{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,24]],"date-time":"2025-10-24T07:59:52Z","timestamp":1761292792301},"reference-count":40,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2011,3,10]],"date-time":"2011-03-10T00:00:00Z","timestamp":1299715200000},"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>Positive volume\u2013outcome relationships exist for diseases treated with technically complex surgery. Contemporary patterns of oropharyngeal cancer surgery by hospital and surgeon volume are poorly defined.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods:<\/jats:title><jats:p>The Maryland Health Service Cost Review Commission database was queried for hospital and surgeon oropharyngeal cancer surgical case volumes from 1990 to 2009.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results:<\/jats:title><jats:p>Overall, 1,534 oropharyngeal cancer surgeries were performed by 238 surgeons at 41 hospitals. Cases performed by high\u2010volume surgeons increased from 18.9% in 1990 to 1999 to 24.8% in 2000 to 2009 (odds ratio [OR] = 1.5, <jats:italic>P<\/jats:italic> = .002), whereas cases performed at high\u2010volume hospitals increased from 35.0% to 41.8% (OR = 1.7, <jats:italic>P<\/jats:italic> &lt;.001). High\u2010volume surgeons were significantly associated with university hospitals (OR = 25.9, <jats:italic>P<\/jats:italic> &lt; .001) and were more likely to perform partial glossectomy (OR = 1.8, <jats:italic>P<\/jats:italic> = .002), total glossectomy (OR = 3.8, <jats:italic>P<\/jats:italic> &lt; .001), and neck dissection (OR = 2.3, <jats:italic>P<\/jats:italic> &lt; .001). High\u2010volume hospitals were significantly associated with tonsillectomy (OR = 3.0, <jats:italic>P<\/jats:italic> &lt; .001), partial glossectomy (OR = 1.4, <jats:italic>P<\/jats:italic> = .044), total glossectomy (OR = 4.3, <jats:italic>P<\/jats:italic> &lt; .001), neck dissection (OR = 3.1, <jats:italic>P<\/jats:italic> &lt; .001), flap reconstruction (OR = 1.9, <jats:italic>P<\/jats:italic> = .028), and prior radiation (OR = 5.0, <jats:italic>P<\/jats:italic> &lt; .001). After controlling for other variables, oropharyngeal cancer surgery in 2000 to 2009 was associated with increased utilization of university hospitals (OR = 1.7, <jats:italic>P<\/jats:italic> &lt; .001), increased mortality risk scores (OR = 3.1, <jats:italic>P<\/jats:italic> = .022), prior radiation (OR = 4.9, <jats:italic>P<\/jats:italic> = .011), and a decrease in partial glossectomy (OR = 0.5, <jats:italic>P<\/jats:italic> &lt; .001), total glossectomy (OR = 0.4, <jats:italic>P<\/jats:italic> = .004), pharyngectomy (OR = 0.6, <jats:italic>P<\/jats:italic> = .007), and mandibulectomy (OR = 0.6, <jats:italic>P<\/jats:italic> = .022) procedures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions:<\/jats:title><jats:p>The proportion of oropharyngeal cancer surgery patients treated by high\u2010volume surgeons and hospitals increased significantly from 1990 to 1999 to 2000 to 2009, with a decrease in partial glossectomy, total glossectomy, pharyngectomy, and mandibulectomy procedures. These findings may be due to changing trends in the primary management of oropharyngeal cancer. Laryngoscope, 2011<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.21457","type":"journal-article","created":{"date-parts":[[2011,3,10]],"date-time":"2011-03-10T23:57:14Z","timestamp":1299801434000},"page":"738-745","source":"Crossref","is-referenced-by-count":9,"title":["Volume\u2010based trends in surgical care of patients with oropharyngeal cancer"],"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 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