JAMA otolaryngology-- head & neck surgery
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Incorrect Author Affiliation: In the article titled “Effect of Human Papillomavirus on Patterns of Distant Metastatic Failure in Oropharyngeal Squamous Cell Carcinoma Treated With Chemoradiotherapy,”published online March 5, 2015, and also in this issue of JAMA Otolaryngology–Head & Neck Surgery (doi:10.1001/jamaoto.2015 .136), the Author Affiliations were incorrect. That section should have been given as follows: "Author Affiliations: Head and Neck Institute, Cleveland Clinic Foundation, Cleveland, Ohio (Trosman, Lamarre, Scharpf, Khan, Lorenz, Burkey); Department of Radiation Oncology, Taussig Cancer Institute, Cleveland Clinic Foundation, Cleveland, Ohio (Koyfman,Ward, Greskovich); Department of Otolaryngology–Head and Neck Surgery, Rush University, Chicago, Illinois (Al-Khudari); Department of Hematology and Medical Oncology,Taussig Cancer Institute, Cleveland Clinic Foundation, Cleveland, Ohio (Nwizu, Adelstein)." This article was corrected online and in print.
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JAMA Otolaryngol Head Neck Surg · May 2015
Impact of a new practice guideline on antibiotic use with pediatric tonsillectomy.
More than 500,000 children undergo tonsillectomy each year in the United States. Although prior studies suggest that most patients received perioperative antibiotics, practice varies across centers. In 2011, the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) published a practice guideline recommending against perioperative antibiotic use for pediatric tonsillectomy. The impact of this recommendation has not been thoroughly examined. ⋯ AAO-HNS guideline publication decreased perioperative antibiotic use for pediatric tonsillectomy across a large pediatric health care network. Although there were no changes in otolaryngology clinic visits, emergency department visits, or admissions, we found a small but significant increase in surgery for bleeding following guideline publication. Additional studies are necessary to verify this unexpected association.
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JAMA Otolaryngol Head Neck Surg · May 2015
Characteristics and prognostic factors of osteosarcoma of the jaws: a retrospective cohort study.
Osteosarcoma of the jaws is rare and clinically distinct from osteosarcoma of the long bones of the body with different treatment and outcomes. The literature on these tumors is limited to case reports and small case series mostly from single institutions. We used data from the population-based national Surveillance, Epidemiology and End Results (SEER) cancer registry to determine the epidemiology and prognostic factors associated with osteosarcoma of the jaws. ⋯ To our knowledge, this is the largest study to date investigating prognostic factors for survival in patients diagnosed with osteosarcoma of the jaws. Determinants of survival include age at diagnosis, stage at presentation, tumor size, and surgical therapy. Radiation therapy was not associated with improved survival, reflecting the controversy surrounding its use in clinical literature.