Factors associated with loss to follow-up after radiation therapy for head and neck cancer.

Factors associated with loss to follow-up after radiation therapy for head and neck cancer.
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DOI:
10.1002/hed.26986
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发表时间:
2022-04
期刊:
Head & neck
影响因子:
--
通讯作者:
McDonald AM
McDonald AM
中科院分区:
其他
文献类型:
--
作者:
Hoyle JM;Correya TA;Kenzik K;Francisco L;Spencer SA;Willey CD;Bonner JA;Snider JW;Boggs DH;Carroll WR;Bhatia S;McDonald AM

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头颈癌(HNC)患者晚期发生放射相关的发病率和复发的风险很高,需要进行密切的长期医学监测。这项研究确定了与在综合性癌症中心失去随访(LTFU)相关的因素。患者取自2001-2018年间在一家机构接受HNC放射治疗的幸存者。LTFU定义为活体患者在2年内无临床遭遇的数据查询。总共有537名患者符合纳入标准,其中57名(10.6%)被确定为LTFU。个人比较发现,完成放射治疗、非白人种族和未婚时间与LTFU有关。多元回归分析发现,治疗5年后的时间和未婚是LTFU的相关因素。决策树根据时间、距离和婚姻状况对89.4%的人进行了正确排序。放射治疗后的时间、离诊所的距离和未婚是LTFU的相关因素。
Head and neck cancer (HNC) patients are at high risk for late occurring radiation-related morbidity and recurrence, necessitating close long-term medical surveillance. This study identified factors associated with becoming lost to follow-up (LTFU) at a comprehensive cancer center. Patients drawn from survivors who received radiation for HNC at a single institution between 2001–2018. LTFU defined by living patients without a clinical encounter within 2 years of the data query. In total 537 patients met the inclusion criteria and 57 (10.6%) were identified as LTFU. Individual comparisons identified time since completing radiation, non-white race and being unmarried as associated with LTFU. Multiple regression identified time since treatment >5 years, and being unmarried as factors associated with LTFU. A decision tree correctly sorted 89.4% using time, distance, and marital status. Time since radiation, distance to clinic, and being unmarried were factors associated with becoming LTFU.
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