Predictors of Health Care Utilization Following Major Head and Neck Oncologic Surgery in Older Patients

Autor: Samya Faiq, Roberto N. Solis, Harveen K. Sekhon, Megan V. Morisada, Machelle Wilson, Marianne Abouyared, Arnaud F. Bewley, Andrew C. Birkeland
Rok vydání: 2022
Předmět:
Zdroj: Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery.
ISSN: 1097-6817
Popis: To identify patient factors in older patients associated with making posttreatment visits in the first year after major head and neck oncologic surgery.Retrospective cohort study.Academic institution.Patients aged ≥60 years who underwent a neck dissection with or without a free flap reconstruction were retrospectively analyzed. Data collected included patient demographics, comorbidities, social variables, perioperative course, and clinical visits.Within a 1-year postoperative period, the 181 patients in our cohort had a mean ± SD 6.37 ± 3.6 postoperative clinic visits; 70% attended at least 4 visits. Multivariable regression analysis showed a significant association with distance closer to the hospital (Older patients who undergo major head and neck oncology surgery are more likely to attend posttreatment visits in the 1 year following surgery if they are discharged home rather than to a skilled nursing facility, live closer to the hospital, and undergo adjuvant radiation therapy.
Databáze: OpenAIRE