2014
DOI: 10.1002/hed.23653
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Treatment, comorbidity and survival in stage III laryngeal cancer

Abstract: SURG±Adj and CRT had similar survival. Severe comorbidity was associated with selection bias to RT and reduced 5-year CSS. Comorbidity is a key prognostic variable and should be considered in the interpretation of treatment outcomes.

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Cited by 11 publications
(19 citation statements)
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“…A bias towards non‐surgical treatment for cancer patients with higher levels of comorbidity severity was observed in studies involving patients with different cancers . For example, Connor et al observed that among patients with Stage III laryngeal cancer, those with more comorbid ailments were more likely to receive non‐surgical treatment. McCulloch et al observed the same relationship between increased severity of comorbidity and increased use of non‐surgical treatments among patient with gastric and esophageal cancer patients, and Tetsche et al observed similar findings among patients with ovarian cancer.…”
Section: Importance Of Comorbidity In Surgical Oncologymentioning
confidence: 99%
“…A bias towards non‐surgical treatment for cancer patients with higher levels of comorbidity severity was observed in studies involving patients with different cancers . For example, Connor et al observed that among patients with Stage III laryngeal cancer, those with more comorbid ailments were more likely to receive non‐surgical treatment. McCulloch et al observed the same relationship between increased severity of comorbidity and increased use of non‐surgical treatments among patient with gastric and esophageal cancer patients, and Tetsche et al observed similar findings among patients with ovarian cancer.…”
Section: Importance Of Comorbidity In Surgical Oncologymentioning
confidence: 99%
“…The majority of laryngeal cancers are laryngeal squamous cell carcinomas (LSCC). Despite improvements in diagnostic and therapeutic modalities, there has been no significant improvement in laryngeal cancer survival over the past 20 years [ 2 , 3 ]. Therefore, new diagnostic and therapeutic targets for LSCC are urgently needed.…”
Section: Introductionmentioning
confidence: 99%
“…30 Other studies have also reported decreased rates of overall survival in patients with laryngeal carcinoma, attributed to the shift away from surgical approaches. 11,31 In this current series, there were insufficient patients with concurrent chemoradiotherapy to evaluate separately, and therefore a comparative comment cannot be made.…”
Section: Discussionmentioning
confidence: 92%
“…have demonstrated high rates of laryngeal preservation in randomised studies of non-surgical intervention for patients with glottic and supraglottic laryngeal carcinoma (particularly using concurrent chemoradiotherapy), higher rates of non-cancer deaths were also noted 30 . Other studies have also reported decreased rates of overall survival in patients with laryngeal carcinoma, attributed to the shift away from surgical approaches 11 , 31 . In this current series, there were insufficient patients with concurrent chemoradiotherapy to evaluate separately, and therefore a comparative comment cannot be made.…”
Section: Discussionmentioning
confidence: 99%