TY - JOUR
T1 - Predictors of postoperative complications and survival in patients with major salivary glands malignancies
T2 - A study highlighting the influence of age
AU - Peters, Thomas T. A.
AU - van Dijk, Boukje A. C.
AU - Roodenburg, Jan L. N.
AU - Plaat, Boudewijn E. C.
AU - Wedman, Jan
AU - van der Laan, Bernard F. A. M.
AU - Halmos, Gyorgy B.
N1 - Copyright © 2013 Wiley Periodicals, Inc., A Wiley Company.
PY - 2014/3
Y1 - 2014/3
N2 - BACKGROUND: The purpose of this study was to reveal prognostic factors for surgical complications and survival in young and elderly patients with malignant salivary gland tumors.METHODS: Retrospective analysis of surgically treated patients with malignant major salivary gland tumors was performed. Of the 111 patients, 33 patients were 70 years or older and 78 patients were under 70. Comorbidity was recorded using the Adult Comorbidity Evaluation-27 index and complications using the Clavien-Dindo classification.RESULTS: Comorbidity and complications were significantly more frequent in elderly patients (p < .05). Age, comorbidity, and length of surgery were not significant independent predictors of complications. Stage was the only independent predictive factor for postoperative complications and disease-specific survival.CONCLUSION: Based on this retrospective analysis reviewing surgically treated patients, age alone should not be a reason to treat elderly patients differently, as it was not a predictor of either complications or disease-specific survival.
AB - BACKGROUND: The purpose of this study was to reveal prognostic factors for surgical complications and survival in young and elderly patients with malignant salivary gland tumors.METHODS: Retrospective analysis of surgically treated patients with malignant major salivary gland tumors was performed. Of the 111 patients, 33 patients were 70 years or older and 78 patients were under 70. Comorbidity was recorded using the Adult Comorbidity Evaluation-27 index and complications using the Clavien-Dindo classification.RESULTS: Comorbidity and complications were significantly more frequent in elderly patients (p < .05). Age, comorbidity, and length of surgery were not significant independent predictors of complications. Stage was the only independent predictive factor for postoperative complications and disease-specific survival.CONCLUSION: Based on this retrospective analysis reviewing surgically treated patients, age alone should not be a reason to treat elderly patients differently, as it was not a predictor of either complications or disease-specific survival.
KW - ADENOID CYSTIC CARCINOMA
KW - ELDERLY-PATIENTS
KW - NECK-CANCER
KW - SURGICAL COMPLICATIONS
KW - PROGNOSTIC-FACTORS
KW - HEAD
KW - SURGERY
KW - COMORBIDITY
KW - OUTCOMES
KW - TUMORS
U2 - 10.1002/hed.23304
DO - 10.1002/hed.23304
M3 - Article
C2 - 23765432
SN - 1043-3074
VL - 36
SP - 369
EP - 374
JO - Head and Neck: Journal of the Sciences and Specialties of the Head and Neck
JF - Head and Neck: Journal of the Sciences and Specialties of the Head and Neck
IS - 3
ER -