High-Volume Hospitals, Surgeons Better Predictors of Overall Survival in Head, Neck Cancer

Clinical Question

Does surgeon and/or institution resection volume predict long-term overall survival in head and neck cancer in a publicly funded healthcare system?

Background: Previous studies have demonstrated short- and long-term surgeon- and hospital-volume mortality relationships, but this has not been demonstrated for mucosal head and neck squamous cell carcinoma (HNSCC) or within a universal healthcare system. In Ontario, the Ontario Health Insurance Plan covers all oncology health services, with no alternate care or private care system.

Study design: Population-based retrospective cohort study of 5,720 head and neck cancer patients in Ontario, Canada, who underwent a resection between 1993 and 2010.

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