odds ration [OR]: 2.83;\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0.0001). Privately insured patients (OR: 1.78;\n                      <jats:italic>P<\/jats:italic>\n                      = 0.001), those from higher income zip codes (OR: 1.56;\n                      <jats:italic>P<\/jats:italic>\n                      = 0.008), and those with oropharyngeal cancer (OR: 2.02;\n                      <jats:italic>P<\/jats:italic>\n                      = 0.0003) had the greatest odds of death.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>These findings have direct implications for preventing unnecessary and costly emergency department visits, improving hospital and physician preparedness, and improving patient outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hed.25534","type":"journal-article","created":{"date-parts":[[2019,1,24]],"date-time":"2019-01-24T17:53:54Z","timestamp":1548352434000},"page":"1007-1015","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Morbidity and mortality among patients with head and neck cancer in the emergency department: A national perspective"],"prefix":"10.1002","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3818-0460","authenticated-orcid":false,"given":"Maxwell P.","family":"Kligerman","sequence":"first","affiliation":[{"name":"Department of Otolaryngology Stanford University  Palo Alto California"},{"name":"T.H. Chan Harvard School of Public Health  Boston Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosh K. V.","family":"Sethi","sequence":"additional","affiliation":[{"name":"Center for Global Surgery Evaluation Massachusetts Eye and Ear  Boston Massachusetts"},{"name":"Department of Otolaryngology Massachusetts Eye and Ear  Boston Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elliott D.","family":"Kozin","sequence":"additional","affiliation":[{"name":"Center for Global Surgery Evaluation Massachusetts Eye and Ear  Boston Massachusetts"},{"name":"Department of Otolaryngology Massachusetts Eye and Ear  Boston Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stacey T.","family":"Gray","sequence":"additional","affiliation":[{"name":"Center for Global Surgery Evaluation Massachusetts Eye and Ear  Boston Massachusetts"},{"name":"Department of Otolaryngology Massachusetts Eye and Ear  Boston Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark G.","family":"Shrime","sequence":"additional","affiliation":[{"name":"Center for Global Surgery Evaluation Massachusetts Eye and Ear  Boston Massachusetts"},{"name":"Department of Otolaryngology Massachusetts Eye and Ear  Boston Massachusetts"},{"name":"Program in Global Surgery and Social Change, Department of Global Health and Social Medicine Harvard Medical School  Boston Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,1,24]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21262"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21254"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10198-003-0204-3"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/djq495"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mayocp.2015.12.017"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2015.61.6995"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599814546112"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.091187"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/TME.0b013e318207e86a"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1038\/nrclinonc.2016.155"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-016-5696-z"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-012-1459-y"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.21022"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.24774"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.30212"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2015.12.023"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/cam4.546"},{"key":"e_1_2_7_19_1","unstructured":"Introduction to the HCUP Nationwide Emergency Department Sample (NEDS) 2009. Agency for Healthy Research and Quality Healthcare Cost and Utilization Project (HCUP); November 2015."},{"key":"e_1_2_7_20_1","unstructured":"Surveillance Epidemiology and End Results Program (SEER). In: National Cancer Institute; 2010."},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2014.55.6258"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(08)70032-9"},{"key":"e_1_2_7_23_1","unstructured":"A Snapshot of Head and Neck Cancer. 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