Impact of surveillance on survival after laryngeal cancer in the medicare population

Francis, David O.; Yueh, Bevan; Weymuller, Ernest A.; Meratı, Albert L.

doi:10.1002/lary.20576

Cited by 31 publications

(27 citation statements)

References 31 publications

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“…Studies have examined the impact of surveillance office visits and have concluded that survival is not related to the intensity of follow‐up . Nonetheless, the NCCN guidelines recommend office visits for cancer survivors that decrease in frequency over time.…”

Section: Recommendationsmentioning

confidence: 99%

AHNS Series-Do you know your guidelines? Guideline recommended follow-up and surveillance of head and neck cancer survivors

2016

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In this first article of the "Do You Know Your Guidelines" series, we review National Comprehensive Cancer Network (NCCN) recommendations and underlying evidence for the follow-up and surveillance of head and neck cancer survivors. The goals of follow-up and surveillance care are (1) to maximize long-term oncologic outcomes of therapy with appropriate evaluation for recurrence, (2) to maximize functional and quality of life outcomes, and (3) minimizing unnecessary and harmful low-value care. Finding the right balance of testing and surveillance is a challenge for providers and patients. Herein, we review all NCCN recommendations for head and neck cancer survivors. We pay particular attention to an area of controversy: the use of ongoing surveillance imaging, in particular, PET/CT scans.

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Section: Recommendationsmentioning

confidence: 99%

AHNS Series-Do you know your guidelines? Guideline recommended follow-up and surveillance of head and neck cancer survivors

2016

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“…Because of the anatomy of the head and neck, self‐surveillance can be difficult, emphasizing the importance of active surveillance by a trained physician. Active surveillance may allow for earlier detection of asymptomatic recurrence or second primary lesions, which may increase the success of treatment . As well, treatment of HNC can result significant late functional sequelae, and regular follow‐up provides patient access to specialized rehabilitative services, essential for optimizing outcomes in cancer survivors.…”

Section: Introductionmentioning

confidence: 99%

Adherence with National Comprehensive Cancer Network posttreatment surveillance guidelines in patients with head and neck cancer

et al. 2019

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Background Surveillance in head and neck cancer (HNC) is essential to detect recurrent or new lesions and to optimize function. This study describes drivers of surveillance adherence in patients with HNC and its effect on prognosis. Methods Adherence with surveillance of HNC patients was determined using the National Comprehensive Cancer Network HNC guidelines. Logistic regression and Cox proportional hazards models were used to determine predictors of adherence and overall survival (OS). Results Results showed that 110 of 221 patients (50.2%) were adherent with surveillance. Distance from the treatment center was the only significant association. Adherence was not associated with OS following multivariate adjustment (adjusted hazard ratio [aHR] = 0.68, 95% confidence interval [CI] = 0.43‐1.09). However, 5‐10 years after treatment completion, adherence was an independent predictor of survival (aHR = 0.24, 95% CI = 0.09‐0.61). Conclusion Adherence with surveillance is important in improving survival in patients with HNC, especially in the long term.

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“…Tumor recurrence is relatively common in all stage groups regardless of the primary treatment. Recurrence is detected in 16% to 29% of patients with laryngeal SCC, with large variability between different subsites and stages . When laryngeal SCC recurs, salvage of limited recurrences may be attempted with organ‐sparing surgery .…”

Section: Introductionmentioning

confidence: 99%

Predictive factors and treatment outcome of laryngeal carcinoma recurrence

et al. 2016

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Impact of surveillance on survival after laryngeal cancer in the medicare population

Cited by 31 publications

References 31 publications

AHNS Series-Do you know your guidelines? Guideline recommended follow-up and surveillance of head and neck cancer survivors

AHNS Series-Do you know your guidelines? Guideline recommended follow-up and surveillance of head and neck cancer survivors

Adherence with National Comprehensive Cancer Network posttreatment surveillance guidelines in patients with head and neck cancer

Predictive factors and treatment outcome of laryngeal carcinoma recurrence

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