Predictors of postoperative complications and survival in patients with major salivary glands malignancies: A study highlighting the influence of age

Background The purpose of this study was to reveal prognostic factors for surgical complications and survival in young and elderly patients with malignant salivary gland tumors. Methods Retrospective analysis of surgically treated patients with malignant major salivary gland tumors was performed. Of...

Full description

Saved in:
Bibliographic Details
Published in:Head & neck 2014-03, Vol.36 (3), p.369-374
Main Authors: Peters, Thomas T. A., van Dijk, Boukje A. C., Roodenburg, Jan L. N., Plaat, Boudewijn E. C., Wedman, Jan, van der Laan, Bernard F. A. M., Halmos, Gyorgy B.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Age Factors
Aged
Child
comorbidity
complications
elderly
Humans
Middle Aged
Multivariate Analysis
Parotid Neoplasms - mortality
Parotid Neoplasms - surgery
Postoperative Complications - classification
Postoperative Complications - epidemiology
Postoperative Complications - mortality
salivary gland cancer
Submandibular Gland Neoplasms - mortality
Submandibular Gland Neoplasms - surgery
survival
Survival Analysis
Young Adult
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Background The purpose of this study was to reveal prognostic factors for surgical complications and survival in young and elderly patients with malignant salivary gland tumors. Methods Retrospective analysis of surgically treated patients with malignant major salivary gland tumors was performed. Of the 111 patients, 33 patients were 70 years or older and 78 patients were under 70. Comorbidity was recorded using the Adult Comorbidity Evaluation‐27 index and complications using the Clavien–Dindo classification. Results Comorbidity and complications were significantly more frequent in elderly patients (p < .05). Age, comorbidity, and length of surgery were not significant independent predictors of complications. Stage was the only independent predictive factor for postoperative complications and disease‐specific survival. Conclusion Based on this retrospective analysis reviewing surgically treated patients, age alone should not be a reason to treat elderly patients differently, as it was not a predictor of either complications or disease‐specific survival. © 2013 Wiley Periodicals, Inc. Head Neck 36: 369–374, 2014
ISSN:1043-3074
1097-0347
DOI:10.1002/hed.23304