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Mortality during In-Hospital Treatment for Head and Neck Cancer in Germany: A Diagnosis-Related Group-Based Nationwide Analysis, 2005–2018
BACKGROUND: Data on in-hospital MR (IHMR) of head and neck cancer (HNC) are sparse. METHODS: IHMR was determined in Germany between 2005 and 2018 using nationwide population-based diagnosis-related group (DRG) data of 1,090,596 HNC. RESULTS: The overall average IHMR was 0.04 ± 0.02. IHMR increased w...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9509216/ https://www.ncbi.nlm.nih.gov/pubmed/36164347 http://dx.doi.org/10.1155/2022/1387860 |
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author | Hermanns, Isabel Kouka, Mussab Schlattmann, Peter Guntinas-Lichius, Orlando |
author_facet | Hermanns, Isabel Kouka, Mussab Schlattmann, Peter Guntinas-Lichius, Orlando |
author_sort | Hermanns, Isabel |
collection | PubMed |
description | BACKGROUND: Data on in-hospital MR (IHMR) of head and neck cancer (HNC) are sparse. METHODS: IHMR was determined in Germany between 2005 and 2018 using nationwide population-based diagnosis-related group (DRG) data of 1,090,596 HNC. RESULTS: The overall average IHMR was 0.04 ± 0.02. IHMR increased with older age to 0.04 ± 0.01 for patients of 65-79 years of age (relative risk [RR] in relation to patients of 35-49 years of age = 1.767; 95%confidence interval [CI] = 1.040 to3.001) to a maximum of 0.07 ± 0.01 for patients of 80 years and older (RR = 2.826; CI = 1.663 to 4.803). IHMR was the highest when no HNC-specific treatment, i.e., best supportive and palliative care, was applied (0.11 ± 0.01; RR in relation to tumor biopsy surgery = 7.241; CI = 3.447 to 5.211). IHMR was not different between surgery, radiotherapy, or chemotherapy/biologicals. CONCLUSIONS: IHMR did not change over time. Efforts are needed to decrease the IHMR for HNC. |
format | Online Article Text |
id | pubmed-9509216 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Hindawi |
record_format | MEDLINE/PubMed |
spelling | pubmed-95092162022-09-25 Mortality during In-Hospital Treatment for Head and Neck Cancer in Germany: A Diagnosis-Related Group-Based Nationwide Analysis, 2005–2018 Hermanns, Isabel Kouka, Mussab Schlattmann, Peter Guntinas-Lichius, Orlando J Oncol Research Article BACKGROUND: Data on in-hospital MR (IHMR) of head and neck cancer (HNC) are sparse. METHODS: IHMR was determined in Germany between 2005 and 2018 using nationwide population-based diagnosis-related group (DRG) data of 1,090,596 HNC. RESULTS: The overall average IHMR was 0.04 ± 0.02. IHMR increased with older age to 0.04 ± 0.01 for patients of 65-79 years of age (relative risk [RR] in relation to patients of 35-49 years of age = 1.767; 95%confidence interval [CI] = 1.040 to3.001) to a maximum of 0.07 ± 0.01 for patients of 80 years and older (RR = 2.826; CI = 1.663 to 4.803). IHMR was the highest when no HNC-specific treatment, i.e., best supportive and palliative care, was applied (0.11 ± 0.01; RR in relation to tumor biopsy surgery = 7.241; CI = 3.447 to 5.211). IHMR was not different between surgery, radiotherapy, or chemotherapy/biologicals. CONCLUSIONS: IHMR did not change over time. Efforts are needed to decrease the IHMR for HNC. Hindawi 2022-09-17 /pmc/articles/PMC9509216/ /pubmed/36164347 http://dx.doi.org/10.1155/2022/1387860 Text en Copyright © 2022 Isabel Hermanns et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Hermanns, Isabel Kouka, Mussab Schlattmann, Peter Guntinas-Lichius, Orlando Mortality during In-Hospital Treatment for Head and Neck Cancer in Germany: A Diagnosis-Related Group-Based Nationwide Analysis, 2005–2018 |
title | Mortality during In-Hospital Treatment for Head and Neck Cancer in Germany: A Diagnosis-Related Group-Based Nationwide Analysis, 2005–2018 |
title_full | Mortality during In-Hospital Treatment for Head and Neck Cancer in Germany: A Diagnosis-Related Group-Based Nationwide Analysis, 2005–2018 |
title_fullStr | Mortality during In-Hospital Treatment for Head and Neck Cancer in Germany: A Diagnosis-Related Group-Based Nationwide Analysis, 2005–2018 |
title_full_unstemmed | Mortality during In-Hospital Treatment for Head and Neck Cancer in Germany: A Diagnosis-Related Group-Based Nationwide Analysis, 2005–2018 |
title_short | Mortality during In-Hospital Treatment for Head and Neck Cancer in Germany: A Diagnosis-Related Group-Based Nationwide Analysis, 2005–2018 |
title_sort | mortality during in-hospital treatment for head and neck cancer in germany: a diagnosis-related group-based nationwide analysis, 2005–2018 |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9509216/ https://www.ncbi.nlm.nih.gov/pubmed/36164347 http://dx.doi.org/10.1155/2022/1387860 |
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