Referral status and possible causes | Number (%) |
---|---|
Referral status | |
 Institutional referral | 78 (75.7) |
 Patient’s decision | 25 (24.3) |
Primary treatment center | |
 with low-volume oral cancer cases | 74 (71.8) |
 with high-volume oral cancer cases | 29 (28.2) |
Surgeon’s expertise | |
 Junior consultant | 22 (21.4) |
 Senior consultant | 69 (67.0) |
 Surgeons of nonrelated specialty | 12 (11.7) |
Age of patients | |
 <70 | 84 (81.6) |
  ≥ 70 | 19 (18.4) |
Comorbidities | |
 Yes | 43 (41.7) |
 No | 60 (58.3) |
Reports of intraoperative frozen section | |
 Yes | 50 (48.5) |
 No | 53 (51.5) |
Report completeness for primary margins | |
  ≤ 3 margins | 47 (45.6) |
 >3 margins | 56 (54.4) |
Clinical stage | |
 Early stage | 23 (22.3) |
 Late stage | 80 (77.7) |
Clinical diagnosis before primary surgery | |
 Correct | 86 (83.5) |
 Wrong | 17 (16.5) |
Biopsy before primary surgery | |
 Yes | 79 (76.7) |
 No | 24 (23.3) |
Time Lag between outpatient biopsy to primary admission* | |
  ≤ 2 month | 63 (79.8) |
  > 2 month | 16 (20.2) |
Patient’s initial reluctancy to radical resection/reconstruction | |
 Yes | 41 (39.8) |
 No | 62 (60.2) |
Treatment design mistakes& | |
 Flawed access for advanced cases | 21 (20.4) |
 Undertreatment regarding tumor depths | 37 (35.9) |
 Mismatch between imaging sizes and resection methods | 32 (31.1) |
 None of the above | 41 (39.8) |
Unstandardized operative implementations& | |
 Residual positive lymph node in operated cervical basin | 24 (23.3) |
 Non-enbloc resection for advanced lesions | 11 (10.7) |
 None of the above | 78 (75.7) |