دورية أكاديمية
Delays Starting Postoperative Radiotherapy Among Head and Neck Cancer Patients: A Systematic Review and Meta-analysis.
| العنوان: | Delays Starting Postoperative Radiotherapy Among Head and Neck Cancer Patients: A Systematic Review and Meta-analysis. |
|---|---|
| المؤلفون: | Duckett KA; Department of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston, South Carolina, USA., Kassir MF; Department of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston, South Carolina, USA., Nguyen SA; Department of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston, South Carolina, USA., Brennan EA; MUSC Libraries, Medical University of South Carolina, Charleston, South Carolina, USA., Chera BS; Department of Radiation Oncology, Hollings Cancer Center, Medical University of South Carolina, Charleston, South Carolina, USA., Sterba KR; Department of Public Health Sciences, Medical University of South Carolina, Charleston, South Carolina, USA., Hughes Halbert C; Department of Population and Public Health Sciences, University of Southern California, Los Angeles, California, USA., Hill EG; Department of Public Health Sciences, Medical University of South Carolina, Charleston, South Carolina, USA., McCay J; Department of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston, South Carolina, USA., Puram SV; Department of Otolaryngology-Head and Neck Surgery, Washington University School of Medicine, St Louis, Missouri, USA.; Department of Genetics, Washington University School of Medicine, St Louis, Missouri, USA., Sandulache VC; Bobby R. Alford Department of Otolaryngology-Head and Neck Surgery, Baylor College of Medicine, Houston, Texas, USA.; ENT Section, Operative CareLine, Michael E. DeBakey Veterans Affairs Medical Center, Houston, Texas, USA., Kahmke R; Department of Head and Neck Surgery and Communication Sciences, Duke University, Durham, North Carolina, USA., Ramadan S; Department of Otolaryngology-Head and Neck Surgery, Washington University School of Medicine, St Louis, Missouri, USA., Nussenbaum B; American Board of Otolaryngology-Head and Neck Surgery, Houston, Texas, USA., Alberg AJ; Department of Epidemiology and Biostatistics, University of South Carolina Arnold School of Public Health, Columbia, South Carolina, USA., Graboyes EM; Department of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston, South Carolina, USA.; Department of Public Health Sciences, Medical University of South Carolina, Charleston, South Carolina, USA. |
| المصدر: | Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery [Otolaryngol Head Neck Surg] 2024 Feb; Vol. 170 (2), pp. 320-334. Date of Electronic Publication: 2023 Sep 20. |
| نوع المنشور: | Meta-Analysis; Systematic Review; Journal Article; Review |
| اللغة: | English |
| بيانات الدورية: | Publisher: Wiley Country of Publication: England NLM ID: 8508176 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1097-6817 (Electronic) Linking ISSN: 01945998 NLM ISO Abbreviation: Otolaryngol Head Neck Surg Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2023- : [Oxford] : Wiley Original Publication: [Rochester, Minn.] : The Academy, [c1981- |
| مواضيع طبية MeSH: | Head and Neck Neoplasms*/radiotherapy , Head and Neck Neoplasms*/surgery, Humans ; United States ; Squamous Cell Carcinoma of Head and Neck ; Radiotherapy, Adjuvant |
| مستخلص: | Objective: Initiating postoperative radiotherapy (PORT) within 6 weeks (42 days) of surgery is the first and only Commission on Cancer (CoC) approved quality metric for head and neck squamous cell carcinoma (HNSCC). No study has systematically reviewed nor synthesized the literature to establish national benchmarks for delays in starting PORT. Data Sources: Following Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines, we performed a systematic review of PubMed, Scopus, and CINAHL. Review Methods: Studies that described time-to-PORT or PORT delays in patients with HNSCC treated in the United States after 2003 were included. Meta-analysis of proportions and continuous measures was performed on nonoverlapping datasets to examine the pooled frequency of PORT delays and time-to-PORT. Results: Thirty-six studies were included in the systematic review and 14 in the meta-analysis. Most studies utilized single-institution (n = 17; 47.2%) or cancer registry (n = 16; 44.4%) data. Twenty-five studies (69.4%) defined PORT delay as >6 weeks after surgery (the definition utilized by the CoC and National Comprehensive Cancer Network Guidelines), whereas 4 (11.1%) defined PORT delay as a time interval other than >6 weeks, and 7 (19.4%) characterized time-to-PORT without defining delay. Meta-analysis revealed that 48.6% (95% confidence interval [CI], 41.4-55.9) of patients started PORT > 6 weeks after surgery. Median and mean time-to-PORT were 45.8 (95% CI, 42.4-51.4 days) and 47.4 days (95% CI, 43.4-51.4 days), respectively. Conclusion: Delays in initiating guideline-adherent PORT occur in approximately half of patients with HNSCC. These meta-analytic data can be used to set national benchmarks and assess progress in reducing delays. (© 2023 American Academy of Otolaryngology-Head and Neck Surgery Foundation.) |
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| معلومات مُعتمدة: | K08 CA237858 United States CA NCI NIH HHS; P30 CA138313 United States CA NCI NIH HHS; R01 CA282165 United States CA NCI NIH HHS |
| فهرسة مساهمة: | Keywords: Commission on Cancer; National Comprehensive Cancer Network; adjuvant therapy; head and neck cancer; quality; radiotherapy |
| تواريخ الأحداث: | Date Created: 20230921 Date Completed: 20240119 Latest Revision: 20240206 |
| رمز التحديث: | 20240206 |
| مُعرف محوري في PubMed: | PMC10840985 |
| DOI: | 10.1002/ohn.538 |
| PMID: | 37731255 |
| قاعدة البيانات: | MEDLINE |
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