Factors Associated With the Choice of Radiation Therapy Treatment Facility in Head and Neck Cancer
| Autor: | Aaron T Seaman, Christopher Blake Sullivan, Nitin A. Pagedar, Carryn M. Anderson, Zaid Al-Qurayshi |
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| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Multivariate analysis medicine.medical_treatment Clinical Decision-Making Kaplan-Meier Estimate Medicare Article 03 medical and health sciences 0302 clinical medicine Port (medical) Internal medicine medicine Humans 030223 otorhinolaryngology Aged Neoplasm Staging Retrospective Studies Academic Medical Centers Squamous Cell Carcinoma of Head and Neck business.industry Proportional hazards model Patient Selection Head and neck cancer Retrospective cohort study Evidence-based medicine Middle Aged medicine.disease United States Otorhinolaryngologic Surgical Procedures Radiation therapy Treatment Outcome Otorhinolaryngology Head and Neck Neoplasms 030220 oncology & carcinogenesis Income Population study Female Radiotherapy Adjuvant business |
| Zdroj: | Laryngoscope |
| ISSN: | 1531-4995 0023-852X |
| DOI: | 10.1002/lary.29033 |
| Popis: | OBJECTIVE To analyze the clinicodemographic characteristics and treatment outcomes of patients receiving postoperative radiation therapy (PORT) at a different treatment facility rather than the initial surgical facility for head and neck cancer. STUDY DESIGN Retrospective cohort analysis. METHODS Utilizing the National Cancer Data Base, 2004 to 2015, patients with a diagnosis of oral cavity/oropharyngeal, hypopharyngeal, and laryngeal squamous cell carcinoma were studied. Multivariate analysis was completed with multivariate regression and Cox proportional hazard model, and survival outcomes were examined using Kaplan-Meier analysis. RESULTS A total of 15,181 patients who had surgery for a head and neck cancer at an academic/research center were included in the study population. Of the study population, 4,890 (32.2%) patients completed PORT at a different treatment facility. Treatment at a different facility was more common among patients who were ≥65 years old, white, Medicare recipients, those with a greater distance between residence and surgical treatment facility, and with lower income within area of residence (each P |
| Databáze: | OpenAIRE |
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