Journal article
Analysis of palliative care treatment among head and neck patients with cancer: National perspective
Head & neck, Vol.43(3), pp.805-815
03/01/2021
DOI: 10.1002/hed.26532
PMID: 33151575
Abstract
Background To analyze the characteristics and survival patterns of patients with head and neck squamous cell carcinoma (SCC) who received palliative treatment during their first course of treatment.
Methods Cohort analysis utilizing the National Cancer Data Base (NCDB) of patients with a diagnosis of oral cavity/oropharyngeal, hypopharyngeal, and laryngeal SCC. Statistical analysis included multivariate logistic regression and Cox Hazard ratio modeling, and Kaplan-Meier survival analysis.
Results 165 081 patients were included, of which 2747 patients received palliative treatment. Patients who received palliative treatment tended to be >= 65 years old, black, Charlson/Deyo score >= 3, hypopharyngeal cancer, stage (III-IV), with Medicaid insurance (P < .05). Patients were more likely to be treated with palliative intent if they underwent chemotherapy/radiotherapy and declined surgery (P < .001) compared to patients who underwent surgery and declined chemotherapy/radiotherapy (P = .006).
Conclusions Palliative care use in head and neck oncology is associated with older patients, non-whites, Medicaid patients, and nonsurgically treated patients.
Details
- Title: Subtitle
- Analysis of palliative care treatment among head and neck patients with cancer: National perspective
- Creators
- Christopher Blake Sullivan - University of Iowa Hospitals and ClinicsZaid Al-Qurayshi - University of Iowa Hospitals and ClinicsKristi Chang - University of Iowa Hospitals and ClinicsNitin A. Pagedar - University of Iowa Hospitals and Clinics
- Resource Type
- Journal article
- Publication Details
- Head & neck, Vol.43(3), pp.805-815
- Publisher
- Wiley
- DOI
- 10.1002/hed.26532
- PMID
- 33151575
- ISSN
- 1043-3074
- eISSN
- 1097-0347
- Number of pages
- 11
- Grant note
- P30 CA086862 / National Institutes of Health/National Cancer Institute; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Cancer Institute (NCI) National Institutes of Health; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA
- Language
- English
- Date published
- 03/01/2021
- Academic Unit
- Radiation Oncology; Otolaryngology
- Record Identifier
- 9984312249002771
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