{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T15:16:34Z","timestamp":1780499794183,"version":"3.54.1"},"reference-count":42,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T00:00:00Z","timestamp":1771200000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T00:00:00Z","timestamp":1771200000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Head &amp;amp; Neck"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Elective neck dissection (END) is the standard treatment for early\u2010stage oral cavity squamous cell carcinoma (OCSCC). This study compared costs of sentinel lymph node biopsy (SLNB) and END from the Medicare payer perspective.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Thirty\u2010two patients with T1\u20102N0M0 OCSCC (16 SLNB and 16 END) treated at an academic institution from 2017 to 2025 were included.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      32 patients were included: median age 62, 46.9% male, 38% had adjuvant RT. The SLNB cohort had shorter operative time and length\u2010of\u2010stay. Four patients had reoperations: 2 after SLNB (completion neck dissection, tumor re\u2010resection) and 2 after END (neck hematomas). The SLNB cohort had lower costs for postoperative admission ($9567 vs. $12\u2009920,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.015). Total costs were not statistically different ($19\u2009777 vs. $22\u2009126,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.45). On break\u2010even analysis, SLNB with a completion ND rate\u2009\u2264\u200935% had lower costs than END.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Costs of SLNB were 10.6% less than END, and remained lower with completion ND rates \u2264\u200935%.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hed.70200","type":"journal-article","created":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T07:45:34Z","timestamp":1771314334000},"page":"1804-1812","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Cost Comparison of Sentinel Lymph Node Biopsy Versus Elective Neck Dissection in Early\u2010Stage Oral Cavity Squamous Cell Carcinoma"],"prefix":"10.1002","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0809-9143","authenticated-orcid":false,"given":"Shannon S.","family":"Wu","sequence":"first","affiliation":[{"name":"Stanford University School of Medicine Department of Otolaryngology\u2010Head and Neck Surgery  Palo Alto California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1867-994X","authenticated-orcid":false,"given":"Noel F.","family":"Ayoub","sequence":"additional","affiliation":[{"name":"Stanford University School of Medicine Department of Otolaryngology\u2010Head and Neck Surgery  Palo Alto California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6988-5658","authenticated-orcid":false,"given":"Michelle M.","family":"Chen","sequence":"additional","affiliation":[{"name":"Stanford University School of Medicine Department of Otolaryngology\u2010Head and Neck Surgery  Palo Alto California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2639-2132","authenticated-orcid":false,"given":"Andrey","family":"Finegersh","sequence":"additional","affiliation":[{"name":"Stanford University School of Medicine Department of Otolaryngology\u2010Head and Neck Surgery  Palo Alto California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8393-4196","authenticated-orcid":false,"given":"John B.","family":"Sunwoo","sequence":"additional","affiliation":[{"name":"Stanford University School of Medicine Department of Otolaryngology\u2010Head and Neck Surgery  Palo Alto California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9594-1414","authenticated-orcid":false,"given":"F. 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