Evidence map›Paper›PMID 30846167›Full record

ArticleOral oncology2019

Associations between pre-, post-, and peri-operative variables and health resource use following surgery for head and neck cancer.

Hoda Badr, Maximiliano Sobrero, Joshua Chen, Tamar Kotz, Eric Genden, Andrew G Sikora, Brett Miles

Abstract read
In one paragraph

Article in Oral oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Exploring the role of health-related quality of life measures in predictive modelling for oncology: a systematic review.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
    Pooled it
  2. Review
  3. FraMaDySc: dysphagia screening for patients after surgery for head and neck cancer.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 · 2023
    Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Hoda BadrDepartment of Medicine, Section of Health Services Research, Baylor College of Medicine, Houston, TX, USA. Electronic address: hoda.badr@bcm.edu.
Maximiliano SobreroDepartment of Emergency Medicine, Alameda Health System, Oakland, CA, USA.
Joshua ChenDepartment of Medicine, Section of Health Services Research, Baylor College of Medicine, Houston, TX, USA; Department of Psychology, University of St Thomas, Houston, TX, USA.
Tamar KotzDepartment of Otolaryngology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Eric GendenDepartment of Otolaryngology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Andrew G SikoraDepartment of Otolaryngology-Head and Neck Surgery, Baylor College of Medicine, Houston, TX, USA.
Brett MilesDepartment of Otolaryngology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Funding

Improving Self-management in Head and Neck CancerR21CA178478 · NCI · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI BADR, HODA J. · 2014 to 2015
$406k
NCI NIH HHS R21 CA178478
6 · The paper itself

Abstract

objectiveWe examined associations between pre-, post-, and peri-operative variables and health resource use in head and neck cancer patients.

methodsPatients (N = 183) who were seen for a pre-surgical consult between January 2012 and December 2014 completed surveys that assessed medical history, a patient-reported outcome measure (PROM) of dysphagia, and quality of life (QOL). After surgery, peri-operative (e.g., tracheostomy, feeding tube) and post-operative (e.g., complications) variables were abstracted from patients' medical records.

resultsMultivariate regression models using backward elimination showed that pre-surgical University of Washington Quality of Life (UW-QOL) Inventory and M.D. Anderson Dysphagia Inventory (MDADI) composite scores, documented surgical complications, and having a tracheostomy, were all significant predictors of hospital length of stay, explaining 57% of the total variance (F(5, 160) = 18.71, p < .001). Male gender, psychiatric history, and lower pre-surgical MDADI scores significantly predicted thirty-day unplanned readmissions (30dUR). Pre-surgical MDADI composite scores also significantly predicted emergencey department (ED) visits within 30 days of initial hospital discharge (p = .02).

conclusionsAssessment of PROMs and QOL in the pre-surgical setting may assist providers in identifying patients at risk for prolonged LOS and increased health resource use after hospital discharge.

Indexed as

Health ResourcesPreoperative PeriodQuality of LifeAdultAgedAged, 80 and overDeglutition DisordersEmergency Service, HospitalFemaleHead and Neck NeoplasmsHumansLength of StayMaleMiddle AgedPatient ReadmissionPatient Reported Outcome MeasuresHead and neck cancerHealth resource useM D Anderson Dysphagia InventoryQuality of lifeSurgery

Identifiers

PMID30846167
PMCPMC6410733

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.