Factors Affecting the Compliance of Curative-Intent Treatment in Patients With Head and Neck Cancer

被引：2

作者：

Huang, Ting-Chieh ^{[1
]}

Lin, Sheng-Kai ^{[1
]}

Hung, Shih-Han ^{[1
,2
]}

Dang, Luong Huu ^{[3
,4
]}

Chang, Wei-Wen ^{[5
]}

Chiou, Tzeon-Jye ^{[6
]}

Chen, Po-Yueh ^{[1
,2
,7
]}

机构：

[1] Taipei Med Univ, Wan Fang Hosp, Dept Otolaryngol, Taipei, Taiwan

[2] Taipei Med Univ, Coll Med, Sch Med, Dept Otolaryngol, Taipei, Taiwan

[3] Univ Med & Pharm Ho Chi Minh City, Dept Otolaryngol, Ho Chi Minh City, Vietnam

[4] Taipei Med Univ, Coll Med, Int Master PhD Program Med, Taipei, Taiwan

[5] Taipei Med Univ, Wan Fang Hosp, Dept Surg, Div Gen Surg, Taipei, Taiwan

[6] Taipei Med Univ, Wan Fang Hosp, Canc Ctr, Taipei, Taiwan

[7] Taipei Med Univ, Wan Fang Hosp, Dept Otolaryngol, 111,Sect 3,Xinglong Rd, Taipei 116, Taiwan

来源：

ENT-EAR NOSE & THROAT JOURNAL | 2023年

关键词：

head and neck cancer; treatment; compliance; distance; COVID-19; TREATMENT PACKAGE TIME; HEALTH-CARE; OUTCOMES; RADIOTHERAPY; SURVIVAL; IMPACT;

D O I：

10.1177/01455613231204206

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

Objectives: This study aims to investigate the factors that lead to poor compliance in initiating the treatment in patients with newly diagnosed head and neck cancers. Methods: A total of 193 patients from the head and neck cancer database dated from January 1, 2018 to September 30, 2020, were analyzed. Variables analyzed included age, gender, primary cancer site, T stage, N stage, M stage, overall stage (I-IV), patient's residential distance, and the impact of COVID-19. Univariate and multivariate analyses were used to assess the significance of these variables in relation to the time to receiving on-time treatment as recommended by specialists. Results: Upon multivariate analysis, the advanced stage and residential distance were significantly associated with initial compliance (P < .09). The impact of nasopharyngeal carcinoma (NPC) and COVID-19 shows a borderline significance (P = .224 and P = .184). Conclusions: The overall stage and patient living distance to the healthcare facility, patient with NPC, and the impact of COVID-19 might affect the compliance of initiating a curative-intent treatment in patients with newly diagnosed head and neck cancers.

引用

页数：6