Multivariable Analysis of Risk Factors for Enlargement of the Tracheoesophageal Puncture After Total Laryngectomy
Identifieur interne : 004455 ( Ncbi/Merge ); précédent : 004454; suivant : 004456Multivariable Analysis of Risk Factors for Enlargement of the Tracheoesophageal Puncture After Total Laryngectomy
Auteurs : Katherine A. Hutcheson [États-Unis] ; Jan S. Lewin [États-Unis] ; Erich M. Sturgis [États-Unis] ; Jan Risser [États-Unis]Source :
- Head & neck [ 1043-3074 ] ; 2011.
Abstract
Enlarged tracheoesophageal puncture (TEP) is a challenging complication of surgical prosthetic voice restoration. Prevention of this complication requires identification of high risk individuals, as well as surgical and prosthetic correlates of TEP enlargement.
Multivariable logistic regression methods were used to analyze preoperative, perioperative, and postoperative risk factors for enlarged TEP in a 5-year retrospective cohort.
Enlarged TEP only occurred in irradiated patients. Adjusting for length of follow-up and timing of TEP, advanced (N2 or N3) nodal disease (ORadjusted: 4.3, 95% CI: 1.0-19.1), postoperative stricture (ORadjusted: 3.2, 95% CI: 1.2-8.6), and diagnosis of locoregional recurrence or distant metastasis after laryngectomy (ORadjusted: 6.2, 95% CI: 2.3-16.4) increased risk of enlarged TEP. Extended resection and preoperative nutritional status were also significantly associated with enlarged TEP. Prosthetic parameters did not significantly correlate with enlargement.
Development of enlarged TEP is a multifactorial process related to both baseline and postoperative factors.
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DOI: 10.1002/hed.21777
PubMed: 21692129
PubMed Central: 4012756
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Anderson Cancer Center Houston</wicri:cityArea></affiliation></author><author><name sortKey="Risser, Jan" sort="Risser, Jan" uniqKey="Risser J" first="Jan" last="Risser">Jan Risser</name><affiliation wicri:level="2"><nlm:aff id="A3">Division of Epidemiology and Disease Control The University of Texas School of Public Health Houston, TX 77030 USA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Texas</region></placeName><wicri:cityArea>Division of Epidemiology and Disease Control The University of Texas School of Public Health Houston</wicri:cityArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">21692129</idno><idno type="pmc">4012756</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4012756</idno><idno type="RBID">PMC:4012756</idno><idno type="doi">10.1002/hed.21777</idno><date when="2011">2011</date><idno type="wicri:Area/Pmc/Corpus">003860</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">003860</idno><idno type="wicri:Area/Pmc/Curation">003859</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">003859</idno><idno type="wicri:Area/Pmc/Checkpoint">002E46</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">002E46</idno><idno type="wicri:Area/Ncbi/Merge">004455</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Multivariable Analysis of Risk Factors for Enlargement of the Tracheoesophageal Puncture After Total Laryngectomy</title><author><name sortKey="Hutcheson, Katherine A" sort="Hutcheson, Katherine A" uniqKey="Hutcheson K" first="Katherine A." last="Hutcheson">Katherine A. Hutcheson</name><affiliation wicri:level="2"><nlm:aff id="A1">Department of Head and Neck Surgery, The University of Texas M. D. Anderson Cancer Center Houston, Texas 77030 USA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Texas</region></placeName><wicri:cityArea>Department of Head and Neck Surgery, The University of Texas M. D. Anderson Cancer Center Houston</wicri:cityArea></affiliation></author><author><name sortKey="Lewin, Jan S" sort="Lewin, Jan S" uniqKey="Lewin J" first="Jan S." last="Lewin">Jan S. Lewin</name><affiliation wicri:level="2"><nlm:aff id="A1">Department of Head and Neck Surgery, The University of Texas M. D. Anderson Cancer Center Houston, Texas 77030 USA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Texas</region></placeName><wicri:cityArea>Department of Head and Neck Surgery, The University of Texas M. D. Anderson Cancer Center Houston</wicri:cityArea></affiliation></author><author><name sortKey="Sturgis, Erich M" sort="Sturgis, Erich M" uniqKey="Sturgis E" first="Erich M." last="Sturgis">Erich M. Sturgis</name><affiliation wicri:level="2"><nlm:aff id="A1">Department of Head and Neck Surgery, The University of Texas M. D. Anderson Cancer Center Houston, Texas 77030 USA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Texas</region></placeName><wicri:cityArea>Department of Head and Neck Surgery, The University of Texas M. D. Anderson Cancer Center Houston</wicri:cityArea></affiliation><affiliation wicri:level="2"><nlm:aff id="A2">Department of Epidemiology, The University of Texas M. D. Anderson Cancer Center Houston, Texas 77030 USA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Texas</region></placeName><wicri:cityArea>Department of Epidemiology, The University of Texas M. D. Anderson Cancer Center Houston</wicri:cityArea></affiliation></author><author><name sortKey="Risser, Jan" sort="Risser, Jan" uniqKey="Risser J" first="Jan" last="Risser">Jan Risser</name><affiliation wicri:level="2"><nlm:aff id="A3">Division of Epidemiology and Disease Control The University of Texas School of Public Health Houston, TX 77030 USA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Texas</region></placeName><wicri:cityArea>Division of Epidemiology and Disease Control The University of Texas School of Public Health Houston</wicri:cityArea></affiliation></author></analytic><series><title level="j">Head & neck</title><idno type="ISSN">1043-3074</idno><idno type="eISSN">1097-0347</idno><imprint><date when="2011">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>Background</title><p id="P1">Enlarged tracheoesophageal puncture (TEP) is a challenging complication of surgical prosthetic voice restoration. Prevention of this complication requires identification of high risk individuals, as well as surgical and prosthetic correlates of TEP enlargement.</p></sec><sec id="S2"><title>Methods</title><p id="P2">Multivariable logistic regression methods were used to analyze preoperative, perioperative, and postoperative risk factors for enlarged TEP in a 5-year retrospective cohort.</p></sec><sec id="S3"><title>Results</title><p id="P3">Enlarged TEP only occurred in irradiated patients. Adjusting for length of follow-up and timing of TEP, advanced (N2 or N3) nodal disease (OR<sub>adjusted</sub>: 4.3, 95% CI: 1.0-19.1), postoperative stricture (OR<sub>adjusted</sub>: 3.2, 95% CI: 1.2-8.6), and diagnosis of locoregional recurrence or distant metastasis after laryngectomy (OR<sub>adjusted</sub>: 6.2, 95% CI: 2.3-16.4) increased risk of enlarged TEP. Extended resection and preoperative nutritional status were also significantly associated with enlarged TEP. Prosthetic parameters did not significantly correlate with enlargement.</p></sec><sec id="S4"><title>Conclusions</title><p id="P4">Development of enlarged TEP is a multifactorial process related to both baseline and postoperative factors.</p></sec></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">8902541</journal-id><journal-id journal-id-type="pubmed-jr-id">3967</journal-id><journal-id journal-id-type="nlm-ta">Head Neck</journal-id><journal-id journal-id-type="iso-abbrev">Head Neck</journal-id><journal-title-group><journal-title>Head & neck</journal-title></journal-title-group><issn pub-type="ppub">1043-3074</issn><issn pub-type="epub">1097-0347</issn></journal-meta><article-meta><article-id pub-id-type="pmid">21692129</article-id><article-id pub-id-type="pmc">4012756</article-id><article-id pub-id-type="doi">10.1002/hed.21777</article-id><article-id pub-id-type="manuscript">NIHMS575733</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Multivariable Analysis of Risk Factors for Enlargement of the Tracheoesophageal Puncture After Total Laryngectomy</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Hutcheson</surname><given-names>Katherine A.</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Lewin</surname><given-names>Jan S.</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Sturgis</surname><given-names>Erich M.</given-names></name><degrees>M.D., MPH</degrees><xref ref-type="aff" rid="A1">1</xref><xref ref-type="aff" rid="A2">2</xref></contrib><contrib contrib-type="author"><name><surname>Risser</surname><given-names>Jan</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="A3">3</xref></contrib></contrib-group><aff id="A1"><label>1</label>Department of Head and Neck Surgery, The University of Texas M. D. Anderson Cancer Center Houston, Texas 77030 USA</aff><aff id="A2"><label>2</label>Department of Epidemiology, The University of Texas M. D. Anderson Cancer Center Houston, Texas 77030 USA</aff><aff id="A3"><label>3</label>Division of Epidemiology and Disease Control The University of Texas School of Public Health Houston, TX 77030 USA</aff><author-notes><corresp id="CR1">Corresponding Author: Katherine A. Hutcheson, Ph.D. 1515 Holcombe Blvd, Unit 1445 Houston, TX 77030-4009 713-792-6513 <email>karnold@mdanderson.org</email></corresp></author-notes><pub-date pub-type="nihms-submitted"><day>26</day><month>4</month><year>2014</year></pub-date><pub-date pub-type="epub"><day>20</day><month>6</month><year>2011</year></pub-date><pub-date pub-type="ppub"><month>4</month><year>2012</year></pub-date><pub-date pub-type="pmc-release"><day>07</day><month>5</month><year>2014</year></pub-date><volume>34</volume><issue>4</issue><fpage>557</fpage><lpage>567</lpage><pmc-comment>elocation-id from pubmed: 10.1002/hed.21777</pmc-comment>
<abstract><sec id="S1"><title>Background</title><p id="P1">Enlarged tracheoesophageal puncture (TEP) is a challenging complication of surgical prosthetic voice restoration. Prevention of this complication requires identification of high risk individuals, as well as surgical and prosthetic correlates of TEP enlargement.</p></sec><sec id="S2"><title>Methods</title><p id="P2">Multivariable logistic regression methods were used to analyze preoperative, perioperative, and postoperative risk factors for enlarged TEP in a 5-year retrospective cohort.</p></sec><sec id="S3"><title>Results</title><p id="P3">Enlarged TEP only occurred in irradiated patients. Adjusting for length of follow-up and timing of TEP, advanced (N2 or N3) nodal disease (OR<sub>adjusted</sub>: 4.3, 95% CI: 1.0-19.1), postoperative stricture (OR<sub>adjusted</sub>: 3.2, 95% CI: 1.2-8.6), and diagnosis of locoregional recurrence or distant metastasis after laryngectomy (OR<sub>adjusted</sub>: 6.2, 95% CI: 2.3-16.4) increased risk of enlarged TEP. Extended resection and preoperative nutritional status were also significantly associated with enlarged TEP. Prosthetic parameters did not significantly correlate with enlargement.</p></sec><sec id="S4"><title>Conclusions</title><p id="P4">Development of enlarged TEP is a multifactorial process related to both baseline and postoperative factors.</p></sec></abstract><kwd-group><kwd>tracheoesophageal puncture</kwd><kwd>total laryngectomy</kwd><kwd>enlarged tracheoesophageal puncture</kwd><kwd>risk factors</kwd></kwd-group></article-meta></front></pmc><affiliations><list><country><li>États-Unis</li></country><region><li>Texas</li></region></list><tree><country name="États-Unis"><region name="Texas"><name sortKey="Hutcheson, Katherine A" sort="Hutcheson, Katherine A" uniqKey="Hutcheson K" first="Katherine A." last="Hutcheson">Katherine A. Hutcheson</name></region><name sortKey="Lewin, Jan S" sort="Lewin, Jan S" uniqKey="Lewin J" first="Jan S." last="Lewin">Jan S. Lewin</name><name sortKey="Risser, Jan" sort="Risser, Jan" uniqKey="Risser J" first="Jan" last="Risser">Jan Risser</name><name sortKey="Sturgis, Erich M" sort="Sturgis, Erich M" uniqKey="Sturgis E" first="Erich M." last="Sturgis">Erich M. Sturgis</name><name sortKey="Sturgis, Erich M" sort="Sturgis, Erich M" uniqKey="Sturgis E" first="Erich M." last="Sturgis">Erich M. Sturgis</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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