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Impact of Diabetes Mellitus on Head and Neck Cancer Patients Undergoing Surgery.

Publication ,  Journal Article
Raikundalia, MD; Fang, CH; Spinazzi, EF; Vazquez, A; Park, RC; Baredes, S; Eloy, JA
Published in: Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery
February 2016

The impact of diabetes mellitus (DM) on surgical outcomes and cost of care for patients undergoing surgery for head and neck cancer (HNCA) is not well established. We used the Nationwide Inpatient Sample to analyze the postoperative impact of DM on HNCA patients.Population-based inpatient registry analysis.Academic medical center.Discharge data from the Nationwide Inpatient Sample were analyzed for patients undergoing HNCA surgery from 2002 to 2010. Patient demographics, comorbidities, length of stay, hospital charges, and postoperative complications were compared between HNCA patients with and without DM.Of 31,075 patients, 4029 patients (13.0%) had a DM diagnosis. DM patients were older (65.7 ± 10.8 vs 61.1 ± 14.1 years old; P < .001), had more preexisting comorbidities, had longer hospitalizations, and incurred greater hospital charges. Compared with the non-DM cohort, DM patients experienced significantly higher rates of postoperative infections (2.6% vs 2.1%, P = .025), cardiac events (9.0% vs 4.3%, P < .001), pulmonary edema/failure (6.6% vs 5.7%, P = .023), acute renal failure (3.3% vs 1.5%, P < .001), and urinary tract infections (2.8 % vs 2.1%, P = .005). No differences in surgical wound healing rates were observed (0.1 vs 0.1, P = .794). On multivariate logistic regression corrected for age and race, DM patients had greater odds of postoperative infections (1.382, P = .007), cardiac events (1.893, P < .001), and acute renal failure (2.023, P < .001).DM is associated with greater length of stay and hospital charges among HNCA patients. DM patients have significantly greater rates of postoperative complications, including postoperative infections, cardiac events, and acute renal failure.

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Published In

Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery

DOI

EISSN

1097-6817

ISSN

0194-5998

Publication Date

February 2016

Volume

154

Issue

2

Start / End Page

294 / 299

Related Subject Headings

  • Survival Rate
  • Risk Assessment
  • Retrospective Studies
  • Registries
  • Postoperative Complications
  • Population Surveillance
  • Otorhinolaryngology
  • Neck Dissection
  • Male
  • Length of Stay
 

Citation

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Chicago
ICMJE
MLA
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Raikundalia, M. D., Fang, C. H., Spinazzi, E. F., Vazquez, A., Park, R. C., Baredes, S., & Eloy, J. A. (2016). Impact of Diabetes Mellitus on Head and Neck Cancer Patients Undergoing Surgery. Otolaryngology--Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery, 154(2), 294–299. https://doi.org/10.1177/0194599815607852
Raikundalia, Milap D., Christina H. Fang, Eleonora F. Spinazzi, Alejandro Vazquez, Richard Chan Park, Soly Baredes, and Jean Anderson Eloy. “Impact of Diabetes Mellitus on Head and Neck Cancer Patients Undergoing Surgery.Otolaryngology--Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery 154, no. 2 (February 2016): 294–99. https://doi.org/10.1177/0194599815607852.
Raikundalia MD, Fang CH, Spinazzi EF, Vazquez A, Park RC, Baredes S, et al. Impact of Diabetes Mellitus on Head and Neck Cancer Patients Undergoing Surgery. Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery. 2016 Feb;154(2):294–9.
Raikundalia, Milap D., et al. “Impact of Diabetes Mellitus on Head and Neck Cancer Patients Undergoing Surgery.Otolaryngology--Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery, vol. 154, no. 2, Feb. 2016, pp. 294–99. Epmc, doi:10.1177/0194599815607852.
Raikundalia MD, Fang CH, Spinazzi EF, Vazquez A, Park RC, Baredes S, Eloy JA. Impact of Diabetes Mellitus on Head and Neck Cancer Patients Undergoing Surgery. Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery. 2016 Feb;154(2):294–299.
Journal cover image

Published In

Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery

DOI

EISSN

1097-6817

ISSN

0194-5998

Publication Date

February 2016

Volume

154

Issue

2

Start / End Page

294 / 299

Related Subject Headings

  • Survival Rate
  • Risk Assessment
  • Retrospective Studies
  • Registries
  • Postoperative Complications
  • Population Surveillance
  • Otorhinolaryngology
  • Neck Dissection
  • Male
  • Length of Stay