Variation in routine follow-up care after curative treatment for head-and-neck cancer: a population-based study in Ontario
| Autor: | Stephen F. Hall, Yingwei Peng, R. J. Griffiths, K E Brennan, Timothy Owen |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male Pediatrics medicine.medical_specialty Concordance Population Aftercare routine follow-up Comorbidity 03 medical and health sciences 0302 clinical medicine Cancer Survivors medicine Humans 030212 general & internal medicine Registries education Aged Retrospective Studies Ontario education.field_of_study business.industry Head and neck cancer Cancer imaging Retrospective cohort study Professional Practice Middle Aged medicine.disease Head-and-neck cancer Follow up care Socioeconomic Factors Curative treatment Head and Neck Neoplasms 030220 oncology & carcinogenesis Practice Guidelines as Topic Female Original Article Guideline Adherence business practice variation Follow-Up Studies Specialization |
| Zdroj: | Current Oncology Volume 25 Issue 2 Pages 3892-131 |
| ISSN: | 1718-7729 |
| Popis: | The actual practices of routine follow-up after curative treatment for head-and-neck cancer are unknown, and existing guidelines are not evidence-based. This retrospective population-based study used administrative data to describe 5 years of routine follow-up care in 3975 head-and-neck cancer patients diagnosed between 2007 and 2012 in Ontario. The mean number of visits per year declined during the follow-up period (from 7.8 to 1.9, p < 0.001). The proportion of patients receiving visits in concordance with guidelines ranged from 80% to 45% depending on the follow-up year. In at least 50% of patients, 1 head, neck, or chest imaging test was performed in the first follow-up year that proportion subsequently declined (p < 0.001). Factors associated with follow-up practices included comorbidity, tumour site, treatment, geographic region, and physician specialty (p < 0.05). Given current practice variation and the absence of an evidence-based standard, the challenge in identifying a single optimal follow-up strategy might be better addressed with a harmonized approach to providing individualized follow-up care. |
| Databáze: | OpenAIRE |
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