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Tytuł pozycji:

Adherence of head and neck squamous cell carcinoma patients to tumor board recommendations

Tytuł:
Adherence of head and neck squamous cell carcinoma patients to tumor board recommendations
Autorzy:
Mahalakshmi S. Rangabashyam
Shi Yan Lee
Sher Yin Tan
Stefan Mueller
Rehena Sultana
Johnatton Ho
Thakshayeni Skanthakumar
Ngian Chye Tan
Hiang Khoon Tan
Khee Chee Soo
N. Gopalakrishna Iyer
Temat:
adherence
compliance
Multidisciplinary team (MDT)
outcomes
survival
therapy recommendations
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
Źródło:
Cancer Medicine, Vol 9, Iss 14, Pp 5124-5133 (2020)
Wydawca:
Wiley, 2020.
Rok publikacji:
2020
Kolekcja:
LCC:Neoplasms. Tumors. Oncology. Including cancer and carcinogens
Typ dokumentu:
article
Opis pliku:
electronic resource
Język:
English
ISSN:
2045-7634
Relacje:
https://doaj.org/toc/2045-7634
DOI:
10.1002/cam4.3097
Dostęp URL:
https://doaj.org/article/50d102209970463299fa3e5d15d5e716  Link otwiera się w nowym oknie
Numer akcesji:
edsdoj.50d102209970463299fa3e5d15d5e716
Czasopismo naukowe
Abstract Background Multidisciplinary team (MDT) meetings or tumor boards (TBs) are fundamental components of cancer treatment. Although their primary function is improved outcomes, this aspect is often underreported. The main objective of this study was to analyze the outcomes of patients with head and neck squamous cell carcinoma (HNSCC) discussed at TBs, and to compare the effect of adherence and nonadherence to recommended treatment plans on outcomes. Methods Retrospective data analysis was conducted of HNSCC patients those who were adherent and nonadherent to TB therapy recommendations during 2008‐2009 at a comprehensive cancer center. Fisher's exact test and t test were used for group‐wise comparison, and Kaplan‐Meier and logistic regression models, for survival analysis and determination of the contributing factors to nonadherence. Results Comprehensive Treatment plans were recommended by TBs in 293 HNSCC patients with curative intent. Seventy‐two patients were excluded based on the selection criteria. Among the remaining 221 patients, 172 (77.9%) were adherent to TB recommendations, while 49 (22.1%) failed to comply. Patient (n = 36; 73.5%), clinician (n = 2; 4.1%), and disease‐related (n = 11; 22.4%) factors were significant contributors to nonadherence. Mean (±standard deviation (SD)) survival time was 55.6 ± 2.32 and 29.1 ± 4 months in the adherent and nonadherent groups, (P
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