An audit and analysis of different causes of defaults in patients receiving radiation for head and neck cancers: A tertiary regional cancer center experience

Pujari, L; Padhi, Sanjukta; Meher, Purnima; Tripathy, A.

doi:10.4103/ijc.ijc_114_17

Cited by 4 publications

(1 citation statement)

References 2 publications

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“…Around 10% of all patients on radiotherarpy have unplanned/unintended treatment interruption. Literature has reported that around 20% of patients default radiotherapy in real-world setting ( Roick et al, 2018 , Pujari et al, 2017 ). In our institution, this figure is much higher .i.e.…”

Section: Discussionmentioning

confidence: 99%

Conventional radiotherapy planning of cervical cancer in resource-constrained set-up: Utilizing soldering lead wire to delineate radiotherapy portal

Kumar

2020

Gynecologic Oncology Reports

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Highlights Cervical cancer is the commonest malignancy among women in developing countries. Radiotherapy is mainstay of management and simulator for RT planning may be sparse. Our study has demonstrated the utility of locally available resources for simulation. Using soldering wire for conventional RT field delineation appears to be feasible. Future studies are needed to validate the RT portals delineated by this technique.

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Section: Discussionmentioning

confidence: 99%

Conventional radiotherapy planning of cervical cancer in resource-constrained set-up: Utilizing soldering lead wire to delineate radiotherapy portal

Kumar

2020

Gynecologic Oncology Reports

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Radiation Therapy: Predictors of Nonadherence to Treatment Schedules Among Patients With Head and Neck Cancer

Miller

Szalacha

Hartranft

et al. 2021

CJON

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Factors Associated With Default of Treatment and Follow-Up Among Patients With Cancer: A Cross-Sectional Study From a Lower-Middle-Income Country

Sundriyal,

Kapoor,

Antil

et al. 2024

JCO Glob Oncol

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PURPOSE Desirable outcomes during the treatment of patients with cancer require adherence to evaluation, treatment, and follow-up. This study aimed to evaluate the factors associated with default in patients with cancer. MATERIALS AND METHODS We included patients with a histologically confirmed diagnosis of cancer who defaulted during evaluation, treatment, and follow-up. All patients’ detailed demographic and clinical data were recorded. Those lost to follow-up were interviewed telephonically. The factors associated with default were noted. Descriptive statistics were used to compute the demographic and clinical characteristics. RESULTS In total, 172 patients were included. Geriatric and female patients were 38.9% and 37.2%, respectively. Fifty-eight percent of the patients lived in rural areas, whereas 45.9% were illiterate. More than one third (34.3%) of the patients who defaulted received the curative-intent treatment, whereas 62.1% of patients had a good performance status immediately before default. The average distance traveled by the patients to reach the cancer facility was 143 ± 13.15 km. The most common reasons for default were the lack of social support, financial constraints, difficulty in commuting, and too sick to come in 45 (26.2%), 35 (20.3%), 28 (16.3%), and 23 (13.4%) patients, respectively. Twenty-nine (16.9%) patients reported more than one reason for default. CONCLUSION Lack of social support, financial constraints, transportation barriers, and inadequate counseling by the health care provider serve as barriers to uninterrupted cancer care. These factors are often interrelated and can be attenuated by adopting the hub and spoke model. Simultaneously, a good relationship between the patient and the health care provider fostered by appropriate counseling is imperative to increase adherence to cancer treatment and improve the outcome.

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An audit and analysis of different causes of defaults in patients receiving radiation for head and neck cancers: A tertiary regional cancer center experience

Cited by 4 publications

References 2 publications

Conventional radiotherapy planning of cervical cancer in resource-constrained set-up: Utilizing soldering lead wire to delineate radiotherapy portal

Conventional radiotherapy planning of cervical cancer in resource-constrained set-up: Utilizing soldering lead wire to delineate radiotherapy portal

Radiation Therapy: Predictors of Nonadherence to Treatment Schedules Among Patients With Head and Neck Cancer

Factors Associated With Default of Treatment and Follow-Up Among Patients With Cancer: A Cross-Sectional Study From a Lower-Middle-Income Country

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