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
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.
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页数:6
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