Factors predicting survival after diagnosis of laryngeal cancer
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Factors predicting survival after diagnosis of laryngeal cancer. / Ramroth, Heribert; Schoeps, Anja; Rudolph, Elisabeth; Dyckhoff, Gerhard; Plinkert, Peter; Lippert, Burkhard; Feist, Klaus; Delank, Klaus-Wolfgang; Scheuermann, Klaus; Baier, Gerald; Ott, Ingo; Chenouda, Sami; Becher, Heiko; Dietz, Andreas.
in: ORAL ONCOL, Jahrgang 47, Nr. 12, 01.12.2011, S. 1154-8.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Factors predicting survival after diagnosis of laryngeal cancer
AU - Ramroth, Heribert
AU - Schoeps, Anja
AU - Rudolph, Elisabeth
AU - Dyckhoff, Gerhard
AU - Plinkert, Peter
AU - Lippert, Burkhard
AU - Feist, Klaus
AU - Delank, Klaus-Wolfgang
AU - Scheuermann, Klaus
AU - Baier, Gerald
AU - Ott, Ingo
AU - Chenouda, Sami
AU - Becher, Heiko
AU - Dietz, Andreas
N1 - Copyright © 2011 Elsevier Ltd. All rights reserved.
PY - 2011/12/1
Y1 - 2011/12/1
N2 - Survival in patients with laryngeal cancer has not increased remarkably within the last years. It is presumed that a variety of factors act jointly in predicting survival after diagnosis: tumour stage, tumour site, treatment approaches, age and comorbidities. The aim of this German clinical multi-centre study is to present results from multivariate analysis. A retrospective cohort study was conducted in four hospitals in South-West Germany. Incident cases with laryngeal squamous cell carcinoma were included for the years 1998 to 2004, resulting in a population sample of 594 patients. Multivariate regression analysis was performed using the Cox proportional hazards model. Patients were followed up for 64.1months on average. Overall 5-year survival was 66% (95% confidence interval (CI): 62-70%). The strongest risk factors in multivariate analysis were age at first diagnosis (hazard ratio (HR): 1.5; 95% CI: 1.5-1.7 per each additional 10years), tumour stage, and the development of recurrences (HR 3.1; 95% CI: 2.3-4.2) or second primary carcinomas (HR 2.1; 95% CI: 1.4-3.1). A somewhat weaker effect was shown for patients with comorbidities (using Charlson's comorbidity index). The choice of treatment did not strongly affect survival when adjusting for other factors, possibly because the optimal treatment approach was applied for the specific constitution and requirements of each patient. For future research it would be desirable to study the effect of treatment on quality of life in multivariate analysis as well as other modifiable risk factors as smoking and drinking reduction or cessation after diagnosis.
AB - Survival in patients with laryngeal cancer has not increased remarkably within the last years. It is presumed that a variety of factors act jointly in predicting survival after diagnosis: tumour stage, tumour site, treatment approaches, age and comorbidities. The aim of this German clinical multi-centre study is to present results from multivariate analysis. A retrospective cohort study was conducted in four hospitals in South-West Germany. Incident cases with laryngeal squamous cell carcinoma were included for the years 1998 to 2004, resulting in a population sample of 594 patients. Multivariate regression analysis was performed using the Cox proportional hazards model. Patients were followed up for 64.1months on average. Overall 5-year survival was 66% (95% confidence interval (CI): 62-70%). The strongest risk factors in multivariate analysis were age at first diagnosis (hazard ratio (HR): 1.5; 95% CI: 1.5-1.7 per each additional 10years), tumour stage, and the development of recurrences (HR 3.1; 95% CI: 2.3-4.2) or second primary carcinomas (HR 2.1; 95% CI: 1.4-3.1). A somewhat weaker effect was shown for patients with comorbidities (using Charlson's comorbidity index). The choice of treatment did not strongly affect survival when adjusting for other factors, possibly because the optimal treatment approach was applied for the specific constitution and requirements of each patient. For future research it would be desirable to study the effect of treatment on quality of life in multivariate analysis as well as other modifiable risk factors as smoking and drinking reduction or cessation after diagnosis.
KW - Adult
KW - Aged
KW - Aged, 80 and over
KW - Carcinoma, Squamous Cell
KW - Female
KW - Follow-Up Studies
KW - Germany
KW - Humans
KW - Laryngeal Neoplasms
KW - Male
KW - Middle Aged
KW - Prognosis
KW - Retrospective Studies
KW - Risk Factors
KW - Survival Analysis
U2 - 10.1016/j.oraloncology.2011.08.003
DO - 10.1016/j.oraloncology.2011.08.003
M3 - SCORING: Journal article
C2 - 21873105
VL - 47
SP - 1154
EP - 1158
JO - ORAL ONCOL
JF - ORAL ONCOL
SN - 1368-8375
IS - 12
ER -