Meijer, P.C.A. (2021) Interhospital variation in reconstructions of patients with a primary oral cavity carcinoma: A nationwide study. thesis, Medicine.
Full text available on request.Abstract
Background and rationale: Treatment of patients with oral cavity carcinoma (OCC) is complex and requires high-quality integrated care. In the decision-making for a reconstructive technique after surgical resection, there is currently little evidence on an unambiguous approach. Reducing interhospital variety in this approach would aid in improving the high�quality integrated care for OCC patients. Therefore, this study aims to review the interhospital variation of reconstructions in patients with a primary OCC in the Netherlands. Significant variation in reconstructive techniques is expected, especially between head and neck oncological centers (HNOCs) and their preferred centers (PPs). Material and Methods: A retrospective cohort was analyzed with data of the Dutch Head and Neck Audit (DHNA); a nationwide quality registry. A total of 661 patients with a curative intent reconstruction for primary OCC were included. Data handling and statistical analyses were performed using the R software system for statistical computing. Results: In stage I OCCs there was great variety in the preferred reconstruction method. For stage II to IV the most used reconstruction option was the free flap (60-100%). A significant difference in type of reconstructions between HNOCs and PPs was found (p < 0.001). Conclusion: There is substantial variation in reconstructions for patients with OCCs in the Netherlands. The free flap is the most used option for reconstructions. Improvement of data quality and quantity remains, to draw significant conclusions on details of reconstructions in OCC patients.
| Item Type: | Thesis (UNSPECIFIED) |
|---|---|
| Supervisor name: | Jel, drs. D.V.C. de and Rakhorst, dr. H.A. |
| Faculty: | Medical Sciences |
| Date Deposited: | 06 Jan 2022 08:49 |
| Last Modified: | 06 Jan 2022 08:49 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/2959 |
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