Next Article in Journal
A New Predictive Scoring System Based on Clinical Data and Computed Tomography Features for Diagnosing EGFR-mutated Lung Adenocarcinoma
Previous Article in Journal
Neutrophil–Lymphocyte Ratio Predicts Response to Chemotherapy in Triple-Negative Breast Cancer
 
 
Search for Articles:
Title / Keyword
Author / Affiliation / Email
Journal
Article Type
 
 
Advanced Search
 
Section
Special Issue
Volume
Issue
Number
Page
 
Journals
Current Oncology
Volume 25
Issue 2
10.3747/co.25.3892
curroncol-logo
Submit to this Journal Review for this Journal Propose a Special Issue
► Article Menu

Article Menu

share Share announcement Help format_quote Cite question_answer Discuss in SciProfiles thumb_up
...
Endorse textsms
...
Comment
Current Oncology is published by MDPI from Volume 28 Issue 1 (2021). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Multimed Inc..
first_page
settings
Order Article Reprints
Font Type:
Arial Georgia Verdana
Font Size:
Aa Aa Aa
Line Spacing:
Column Width:
Background:
Article

Variation in Routine Follow-Up Care After Curative Treatment for Head-and-Neck Cancer: A Population-Based Study in Ontario

by
K. E. Brennan
1,
S. F. Hall
2,3,*,
T. E. Owen
3,
R. J. Griffiths
4 and
Y. Peng
5
1
Department of Public Health Sciences, Queen’s University, Kingston, ON, Canada
2
Department of Otolaryngology, Queen’s University, Kingston, ON, Canada
3
Department of Oncology, Queen’s University, Kingston, ON, Canada
4
Institute for Clinical Evaluative Sciences, Queen’s University, Kingston, ON, Canada
5
Department of Public Health Sciences, Queen’s University, Kingston, ON, Canada
*
Author to whom correspondence should be addressed.
Curr. Oncol. 2018, 25(2), 120-131; https://doi.org/10.3747/co.25.3892
Submission received: 4 January 2018 / Revised: 1 February 2018 / Accepted: 2 March 2018 / Published: 1 April 2018

Abstract

Background: The actual practices of routine follow-up after curative treatment for head-and-neck cancer are unknown, and existing guidelines are not evidence-based. Methods: This retrospective population-based study used administrative data to describe 5 years of routine follow-up care in 3975 head-and-neck cancer patients diagnosed between 2007 and 2012 in Ontario. Results: The mean number of visits per year declined during the follow-up period (from 7.8 to 1.9, p < 0.001). The proportion of patients receiving visits in concordance with guidelines ranged from 80% to 45% depending on the follow-up year. In at least 50% of patients, 1 head, neck, or chest imaging test was performed in the first follow-up year; that proportion subsequently declined (p < 0.001). Factors associated with follow-up practices included comorbidity, tumour site, treatment, geographic region, and physician specialty (p < 0.05). Conclusions: Given current practice variation and the absence of an evidence-based standard, the challenge in identifying a single optimal follow-up strategy might be better addressed with a harmonized approach to providing individualized follow-up care.
Keywords: head-and-neck cancer; routine follow-up; practice variation; imaging head-and-neck cancer; routine follow-up; practice variation; imaging

Share and Cite

MDPI and ACS Style

Brennan, K.E.; Hall, S.F.; Owen, T.E.; Griffiths, R.J.; Peng, Y. Variation in Routine Follow-Up Care After Curative Treatment for Head-and-Neck Cancer: A Population-Based Study in Ontario. Curr. Oncol. 2018, 25, 120-131. https://doi.org/10.3747/co.25.3892

AMA Style

Brennan KE, Hall SF, Owen TE, Griffiths RJ, Peng Y. Variation in Routine Follow-Up Care After Curative Treatment for Head-and-Neck Cancer: A Population-Based Study in Ontario. Current Oncology. 2018; 25(2):120-131. https://doi.org/10.3747/co.25.3892

Chicago/Turabian Style

Brennan, K. E., S. F. Hall, T. E. Owen, R. J. Griffiths, and Y. Peng. 2018. "Variation in Routine Follow-Up Care After Curative Treatment for Head-and-Neck Cancer: A Population-Based Study in Ontario" Current Oncology 25, no. 2: 120-131. https://doi.org/10.3747/co.25.3892

APA Style

Brennan, K. E., Hall, S. F., Owen, T. E., Griffiths, R. J., & Peng, Y. (2018). Variation in Routine Follow-Up Care After Curative Treatment for Head-and-Neck Cancer: A Population-Based Study in Ontario. Current Oncology, 25(2), 120-131. https://doi.org/10.3747/co.25.3892

Article Metrics

Back to TopTop