{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,8]],"date-time":"2026-02-08T15:04:20Z","timestamp":1770563060259,"version":"3.49.0"},"reference-count":33,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2011,3,23]],"date-time":"2011-03-23T00:00:00Z","timestamp":1300838400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2011,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective:<\/jats:title><jats:p>To evaluate the impact of surgeon and hospital case volume and other related variables on short\u2010term outcomes after surgery for oropharyngeal cancer.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods:<\/jats:title><jats:p>The Maryland Health Service Cost Review Commission database was queried for oropharyngeal cancer surgical case volumes from 1990 to 2009. Multivariable regression models were used to identify significant associations between surgeon and hospital case volume, as well as independent variables predictive of in\u2010hospital death, postoperative wound complications, length of hospitalization, and hospital\u2010related cost of care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results:<\/jats:title><jats:p>Overall, 1,534 oropharyngeal cancer surgeries were performed during the study period. Complete financial data was available for 1,482 oropharyngeal cancer surgeries, performed by 233 surgeons at 36 hospitals. The only independently significant factors associated with the risk of in\u2010hospital death were an APR\u2010DRG mortality risk score of 4 (odds ratio [OR] = 14.0, <jats:italic>P<\/jats:italic> &lt; .001) and total glossectomy (OR = 5.6, <jats:italic>P<\/jats:italic> = .020). Wound fistula or dehiscence was associated with an increased mortality risk score (OR = 5.9, <jats:italic>P<\/jats:italic> &lt; .001), total glossectomy (OR = 6.9, <jats:italic>P<\/jats:italic> &lt; .001), mandibulectomy (OR = 3.4, <jats:italic>P<\/jats:italic> &lt; .001), and flap reconstruction (OR = 2.1, <jats:italic>P<\/jats:italic> = .038). Increased mortality risk score, total glossectomy, pharyngectomy, mandibulectomy, flap reconstruction, neck dissection, and Black race were associated with an increased length of stay and hospital\u2010related costs. After controlling for all other variables, a statistically significant negative correlation was observed between surgery at a high\u2010volume hospital and length of hospitalization and hospital\u2010related costs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions:<\/jats:title><jats:p>After controlling for other factors, high\u2010volume hospital care is associated with a shorter length of hospitalization and lower hospital\u2010related cost of care for oropharyngeal cancer surgery. Laryngoscope, 2011<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.21456","type":"journal-article","created":{"date-parts":[[2011,3,23]],"date-time":"2011-03-23T18:51:36Z","timestamp":1300906296000},"page":"746-752","source":"Crossref","is-referenced-by-count":34,"title":["Impact of surgeon and hospital volume on short\u2010term outcomes and cost of oropharyngeal cancer surgical care"],"prefix":"10.1002","volume":"121","author":[{"given":"Christine G.","family":"Gourin","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arlene A.","family":"Forastiere","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giuseppe","family":"Sanguineti","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shanthi","family":"Marur","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wayne M.","family":"Koch","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert E.","family":"Bristow","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2011,3,23]]},"reference":[{"key":"e_1_2_7_2_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsa012337"},{"key":"e_1_2_7_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000252402.33814.dd"},{"key":"e_1_2_7_4_2","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.138.7.721"},{"key":"e_1_2_7_5_2","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-008-0025-9"},{"key":"e_1_2_7_6_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsa035205"},{"key":"e_1_2_7_7_2","doi-asserted-by":"publisher","DOI":"10.1067\/msy.2001.117139"},{"key":"e_1_2_7_8_2","doi-asserted-by":"publisher","DOI":"10.1067\/msy.2001.117136"},{"key":"e_1_2_7_9_2","doi-asserted-by":"publisher","DOI":"10.1002\/hed.21072"},{"key":"e_1_2_7_10_2","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-008-0191-9"},{"key":"e_1_2_7_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s002680010221"},{"key":"e_1_2_7_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-007-9347-1"},{"key":"e_1_2_7_13_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.6741"},{"key":"e_1_2_7_14_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-199809000-00005"},{"key":"e_1_2_7_15_2","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e3181a77cb3"},{"key":"e_1_2_7_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2007.09.003"},{"key":"e_1_2_7_17_2","doi-asserted-by":"publisher","DOI":"10.1002\/lary.20167"},{"key":"e_1_2_7_18_2","article-title":"Volume\u2010based trends in oropharyngeal cancer surgery","author":"Gourin CG","journal-title":"Laryngoscope"},{"key":"e_1_2_7_19_2","unstructured":"The Maryland Health Services Cost Review Commission: Hospital reports and financial data. 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