Journal article
A comparison of three comorbidity indexes in a head and neck cancer population
Oral oncology, v 38(2)
2002
PMID: 11854067
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
We explored differences in prognostic ability for mortality of the established and validated Charlson comorbidity index with two other comorbidity indexes developed for this study. Our study was limited to persons diagnosed with HNCA between 1985 and 1993 in a database formed by a linkage of files from the National Cancer Institute's Surveillance, Epidemiology, and End Results Program with Health Care Finance Administration Medicare files (
n=9386). Adjusted relative risks (RR) and 95% confidence intervals (95%CI) for comorbidity index scores of 1 or more compared to 0 were (RR=1.50, 95% CI 1.43–1.68) Charlson index, (RR=1.53 95% CI 1.42–1.66) HNCA index, and (RR=1.49, 95% CI 1.32–1.68) ATC index, respectively. The Charlson and HNCA indexes displayed dose-response patterns (
P-value for trend <0.0001). Although the ATC index appears promising, the HNCA and Charlson indexes had similar adjusted RR's, dose-response patterns,
P-values, and chi-square scores and appear particularly well-suited to the measurement of comorbidity.
Metrics
Details
- Title
- A comparison of three comorbidity indexes in a head and neck cancer population
- Creators
- Britt C Reid - Department of Oral Health Care Delivery, School of Dentistry, Room 3E-04, University of Maryland, 666 West Baltimore Street, Baltimore, MD 21201, USAAnthony J Alberg - Department of Epidemiology, School of Hygiene and Public Health, 615 Wolfe Street, Johns Hopkins University, Baltimore, MD 2120, USAAnn C Klassen - Department of Health Policy and Management, School of Hygiene and Public Health, 624 N Broadway, Room 745, Baltimore, MD 21205, USAR.Gary Rozier - Department of Health Policy and Administration, CB#7400 McGavran-Greenberg Bld, School of Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-7400, USAIsabel Garcia - Office of the Director, NIDCR, NIH, Bethesda, MD 20892, USADeborah M Winn - Division of Cancer Control and Population Sciences, National Cancer Institute, Executive Plaza North, Room 5114, MSC 7395, 6130 Executive Boulevard, Bethesda, MD 20892-7395, USAJonathan M Samet - Department of Epidemiology, School of Hygiene and Public Health, 615 Wolfe Street, Johns Hopkins University, USA
- Publication Details
- Oral oncology, v 38(2)
- Publisher
- Elsevier
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Community Health and Prevention
- Web of Science ID
- WOS:000174554800010
- Scopus ID
- 2-s2.0-0036174743
- Other Identifier
- 991014878266604721
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InCites Highlights
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Dentistry, Oral Surgery & Medicine
- Oncology