A comparison of three comorbidity indexes in a head and neck cancer population.

作者: Britt C Reid , Anthony J Alberg , Ann C Klassen , R.Gary Rozier , Isabel Garcia

DOI: 10.1016/S1368-8375(01)00044-6

关键词:

摘要: We explored differences in prognostic ability for mortality of the established and validated Charlson comorbidity index with two other indexes developed this study. Our study was limited to persons diagnosed HNCA between 1985 1993 a database formed by linkage files from National Cancer Institute's Surveillance, Epidemiology, End Results Program Health Care Finance Administration Medicare (n=9386). Adjusted relative risks (RR) 95% confidence intervals (95%CI) scores 1 or more compared 0 were (RR=1.50, CI 1.43–1.68) index, (RR=1.53 1.42–1.66) (RR=1.49, 1.32–1.68) ATC respectively. The displayed dose-response patterns (P-value trend <0.0001). Although appears promising, had similar adjusted RR's, patterns, P-values, chi-square appear particularly well-suited measurement comorbidity.

参考文章(18)
R Tibshirani, A plain man's guide to the proportional hazards model. Clinical and Investigative Medicine. ,vol. 5, pp. 63- 68 ,(1982)
Steven L. Sabin, Richard M. Rosenfeld, Krishnamurthi Sundaram, Gady Har-El, Frank E. Lucente, The Impact of Comorbidity and Age on Survival with Laryngeal Cancer Ear, nose, & throat journal. ,vol. 78, pp. 578- 584 ,(1999) , 10.1177/014556139907800813
Craig J. Newschaffer, Trudy L. Bush, Lynne T. Penberthy, Comorbidity measurement in elderly female breast cancer patients with administrative and medical records data Journal of Clinical Epidemiology. ,vol. 50, pp. 725- 733 ,(1997) , 10.1016/S0895-4356(97)00050-4
ARNOLD L. POTOSKY, GERALD F. RILEY, JAMES D. LUBITZ, RENEE M. MENTNECH, LARRY G. KESSLER, Potential for cancer related health services research using a linked Medicare-tumor registry database. Medical Care. ,vol. 31, pp. 732- 748 ,(1993) , 10.1097/00005650-199308000-00006
F. A. Pugliano, J. F. Piccirillo, M. R. Zequeira, B. Emami, C. A. Perez, J. R. Simpson, J. M. Fredrickson, Clinical-Severity Staging System for Oropharyngeal Cancer Five-Year Survival Rates Archives of Otolaryngology-head & Neck Surgery. ,vol. 123, pp. 1118- 1124 ,(1997) , 10.1001/ARCHOTOL.1997.01900100094013
Bhuvanesh Singh, Mahesh Bhaya, Jordan Stern, J. Thomas Roland, Marc Zimbler, Richard M. Rosenfeld, Gady Har-El, Frank E. Lucente, Validation of the Charlson Comorbidity Index in Patients With Head and Neck Cancer: A Multi‐institutional Study Laryngoscope. ,vol. 107, pp. 1469- 1475 ,(1997) , 10.1097/00005537-199711000-00009
Mario A. cleves, Nena Sanchez, Mayumi Draheim, Evaluation of two competing methods for calculating Charlson's comorbidity index when analyzing short-term mortality using administrative data Journal of Clinical Epidemiology. ,vol. 50, pp. 903- 908 ,(1997) , 10.1016/S0895-4356(97)00091-7
Mary E. Charlson, Peter Pompei, Kathy L. Ales, C.Ronald MacKenzie, A new method of classifying prognostic comorbidity in longitudinal studies: Development and validation☆ Journal of Chronic Diseases. ,vol. 40, pp. 373- 383 ,(1987) , 10.1016/0021-9681(87)90171-8
Philip S Wang, Alexander Walker, Ming Tsuang, E.John Orav, Raisa Levin, Jerry Avorn, Strategies for improving comorbidity measures based on Medicare and Medicaid claims data. Journal of Clinical Epidemiology. ,vol. 53, pp. 571- 578 ,(2000) , 10.1016/S0895-4356(00)00222-5
Frederic A. Pugliano, Jay F. Piccirillo, Maria R. Zequeira, John M. Fredrickson, Carlos A. Perez, Joseph R. Simpson, Clinical-Severity Staging System for Oral Cavity Cancer Otolaryngology–Head and Neck Surgery. ,vol. 120, pp. 38- 45 ,(1999) , 10.1016/S0194-5998(99)70367-0