Head and neck cancers: Monitoring quality and reporting outcomes

Chilkuri, Madhavi; Vangaveti, Venkat; Smith, Justin

doi:10.1111/1754-9485.13359

Cited by 2 publications

(1 citation statement)

References 31 publications

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“…This study follows an earlier study that reported quality indicators in head and neck cancer and identified time to PORT as an area for improvement at our institution. 16 Ethics approval for this study was granted by the Institutional Human Research Ethics Committee (HREC/QTHS/67801).…”

Section: Methodsmentioning

confidence: 99%

Evaluating delays in patients treated with post‐operative radiation therapy for head and neck squamous cell carcinoma

et al. 2022

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Introduction: Delays in commencing post-operative radiation therapy (PORT) and prolongation of overall treatment times (OTT) are associated with reduced overall survival and higher recurrence rates in patients with head and neck squamous cell carcinoma (HNSCC). The objective of this study was to evaluate treatment delays, factors contributing to those delays and to explore strategies to mitigate them. Methods: This retrospective study included patients with mucosal HNSCC at Townsville University Hospital treated with curative intent surgery and PORT between June 2011 and June 2019. The proportion of patients who experienced delays in commencing PORT (>6 weeks) and OTT were evaluated and reasons for these delays were explored.Results: The study included 94 patients of which 70% experienced PORT delay. Surgery at an external facility (81% vs 56%, P = 0.006) and longer postoperative length of stay (P = 0.011) were significantly associated with a higher incidence of PORT delay. Aboriginal and Torres Strait Islander patients had a higher rate of PORT delay (89% vs 68.2%, P = 0.198). Significant delays were noted from time of surgery to radiation oncology (RO) consult and from RO consult to commencement of radiation treatment. Conclusion: This study demonstrates that the prevalence of PORT delay for patients with HNSCC remains high with room for improvement. Potential strategies to improve delays include developing effective care coordination, addressing specific needs of Indigenous patients, implementing reliable automated tracking and communication systems between teams and harnessing existing electronic referral systems.

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Section: Methodsmentioning

confidence: 99%

Evaluating delays in patients treated with post‐operative radiation therapy for head and neck squamous cell carcinoma

et al. 2022

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Diagnosis of Epidermoid Carcinoma of the Tongue after Treatment of Epidermoid Carcinoma of the Esophagus

Andrade,

Takita,

Queiroz

et al. 2023

Contemporary Clinical Dentistry

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In the present case report, a patient with esophageal squamous cell carcinoma (SCC) developed a second primary tumor in the tongue at the same time. Stage III middle esophageal SCC was discovered in a 60-year-old Caucasian male patient who was institutionalized, a smoker, and had previously struggled with alcoholism. Following treatment, the patient was admitted to the hospital for 15 days due to dysphagia and malnutrition. According to him, he had mouth pain while in the hospital. An intraoral examination revealed tooth mobility, bacterial plaque, dental calculus, and a 1.3-cm ulcerated lesion on the right lateral edge of the tongue. During the extraoral examination, no palpable lymph nodes were found in the submandibular or cervical regions. The tongue lesion was excisionally biopsied, and the histological evaluation agreed. The patient was advised to seek treatment for tongue SCC. Given that patients with esophageal SCC have a 9.3%–11.4% risk of developing head-and-neck SCC, multiprofessional follow-up of patients with esophageal SCC is critical for early detection of this cancer.

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Head and neck cancers: Monitoring quality and reporting outcomes

Cited by 2 publications

References 31 publications

Evaluating delays in patients treated with post‐operative radiation therapy for head and neck squamous cell carcinoma

Evaluating delays in patients treated with post‐operative radiation therapy for head and neck squamous cell carcinoma

Diagnosis of Epidermoid Carcinoma of the Tongue after Treatment of Epidermoid Carcinoma of the Esophagus

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