Elucidating survival and functional outcomes in patients with primary head and neck malignancies treated in academic versus community settings.
Head Neck
; 46(2): 398-407, 2024 Feb.
Article
em En
| MEDLINE
| ID: mdl-38087455
ABSTRACT
BACKGROUND:
Differences in treatment outcomes between community or academic centers are incompletely understood.METHODS:
Retrospective review of head and neck cancer patients between 2010 and 2020 in a rural health region. Kaplan-Meier curves and log-rank tests were used to evaluate survival outcomes, along with bivariate and multivariable Cox proportional hazards models. Linear regression was used for functional outcomes of tracheotomy and gastrostomy tube dependence.RESULTS:
Two hundred and forty-eight patients treated at an academic center were compared with 94 patients treated in community centers. In multivariable analysis, the risk of death (HR = 0.60, p = 0.019), and risk of recurrence were lower (HR = 0.29, p < 0.001) for patients treated in academic centers. Patients treated in community centers had longer gastrostomy tube dependence (p = 0.002).CONCLUSION:
Our findings suggest that treatment at an academic center was associated with a lower risk of recurrence and shorter gastrostomy tube dependence compared to treatment in the community.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Quimiorradioterapia
/
Neoplasias de Cabeça e Pescoço
Limite:
Humans
Idioma:
En
Revista:
Head Neck
Ano de publicação:
2024
Tipo de documento:
Article