Demographics and Trends in Outpatient Surgery for Laryngeal Cancer: 2016-2021.

IF 2.6 3区医学 Q1 OTORHINOLARYNGOLOGY

Otolaryngology- Head and Neck Surgery Pub Date : 2025-03-07 DOI:10.1002/ohn.1198

Jason H Lee, Jamie W Lewis, James D Warren, Alia Tayara, Thanh-Huyen Vu, Anne C Kane

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引用次数: 0

Abstract

Objective: To analyze the utilization patterns of outpatient laryngoscopic excision procedures for laryngeal cancer in the United States, examining procedural costs and patient demographics to identify disparities in healthcare access.

Study design: Retrospective cohort study.

Setting: National Ambulatory Surgery Sample database of major ambulatory surgeries in the United States, 2016-2021.

Methods: Encounters for endoscopic resection of laryngeal cancers were identified focusing on patient demographics and procedural costs. Analysis was performed regarding trends over time.

Results: Of 11,371 encounters in 2016-2021, patients were mostly male (82.6%), White (75.3%), and living in metropolitan areas with greater than 1 million residents (54.1%), with an even distribution between income quartiles. Predictors of utilization at urban teaching hospitals progressively decreased in patients residing in smaller metropolitan areas (250-999,000 residents (odds ratio [OR] = 0.451, P ≤ .0001) and 50-249,000 residents (OR = 0.193, P ≤ .0001). Higher utilization was found in non-White patients (Black [OR = 1.673, P = .0075], Hispanic [OR = 1.752, P = .0118]), and those with patients with higher income (2nd quartile [OR = 1.411, P = .0058], 3rd quartile [OR = 2.017, P ≤ .0001], and 4th quartile [OR = 4.422, P < .0001]). These findings were consistent on multivariate analysis, however belonging to a racial minority lost significance (Black patients [P = .0508], Hispanic [P = .3008]).

Conclusion: There are existing disparities in endoscopic resection of laryngeal cancers. Our findings add to the literature underscoring the importance of expanding access to minimally invasive laryngeal preserving surgical treatment.

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喉癌门诊手术的人口统计和趋势：2016-2021。

目的：分析美国喉癌门诊喉镜切除手术的使用模式，检查手术成本和患者人口统计数据，以确定医疗保健可及性的差异。研究设计：回顾性队列研究。背景：2016-2021年美国主要门诊手术样本数据库。方法：内镜下喉癌切除术的遭遇被确定，重点是患者人口统计学和手术费用。对随时间变化的趋势进行了分析。结果：在2016-2021年的11,371次就诊中，患者主要是男性（82.6%），白人（75.3%），居住在人口超过100万的大都市地区（54.1%），收入四分位数之间分布均匀。居住在较小的大都市地区的患者(250-999,000名居民（比值比[OR] = 0.451, P≤0.0001）和50-249,000名居民（OR = 0.193, P≤0.0001），城市教学医院使用率的预测因子逐渐下降。非白人患者的使用率较高(黑人[OR = 1.673, P =。0075]，西班牙裔[OR = 1.752, P = .0118])，以及收入较高的患者(第二四分位数[OR = 1.411, P =。0058]，第三四分位数[OR = 2.017, P≤。[OR = 4.422, P]。结论：内镜下喉癌切除术存在差异。我们的发现增加了文献强调扩大微创喉保留手术治疗的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Otolaryngology- Head and Neck Surgery 医学-耳鼻喉科学

CiteScore

6.70

自引率

2.90%

发文量

250

审稿时长

2-4 weeks

期刊介绍： Otolaryngology–Head and Neck Surgery (OTO-HNS) is the official peer-reviewed publication of the American Academy of Otolaryngology–Head and Neck Surgery Foundation. The mission of Otolaryngology–Head and Neck Surgery is to publish contemporary, ethical, clinically relevant information in otolaryngology, head and neck surgery (ear, nose, throat, head, and neck disorders) that can be used by otolaryngologists, clinicians, scientists, and specialists to improve patient care and public health.