Objective: The current extent of otolaryngologic cancer care regionalization is unclear. This study characterizes case volume regionalization patterns for 4 distinct otolaryngologic tumors-head and neck squamous cell carcinomas (HNSCCs), thyroid cancers (TCs), vestibular schwannomas, and pituitary adenomas (PAs).
Methods: The 2010-2016 National Cancer Database was queried for patients with HNSCCs, TCs, vestibular schwannomas, and PAs. Facility geographic locations were divided into 4 geographical quadrants. High-volume facilities (HVFs) were defined as top 100 by volume facility for ≥1 pathology.
Results: A total of 191/1342 facilities (4.2%) were defined as an HVF. Vestibular schwannoma was the most regionalized, with 65.9% of patients treated at an HVF. Thyroid cancer (37.4%) and HNSCC (38.8%) were the least commonly treated at HVFs. Forty-one/191 (21.5%) were classified as HVFs for all 4 pathologies. Factors predictive of treatment at HVFs included age <65, higher income, and private insurance, larger tumor size, and lower American Joint Committee on Cancer stage.
Conclusion: Over 20% of HVFs were considered high-volume for all 4 pathologies. Vestibular schwannomas were the most regionalized compared with PAs, TCs, and HSNCCs.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1097/SCS.0000000000010554 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
The Current State of Regionalization in Otolaryngologic Specialized Tumor Care for Tumor Diagnoses.
J Craniofac Surg
August 2024
Department of Otolaryngology-Head and Neck Surgery, University of California, Irvine, Orange, CA.
Objective: The current extent of otolaryngologic cancer care regionalization is unclear. This study characterizes case volume regionalization patterns for 4 distinct otolaryngologic tumors-head and neck squamous cell carcinomas (HNSCCs), thyroid cancers (TCs), vestibular schwannomas, and pituitary adenomas (PAs).
Methods: The 2010-2016 National Cancer Database was queried for patients with HNSCCs, TCs, vestibular schwannomas, and PAs.
Effects of Baclofen on Central Paroxysmal Positional Downbeat Nystagmus.
Cerebellum
October 2024
Dizziness Center, Seoul National University Bundang Hospital, Seongnam, Republic of Korea.
Article Synopsis
- * The study evaluated the impact of baclofen on patients with paroxysmal downbeat central positional nystagmus (CPN) and found that it significantly reduced the maximum slow phase velocity (SPV) and positional vertigo scores.
- * After stopping baclofen, the SPV increased again, but the time constant and positional vertigo measurements remained stable, suggesting baclofen could be effective for treating this type of nystagmus.
Differences in vestibulo-ocular reflex time constants in patients with vestibular migraine versus vestibular neuritis/labyrinthitis.
Am J Otolaryngol
September 2022
Westchester Medical Center, United States of America.
Article Synopsis
- Recurrent dizziness and vertigo can stem from conditions like vestibular migraine (VM) or vestibular neuritis/labyrinthitis (VN/L), which may present similar symptoms and require thorough evaluation for accurate diagnosis.
- A study analyzed the Vestibulo-Ocular Reflex Time Constants (VORT) using rotary chair testing in 68 patients diagnosed with either VM or VN/L to aid in differentiating between these two conditions.
- Results indicated that patients with VM had significantly higher VORTs compared to those with VN/L, suggesting that VORT measurements can be a valuable tool in diagnosing central versus peripheral vestibular issues.
Acute vestibular syndrome: is skew deviation a central sign?
J Neurol
March 2022
Department of Otorhinolaryngology, Head and Neck Surgery, Inselspital, University Hospital Bern and University of Bern, Bern, Switzerland.
Article Synopsis
- The study investigates skew deviation, a symptom of acute vestibular syndrome (AVS), and its relationship with vertical diplopia and vestibular pathways dysfunction.
- Data was collected from patients in an emergency department over five years, using clinical assessments and video tests, followed by MRI to confirm strokes.
- Findings reveal a notable prevalence of skew deviation in patients with AVS, challenging previous beliefs about its rarity, and suggest that while video tests can help quantify skew, they offer limited diagnostic value compared to other established tests.
Bruns' nystagmus revisited: A sign of stroke in patients with the acute vestibular syndrome.
Eur J Neurol
September 2021
Department of Otorhinolaryngology, Head and Neck Surgery, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Objective: Gaze-evoked nystagmus (GEN) is a central sign in patients with the acute vestibular syndrome (AVS); however, discriminating between a pathological and a physiologic GEN is a challenge. Here we evaluate GEN in patients with AVS.
Methods: In this prospective cross-sectional study, we used video-oculography (VOG) to compare GEN in the light (target at 15° eccentric) in 64 healthy subjects with 47 patients seen in the emergency department (ED) who had AVS; 35 with vestibular neuritis and 12 with stroke.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!