American Joint Committee on Cancer eighth edition human papilloma virus positive oropharyngeal cancer staging system: Discordance between clinical and pathological staging systems

Scott R. Hall, Gregory S. Neel, Brent A. Chang, Brittany E. Howard, Thomas H. Nagel, David G Lott, Richard E Hayden, Nan Zhang, Michael L. Hinni

Research output: Contribution to journalArticle

Abstract

Background: The American Joint Committee on Cancer (AJCC) eighth edition introduces a staging system specific for human papilloma virus positive oropharyngeal cancer with separate clinical (AJCC 8c) and pathological (AJCC 8p) criteria. Methods: In this retrospective cohort study, preoperative imaging and pathology reports were used to stage patients based on the AJCC 8c and AJCC 8p criteria, respectively. The primary endpoint was agreement between AJCC 8c and AJCC 8p. Results: A total of 213 patients met inclusion criteria. Kappa statistics showed poor agreement (κ = 0.3275) between AJCC 8c and AJCC 8p. In total, 30.3% of patient's preoperative AJCC 8c stage changed based on the postoperative pathologic staging (AJCC 8p) with 73.4% of those being upstaged. Conclusion: These data suggest that disagreement exists between AJCC 8c and AJCC 8p, in part due to the separate clinical and pathological staging criteria. This discrepancy should be considered as the new system is implemented.

Original languageEnglish (US)
JournalHead and Neck
DOIs
StatePublished - Jan 1 2019

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Papillomaviridae
Oropharyngeal Neoplasms
Neoplasm Staging
Neoplasms

Keywords

  • cancer staging
  • HPV positive oropharyngeal cancer

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

American Joint Committee on Cancer eighth edition human papilloma virus positive oropharyngeal cancer staging system : Discordance between clinical and pathological staging systems. / Hall, Scott R.; Neel, Gregory S.; Chang, Brent A.; Howard, Brittany E.; Nagel, Thomas H.; Lott, David G; Hayden, Richard E; Zhang, Nan; Hinni, Michael L.

In: Head and Neck, 01.01.2019.

Research output: Contribution to journalArticle

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abstract = "Background: The American Joint Committee on Cancer (AJCC) eighth edition introduces a staging system specific for human papilloma virus positive oropharyngeal cancer with separate clinical (AJCC 8c) and pathological (AJCC 8p) criteria. Methods: In this retrospective cohort study, preoperative imaging and pathology reports were used to stage patients based on the AJCC 8c and AJCC 8p criteria, respectively. The primary endpoint was agreement between AJCC 8c and AJCC 8p. Results: A total of 213 patients met inclusion criteria. Kappa statistics showed poor agreement (κ = 0.3275) between AJCC 8c and AJCC 8p. In total, 30.3{\%} of patient's preoperative AJCC 8c stage changed based on the postoperative pathologic staging (AJCC 8p) with 73.4{\%} of those being upstaged. Conclusion: These data suggest that disagreement exists between AJCC 8c and AJCC 8p, in part due to the separate clinical and pathological staging criteria. This discrepancy should be considered as the new system is implemented.",
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author = "Hall, {Scott R.} and Neel, {Gregory S.} and Chang, {Brent A.} and Howard, {Brittany E.} and Nagel, {Thomas H.} and Lott, {David G} and Hayden, {Richard E} and Nan Zhang and Hinni, {Michael L.}",
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AU - Neel, Gregory S.

AU - Chang, Brent A.

AU - Howard, Brittany E.

AU - Nagel, Thomas H.

AU - Lott, David G

AU - Hayden, Richard E

AU - Zhang, Nan

AU - Hinni, Michael L.

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AB - Background: The American Joint Committee on Cancer (AJCC) eighth edition introduces a staging system specific for human papilloma virus positive oropharyngeal cancer with separate clinical (AJCC 8c) and pathological (AJCC 8p) criteria. Methods: In this retrospective cohort study, preoperative imaging and pathology reports were used to stage patients based on the AJCC 8c and AJCC 8p criteria, respectively. The primary endpoint was agreement between AJCC 8c and AJCC 8p. Results: A total of 213 patients met inclusion criteria. Kappa statistics showed poor agreement (κ = 0.3275) between AJCC 8c and AJCC 8p. In total, 30.3% of patient's preoperative AJCC 8c stage changed based on the postoperative pathologic staging (AJCC 8p) with 73.4% of those being upstaged. Conclusion: These data suggest that disagreement exists between AJCC 8c and AJCC 8p, in part due to the separate clinical and pathological staging criteria. This discrepancy should be considered as the new system is implemented.

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