Factors associated with adjuvant treatment delays in patients treated surgically for head and neck cancer

IF 1.7 4区医学 Q2 OTORHINOLARYNGOLOGY Clinical Otolaryngology Pub Date : 2024-04-12 DOI:10.1111/coa.14164

Alan L. Sticker, Sydney T. Cannon, Gregory B. Russell, Joshua D. Waltonen

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Abstract

Objective

To determine the patient and treatment characteristics associated with delay in post-operative radiation therapy (PORT) for patients treated surgically for head and neck squamous cell cancer (HNSCC) at our institution.

Design

Single institution retrospective review.

Setting

Tertiary care academic medical centre.

Participants

Patients treated surgically for HNSCC who underwent PORT between 2013 and 2016.

Main Outcome Measures and Results

One hundred forty patients met inclusion criteria. A majority did not start radiotherapy within 6 weeks. Factors associated with a delayed initiation of PORT included length of stay >8 days, 30-day readmission, no adjuvant chemotherapy, post-operative complications and fragmented care.

Conclusions

A majority of patients did not initiate PORT within the guideline-recommended 6 weeks. Modifiable risks factors that delay initiation of PORT were identified.

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头颈癌手术治疗患者辅助治疗延迟的相关因素

目的确定本院接受头颈部鳞状细胞癌（HNSCC）手术治疗的患者术后放疗（PORT）延迟的相关患者和治疗特征。主要结果测量和结果140例患者符合纳入标准。大多数患者未在6周内开始放疗。与延迟开始PORT相关的因素包括住院时间>8天、30天再入院、无辅助化疗、术后并发症和分散护理。发现了导致延迟启动 PORT 的可修正风险因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Otolaryngology 医学-耳鼻喉科学

CiteScore

4.00

自引率

4.80%

发文量

106

审稿时长

>12 weeks

期刊介绍： Clinical Otolaryngology is a bimonthly journal devoted to clinically-oriented research papers of the highest scientific standards dealing with: current otorhinolaryngological practice audiology, otology, balance, rhinology, larynx, voice and paediatric ORL head and neck oncology head and neck plastic and reconstructive surgery continuing medical education and ORL training The emphasis is on high quality new work in the clinical field and on fresh, original research. Each issue begins with an editorial expressing the personal opinions of an individual with a particular knowledge of a chosen subject. The main body of each issue is then devoted to original papers carrying important results for those working in the field. In addition, topical review articles are published discussing a particular subject in depth, including not only the opinions of the author but also any controversies surrounding the subject. • Negative/null results In order for research to advance, negative results, which often make a valuable contribution to the field, should be published. However, articles containing negative or null results are frequently not considered for publication or rejected by journals. We welcome papers of this kind, where appropriate and valid power calculations are included that give confidence that a negative result can be relied upon.