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In This Issue of JAMA Otolaryngology
April 2015


JAMA Otolaryngol Head Neck Surg. 2015;141(4):299. doi:10.1001/jamaoto.2014.2147

Those who care for patients with head and neck cancer have noted changes in treatment patterns. Bhattacharyya and Abemayor retrospectively analyzed all primary head and neck cancer hospitalizations from the Nationwide Inpatient Sample for 3 sample years: 2000, 2005, and 2010. Nonteaching hospitals treated a higher proportion of patients with comorbidities and Medicaid recipients. Whereas the proportion of previous radiotherapy recipients increased at both teaching and nonteaching hospitals, major ablative surgical procedures decreased in the nonteaching hospitals and the proportion of procedures requiring flap reconstruction increased at teaching hospitals. The authors noted that although outcomes at teaching hospitals have improved, the neediest and sickest obtain care elsewhere.

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