Demographic characteristics of patients included in the DHNA-OC cohort
Characteristic | n=2545 |
Gender - female | 1171 (46%) |
Age | 67 (59, 75) |
Body mass index (kg/m2) | |
<18.5 | 102 (4.0%) |
≥18.5 to <30 | 1953 (77%) |
≥30 | 419 (16%) |
Unknown | 71 (2.8%) |
Smoking history | |
No history of smoking | 639 (25%) |
Former smoker | 852 (33%) |
Current smoker | 945 (37%) |
Unknown | 109 (4.3%) |
Alcohol history | |
No history of drinking | 419 (16%) |
Former drinker | 196 (7.7%) |
Current drinker | 1712 (67%) |
Unknown | 218 (8.6%) |
ACE27 score | |
Grade 0 - None | 720 (28%) |
Grade 1—Mild | 375 (15%) |
Grade 2—Moderate | 248 (9.7%) |
Grade 3—Severe | 90 (3.5%) |
Unknown | 1112 (44%) |
WHO performance status | |
Normal activity (0) | 1268 (50%) |
Symptomatic, fully ambulatory: cares for self (1) | 501 (20%) |
Ambulatory >50% of the time: occasional assistance (2) | 178 (7.0%) |
Ambulatory <50% of the time: nursing care needed (3) | 41 (1.6%) |
Bedridden (4) | 1 (<0.1%) |
Unknown | 556 (22%) |
Histology | |
Squamous cell carcinoma | 2328 (91%) |
Other | 216 (9.0%) |
Unknown | 1 (<0.1%) |
Oral cavity subsite (ICD-O-3) | |
Lip | 54 (2.1%) |
Tongue | 1105 (43%) |
Gum | 449 (18%) |
Floor of mouth | 426 (17%) |
Palate | 86 (3.4%) |
Other parts of oral cavity | 423 (17%) |
Not otherwise specified | 2 (<0.1%) |
cT-classification | |
cTx | 25 (1.0%) |
cT0 | 7 (0.3%) |
cTis | 23 (0.9%) |
cT1 | 825 (32%) |
cT2 | 783 (31%) |
cT3 | 343 (13%) |
cT4 | 539 (21%) |
cN-classification | |
cNx | 14 (0.6%) |
cN0 | 2001 (79%) |
cN1 | 194 (7.6%) |
cN2 | 292 (11%) |
cN3 | 44 (1.7%) |
cM-classification | |
cMx | 2 (<0.1%) |
cM0 | 2541 (100%) |
cM1 | 2 (<0.1%) |
cTNM stage | |
Stage 0 | 53 (2.1%) |
Stage I | 791 (31%) |
Stage II | 643 (25%) |
Stage III | 342 (13%) |
Stage IV | 716 (28%) |
Treatment | |
Surgery | 1441 (57%) |
Surgery and radiotherapy | 724 (28%) |
Surgery and chemoradiation | 185 (7.3%) |
Radiotherapy | 111 (4.4%) |
Chemoradiation | 71 (2.8%) |
Other* | 13 (0.5%) |
Treating hospital | |
HNOCs | 1926 (76%) |
PPs | 619 (24%) |
Year of diagnosis | |
2018 | 626 (25%) |
2019 | 626 (25%) |
2020 | 631 (25%) |
2021 | 662 (26%) |
Follow-up survival status | |
No evidence of disease | 1942 (76%) |
Alive with disease | 63 (2.5%) |
Dead of disease | 188 (7.4%) |
Dead of other causes | 97 (3.9%) |
Dead of treatment complications | 10 (0.4%) |
Dead of unknown causes | 167 (6.6%) |
Unknown | 78 (3.1%) |
*Histology types included in other are basaloid squamous cell, spindle cell, adenosquamous, verrucous, papillary squamous cell, and minor salivary gland carcinomas
DHNA-OC, Dutch Head and Neck Audit—Oral Cavity; HNOC, Head and Neck Oncolocy Center; PP, Preferred Partner .