Competing risks analysis of cause‐specific mortality in patients with oral squamous cell carcinoma
Abstract Background Survival studies on head and neck cancers are frequently reported with inadequate account for competing causes of death. Realistic descriptions and predictions of postdiagnosis mortality should be based on proper competing risks methodology. Methods Prognosis of patients with ora...
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crwiley:10.1002/hed.24536 2024-06-02T08:12:01+00:00 Competing risks analysis of cause‐specific mortality in patients with oral squamous cell carcinoma Läärä, Esa Korpi, Jarkko T. Pitkänen, Hanna Alho, Olli‐Pekka Kantola, Saara 2016 http://dx.doi.org/10.1002/hed.24536 https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1002%2Fhed.24536 https://onlinelibrary.wiley.com/doi/pdf/10.1002/hed.24536 en eng Wiley http://onlinelibrary.wiley.com/termsAndConditions#vor Head & Neck volume 39, issue 1, page 56-62 ISSN 1043-3074 1097-0347 journal-article 2016 crwiley https://doi.org/10.1002/hed.24536 2024-05-03T11:23:22Z Abstract Background Survival studies on head and neck cancers are frequently reported with inadequate account for competing causes of death. Realistic descriptions and predictions of postdiagnosis mortality should be based on proper competing risks methodology. Methods Prognosis of patients with oral squamous cell carcinoma (OSCC) in terms of mortality from OSCC and from other causes, respectively, was analyzed according to recent methodological recommendations using cumulative incidence functions and models for cause‐specific hazards and subdistribution hazards in 306 patients treated in a tertiary care center in Northern Finland. Results More coherent and informative descriptions and predictions of mortality by cause were obtained with state‐of‐the‐art statistical methods for competing risks than using the prevalent but questionable practice to graph “disease‐specific survival.” Conclusion From the patients' perspective, proper competing risks analysis offers more relevant prognostic scenarios than naïve analyses of “disease‐specific survival”; therefore, it should be used in prognostic studies of head and neck cancers. © 2016 Wiley Periodicals, Head Neck 39: 56–62, 2017 Article in Journal/Newspaper Northern Finland Wiley Online Library Head & Neck 39 1 56 62 |
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Abstract Background Survival studies on head and neck cancers are frequently reported with inadequate account for competing causes of death. Realistic descriptions and predictions of postdiagnosis mortality should be based on proper competing risks methodology. Methods Prognosis of patients with oral squamous cell carcinoma (OSCC) in terms of mortality from OSCC and from other causes, respectively, was analyzed according to recent methodological recommendations using cumulative incidence functions and models for cause‐specific hazards and subdistribution hazards in 306 patients treated in a tertiary care center in Northern Finland. Results More coherent and informative descriptions and predictions of mortality by cause were obtained with state‐of‐the‐art statistical methods for competing risks than using the prevalent but questionable practice to graph “disease‐specific survival.” Conclusion From the patients' perspective, proper competing risks analysis offers more relevant prognostic scenarios than naïve analyses of “disease‐specific survival”; therefore, it should be used in prognostic studies of head and neck cancers. © 2016 Wiley Periodicals, Head Neck 39: 56–62, 2017 |
format |
Article in Journal/Newspaper |
author |
Läärä, Esa Korpi, Jarkko T. Pitkänen, Hanna Alho, Olli‐Pekka Kantola, Saara |
spellingShingle |
Läärä, Esa Korpi, Jarkko T. Pitkänen, Hanna Alho, Olli‐Pekka Kantola, Saara Competing risks analysis of cause‐specific mortality in patients with oral squamous cell carcinoma |
author_facet |
Läärä, Esa Korpi, Jarkko T. Pitkänen, Hanna Alho, Olli‐Pekka Kantola, Saara |
author_sort |
Läärä, Esa |
title |
Competing risks analysis of cause‐specific mortality in patients with oral squamous cell carcinoma |
title_short |
Competing risks analysis of cause‐specific mortality in patients with oral squamous cell carcinoma |
title_full |
Competing risks analysis of cause‐specific mortality in patients with oral squamous cell carcinoma |
title_fullStr |
Competing risks analysis of cause‐specific mortality in patients with oral squamous cell carcinoma |
title_full_unstemmed |
Competing risks analysis of cause‐specific mortality in patients with oral squamous cell carcinoma |
title_sort |
competing risks analysis of cause‐specific mortality in patients with oral squamous cell carcinoma |
publisher |
Wiley |
publishDate |
2016 |
url |
http://dx.doi.org/10.1002/hed.24536 https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1002%2Fhed.24536 https://onlinelibrary.wiley.com/doi/pdf/10.1002/hed.24536 |
genre |
Northern Finland |
genre_facet |
Northern Finland |
op_source |
Head & Neck volume 39, issue 1, page 56-62 ISSN 1043-3074 1097-0347 |
op_rights |
http://onlinelibrary.wiley.com/termsAndConditions#vor |
op_doi |
https://doi.org/10.1002/hed.24536 |
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Head & Neck |
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39 |
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56 |
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62 |
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1800758332473999360 |