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Examination of care processes and treatment optimization for head and neck cancer patients in a community setting"hub and hub"model

引用

World Journal of Otorhinolaryngology-Head and Neck Surgery 2022年第2期8卷 152-157页

作者： Harleen K.Sethi Elijah Walker Travis Weinsheim Matthew J.Brennan Christopher E.Fundakowski Department of Otolaryngology-Head and Neck Surgery Sidney Kimmel Cancer Center at Abington—Jefferson HealthWillow GrovePennsylvaniaUSA Department of Otolaryngology-Head and Neck Surgery Philadelphia College of Osteopathic MedicinePhiladelphiaPennsylvaniaUSA College of Applied Health Science University of Illinois at Urbana-ChampaignUrbanaIllinoisUSA Department of Otolaryngology-Head and Neck Surgery Thomas Jefferson University HospitalPhiladelphiaPennsylvaniaUSA

Objective:To examine referral pattern,the timing of diagnostic/staging processes,and treatment initiation for new head and neck cancer patients in a community ***:Patients with a newly diagnosed previously untreated diagnosis of head neck cancer managed at Asplundh Cancer Pavilion/Abington Memorial Hospital from October 2018 to March *** of referral and preceding workup were examined as well as intervals between initial head and neck consult and various timepoints of treatment ***:One hundred and five patients were included in the *** primary referral sources were external general otolaryngology(56.3%).Oral surgery and dermatology obtained tissue biopsy approximately 80%of the time before *** average time from the ordering of initial staging positron emission tomography/computed tomography to finalized results was 14 days(range:10-25 days).Patients referred from dermatology and oral surgery were more likely to require single modality care,namely definitive surgical *** to treatment initiation average was 37 days(range:29-41 days).Patients with longer treatment times noted significantly higher times to both radiation and medical oncology consults(48.42 vs.18.13 days;Ptreatment initiation times were identified based on referral source or extent of workup performed before head/neck surgery *** appears the largest opportunities for improvement in terms of reducing overall treatment length exist in the optimization of radiation initiation time.

关键词： head and neck cancer package time referral source time to treatment initiation total treatment length

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