典型文献
Examination of care processes and treatment optimization for head and neck cancer patients in a community setting "hub and hub" model
文献摘要：
Objective::To examine referral pattern, the timing of diagnostic/staging processes, and treatment initiation for new head and neck cancer patients in a community setting.Methods::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 2020. Source of referral and preceding workup were examined as well as intervals between initial head and neck consult and various timepoints of treatment initiation.Results::One hundred and five patients were included in the study. The primary referral sources were external general otolaryngology (56.3%). Oral surgery and dermatology obtained tissue biopsy approximately 80% of the time before referral. The 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 management. Time 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;
P < 0.001).
Conclusions::No notable differences in treatment initiation times were identified based on referral source or extent of workup performed before head/neck surgery consult. It appears the largest opportunities for improvement in terms of reducing overall treatment length exist in the optimization of radiation initiation time.
文献关键词：
head and neck cancer;package time;referral source;time to treatment initiation;total treatment length
中图分类号：
作者姓名：
Sethi Harleen K.;Walker Elijah;Weinsheim Travis;Brennan Matthew J.;Fundakowski Christopher E.
作者机构：
Department of Otolaryngology-Head and Neck Surgery, Sidney Kimmel Cancer Center at Abington—Jefferson Health, Willow Grove, Pennsylvania, USA;Department of Otolaryngology-Head and Neck Surgery, Philadelphia College of Osteopathic Medicine, Philadelphia, Pennsylvania, USA;College of Applied Health Science, University of Illinois at Urbana-Champaign, Urbana, Illinois, USA;Department of Otolaryngology-Head and Neck Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA
文献出处：
引用格式：
[1]Sethi Harleen K.;Walker Elijah;Weinsheim Travis;Brennan Matthew J.;Fundakowski Christopher E.-.Examination of care processes and treatment optimization for head and neck cancer patients in a community setting "hub and hub" model)[J].世界耳鼻咽喉头颈外科杂志（英文）,2022(02):152-157
A类：
Asplundh,Abington,otolaryngology,consults
B类：
Examination,care,processes,treatment,optimization,head,neck,cancer,patients,community,setting,hub,model,Objective,To,referral,pattern,timing,diagnostic,staging,initiation,Methods,Patients,newly,diagnosed,previously,untreated,diagnosis,managed,Cancer,Pavilion,Memorial,Hospital,from,October,March,Source,preceding,workup,were,examined,well,intervals,between,initial,various,timepoints,Results,One,hundred,five,included,study,primary,sources,external,general,Oral,surgery,dermatology,obtained,tissue,biopsy,approximately,before,average,ordering,positron,emission,tomography,computed,finalized,results,was,days,range,referred,oral,more,likely,require,single,modality,namely,definitive,surgical,management,Time,longer,times,noted,significantly,higher,both,radiation,medical,oncology,Conclusions,No,notable,differences,identified,extent,performed,It,appears,largest,opportunities,improvement,terms,reducing,overall,length,exist,package,total
AB值：
0.522288
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