title: [Surgical treatment of head and neck squamous cell carcinomas in Spain during the 2006-2011 period].
abstract: OBJECTIVE
  Surgery is one of the basic pillars in the treatment of patients with head and neck squamous cell carcinoma (HNSCC). The objective of the present study was to analyse the current state of the use of surgery in patients with HNSCC in Spain.
  
  
  METHODS
  Retrospective review of the hospital discharge reports of the patients with HNSCC treated surgically during the 2006-2011 period in Spain. We obtained the data from the Minimum Basic Data Set during the hospital discharge.
  
  
  RESULTS
  We obtained information on 26,629 hospital discharges, with a total of 27,937 surgical procedures. Overall, in our country about half of the patients with HNSCC receive surgical treatment of the primary tumour location. There were no significant changes in the number of surgical procedures throughout the study period. There was a smooth downward trend in the number and percentage of surgeries carried out in male patients, and a significant increase in those carried out in female patients throughout the study period. Among the total of surgical procedures, 15.7% were carried out in hospitals with a low level of complexity, 32.2% in hospitals with an intermediate complexity and 52.1% in centres of high complexity.
  
  
  CONCLUSIONS
  Surgery is one essential pillar in the treatment of patients with HNSCC. In Spain about half of the patients with HNSCC receive surgical treatment for the primary location of the tumour.
authors.affiliation: Servicio de Otorrinolaringología, Hospital de Sant Pau, Barcelona, España. Electronic address: xleon@santpau.es.
authors.forename: Xavier
authors.initials: X
authors.lastname: León Vintró
authors.affiliation: Oxford NIHR Musculoskeletal Biomedical Research Unit, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Inglaterra; Departamento de Medicina Preventiva y Salud Pública, Facultad de Medicina, Universidad Autónoma de Madrid, Madrid, España.
authors.forename: Maria T
authors.initials: MT
authors.lastname: Sánchez-Santos
authors.affiliation: Servicio de Otorrinolaringología, Hospital Universitari de Bellvitge, L'Hospitalet de Llobregat, Barcelona, España.
authors.forename: Manel
authors.initials: M
authors.lastname: Mañós Pujol
authors.affiliation: Servicio de Otorrinolaringología, Complejo Hospitalario Universitario A Coruña, A Coruña, España.
authors.forename: Juan Jesús
authors.initials: JJ
authors.lastname: Herranz González-Botas
authors.affiliation: Servicio de Otorrinolaringología, Hospital Universitario Virgen del Rocío, Sevilla, España.
authors.forename: Francisco
authors.initials: F
authors.lastname: Esteban Ortega
authors.affiliation: Servicio de Otorrinolaringología, Hospital Universitari de Bellvitge, L'Hospitalet de Llobregat, Barcelona, España.
authors.forename: Julio
authors.initials: J
authors.lastname: Nogués Orpí
mesh_terms: D000328:Adult; D017677:Age Distribution; D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000453:epidemiology / Q000601:surgery*; D005260:Female; D006258:Head and Neck Neoplasms / Q000453:epidemiology / Q000601:surgery*; D006742:Hospital Bed Capacity / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008875:Middle Aged; D010351:Patient Discharge / Q000706:statistics & numerical data; D012189:Retrospective Studies; D017678:Sex Distribution; D013030:Spain / Q000453:epidemiology; D000077195:Squamous Cell Carcinoma of Head and Neck; D013997:Time Factors
keywords: Carcinoma escamoso de cabeza y cuello; Cirugía; Epidemiology; Epidemiología; Head and neck squamous cell carcinoma; Hospital category; Surgery; Tipo de hospital