TABLE III.
Variables | Total TORS Population, N = 509, No. (%) | OR for Association With Postoperative Hemorrhage [95% CI] |
---|---|---|
Age, yr, mean ± SD | 59.8 ± 12.0 | 1.01 [0.96–1.03] |
Sex | ||
Male | 361 (71%) | Ref |
Female | 148 (29%) | 0.57 [0.26–1.26] |
Race | ||
White | 346 (68%) | Ref |
Other | 163 (32%) | 0.98 [0.50–1.95] |
Hospital/patient state | ||
New York | 303 (59%) | Ref |
California | 50 (10%) | 0.58 [0.17–1.98] |
Florida | 156 (31%) | 0.49 [0.22–1.10] |
Median household income | ||
Above median | 335 (66%) | Ref |
Below median | 174 (34%) | 0.45 [0.20–0.99] |
Primary expected payer | ||
Private insurance | 280 (55%) | Ref |
Medicare | 170 (34%) | 0.82 [0.40–1.69] |
Medicaid | 45 (9%) | 0.49 [0.11–2.17] |
Other | 12 (2%) | 0.97 [0.12–7.81] |
Comorbidity | ||
Overall severity of comorbidity, Charlson comorbidity score | ||
<3 | 241 (47%) | Ref |
≥3 | 268 (53%) | 3.02 [1.45–6.30] |
Previous MI | 17 (3%) | 3.85 [1.18–12.5] |
CHF | 15 (3%) | 4.55 [1.37–14.29] |
COPD | 85 (17%) | 2.22 [1.08–4.55] |
Diabetes | 64 (13%) | 1.20 [0.49–3.03] |
Chronic kidney disease | 24 (5%) | 3.23 [1.16–9.09] |
Indications for surgery | ||
Neoplasm | 376 (74%) | 2.71 [1.04–7.06] |
Malignant | 338 (66%) | 2.22 [0.99–4.76] |
Benign | 38 (7%) | 0.98 [0.29–3.32] |
Other* | 133 (26%) | Ref |
Neoplasm site | ||
Oral cavity | 24 (5%) | 0.48 [0.06–3.68] |
Oropharynx | 338 (66%) | 3.18 [1.31–7.71] |
Base of tongue | 144 (28%) | 0.92 [0.45–1.90] |
Tonsil | 162 (32%) | 1.96 [1.03–3.74] |
Other | 32 (6%) | 2.27 [0.82–6.25] |
Hypopharynx | * | |
Larynx | * |
Other indications for surgery include obstructive sleep apnea and unspecified. Oral cavity includes oral tongue, buccal mucosa, and retromolar trigone. Other sites of the oropharynx include soft palate, pharyngeal wall, and unspecified pharyngeal locations.
Ten or fewer patients.
CHF = congestive heart failure; CI = confidence interval; COPD = chronic obstructive pulmonary disease; MI = myocardial infarction; OR = odds ratio; Ref = reference; SD = standard deviation; TORS = transoral robotic surgery.