| Autor: |
Ahmed I. Ghanem, Matthew Schymick, Souheyla Bachiri, Aniruddh Mannari, Jawad Sheqwara, Charlotte Burmeister, Steven Chang, Tamer Ghanem, Farzan Siddiqui |
| Jazyk: |
angličtina |
| Rok vydání: |
2019 |
| Předmět: |
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| Zdroj: |
World Journal of Otorhinolaryngology-Head and Neck Surgery, Vol 5, Iss 3, Pp 160-167 (2019) |
| Druh dokumentu: |
article |
| ISSN: |
2095-8811 |
| DOI: |
10.1016/j.wjorl.2018.09.005 |
| Popis: |
Objectives: In patients with head and neck carcinoma, “treatment package time” (TPT) was proven to impact outcomes in cases receiving adjuvant radiotherapy alone. Its impact in patients receiving radiotherapy with concurrent systemic therapy has not been studied previously. The TPT influence on survival endpoints for patients treated with surgery followed by radiation and concurrent systemic therapy was analyzed. Methods: Institutional database to identify head and neck carcinoma cases treated with definitive surgery followed by concomitant chemo(bio) radiotherapy (CRT) was used. TPT was the number of days elapsed between surgery and the last day of radiation. %FINDCUT SAS macro tool was used to search for the cutoff TPT that was associated with significant survival benefit. Kaplan–Meier curves, log-rank tests as well as univariate and multivariate analyses were used to assess overall survival (OS) and recurrence free survival (RFS). Results: One hundred and three cases with a median follow up of 37 months were included in the study. Oropharyngeal tumors were 43%, oral cavity 40% and laryngeal 17% of cases. Concurrent systemic therapy included platinum and cetuximab in 72% and 28%, respectively. Optimal TPT was found to be |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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