Evaluation of a Preoperative Adverse Event Risk Index for Patients Undergoing Head and Neck Cancer Surgery

JAMA Otolaryngology-- Head & Neck Surgery
Marco Antonio MascarellaNancy Mayo

Abstract

Patients 65 years or older are the most frequent users of operative resources and are also the most vulnerable to postoperative adverse events (AEs). Frailty indices are increasingly being used for preoperative risk stratification within head and neck cancer surgery, but most models lack a multifactorial basis and cannot be directly applied to clinical practice. A practical risk index is needed for clinicians to gauge risk factors preoperatively. To develop a preoperative risk index of short-term major postoperative AEs for patients undergoing head and neck cancer surgery. Cohort analysis of patients from multiple medical centers undergoing inpatient ablative or reconstructive head and neck cancer surgery and registered in the American College of Surgeons (ACS) National Surgical Quality Improvement Program (NSQIP) from 2006 to 2016. Inpatient ablative or reconstructive head and neck cancer surgery. Sociodemographic, frailty-related, and surgical factors in the derivation cohort were evaluated using simple and multiple logistic regression. Risk factors were subsequently integrated into a preoperative head and neck surgery risk index (HNSRI) and compared with existing models using the validation cohort. A composite variable of ma...Continue Reading

References

Aug 18, 2004·Archives of Otolaryngology--head & Neck Surgery·Jeffrey D SuhKeith E Blackwell
Jul 6, 2010·The British Journal of Surgery·F CarliN E Mayo
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Citations

Sep 6, 2019·JAMA Otolaryngology-- Head & Neck Surgery·Marco Antonio MascarellaNancy Mayo
Apr 29, 2020·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Dana L Crosby, Arun Sharma
Oct 2, 2020·The Annals of Otology, Rhinology, and Laryngology·Khodayar Goshtasbi, Sunil P Verma
Jun 5, 2020·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Luca Giovanni LocatelloGiuditta Mannelli
Aug 22, 2021·The Annals of Otology, Rhinology, and Laryngology·Marco A MascarellaReza Forghani

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