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Risk analysis for tracheostomy dependency in curatively treated laryngeal cancer with organ preservation
Author(s) -
Anschuetz Lukas,
Visini Miranda,
Shelan Mohamed,
Elicin Olgun,
Giger Roland
Publication year - 2018
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/hed.25373
Subject(s) - medicine , multivariate analysis , cancer , odds ratio , tertiary referral hospital , quality of life (healthcare) , radiation therapy , surgery , referral , retrospective cohort study , nursing , family medicine
Background A tracheostomy has an enormous negative impact on the patient's quality of life. The purpose of this study is to describe risk factors for permanent tracheostomies in patients undergoing curative organ‐preserving treatment of laryngeal cancer. Methods The charts of all patients with laryngeal cancer diagnosed at our tertiary referral center were reviewed. Cases receiving a tracheostomy before, during, or after primary organ‐preserving treatment were eligible. Results A total of 87 patients who underwent tracheostomies were enrolled in the present study. During follow‐up, 48 patients (55%) required a permanent tracheostomy, whereas 39 patients (45%) were decannulated. Multivariate analysis revealed primary radiotherapy (RT; odds ratio [OR] 12.857; P < .001) and recurrence (OR 25.84; P < .001) as independent factors of permanent tracheostomy. Conclusion This study identifies primary curative RT and tumor relapse as independent risk factors of permanent tracheostomy dependency in patients with laryngeal cancer undergoing a tracheostomy during or after primary curative organ‐preserving treatment.