Timely Adjuvant Postoperative Radiotherapy

Teng, Marita S.; Gupta, Vishal

doi:10.1001/jamaoto.2018.2266

Cited by 5 publications

(9 citation statements)

References 9 publications

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“…Improving communication and coordination of care by utilising existing electronic record platforms to generate electronic referrals at the first post-operative review in the head and neck multidisciplinary clinic, tracking patient progress through automated reminders to care coordinators and clinical teams and including a 'must treat by' option when booking radiation treatment are feasible and are being implemented at our institution. Educating the treating teams of the importance of timeliness of PORT, pre-operative radiation oncology consult when appropriate, patient education on the importance of compliance to PORT at initial consult, 15,32 pre-operative dental evaluations with intraoperative extractions, 33 compensation for unplanned radiation treatment prolongation and altered fractionation in those experiencing delays are other important considerations to ensure timely PORT. [21][22][23][24]…”

Section: Discussionmentioning

confidence: 99%

Evaluating delays in patients treated with post‐operative radiation therapy for head and neck squamous cell carcinoma

et al. 2022

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Introduction: Delays in commencing post-operative radiation therapy (PORT) and prolongation of overall treatment times (OTT) are associated with reduced overall survival and higher recurrence rates in patients with head and neck squamous cell carcinoma (HNSCC). The objective of this study was to evaluate treatment delays, factors contributing to those delays and to explore strategies to mitigate them. Methods: This retrospective study included patients with mucosal HNSCC at Townsville University Hospital treated with curative intent surgery and PORT between June 2011 and June 2019. The proportion of patients who experienced delays in commencing PORT (>6 weeks) and OTT were evaluated and reasons for these delays were explored.Results: The study included 94 patients of which 70% experienced PORT delay. Surgery at an external facility (81% vs 56%, P = 0.006) and longer postoperative length of stay (P = 0.011) were significantly associated with a higher incidence of PORT delay. Aboriginal and Torres Strait Islander patients had a higher rate of PORT delay (89% vs 68.2%, P = 0.198). Significant delays were noted from time of surgery to radiation oncology (RO) consult and from RO consult to commencement of radiation treatment. Conclusion: This study demonstrates that the prevalence of PORT delay for patients with HNSCC remains high with room for improvement. Potential strategies to improve delays include developing effective care coordination, addressing specific needs of Indigenous patients, implementing reliable automated tracking and communication systems between teams and harnessing existing electronic referral systems.

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Section: Discussionmentioning

confidence: 99%

Evaluating delays in patients treated with post‐operative radiation therapy for head and neck squamous cell carcinoma

et al. 2022

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“…This first nomogram could also be delivered through a web-based or smartphone platform and seamlessly integrated into clinical workflow to help patients and clinicians personalize PORT initiation delay risk into an easily interpretable and communicable data point. 19 Guideline concordance and timeliness are 2 indicators of high-quality care. The delivery of timely PORT has, therefore, been proposed as a marker of high-quality care delivery for head and neck cancer.…”

Section: Discussionmentioning

confidence: 99%

Development and Validation of Nomograms for Predicting Delayed Postoperative Radiotherapy Initiation in Head and Neck Squamous Cell Carcinoma

Levy

Sterba

et al. 2020

JAMA Otolaryngol Head Neck Surg

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IMPORTANCEThe standard of care for initiation of postoperative radiotherapy (PORT) in head and neck squamous cell carcinoma (HNSCC) is within 6 weeks of surgical treatment. Delays in guideline-adherent PORT initiation are common, associated with mortality, and a measure of quality care, but patient-specific tools to estimate the risk of these delays are lacking.OBJECTIVE To develop and validate 2 nomograms (that use presurgical and postsurgical data) for predicting delayed PORT initiation.

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“…Leider erfahren fast 50 % der operativ behandelten Patienten in der Analyse von Janz et al Verzögerungen im Behandlungsablauf, sodass neben der leitliniengerechten und evidenzbasierten Auswahl der Behandlung und der Behandlungsverfahren auch ein weiterer Fokus auf der Durchführung einer zeitgerechten Therapie liegen muss, um die in Studien gezeigten günstigen Resultate auch in der Routine zu ermöglichen [32]. Dies betrifft zum einen die Patientenselektion für o. g. operative Verfahren und zum anderen die Optimierung der Logistik postoperativ.…”

Section: Zeitpunkt Logistik Und Ablauf Der Postoperativen Strahlenthe...unclassified

Kurative Radiochemotherapie von Kopf-Hals-Tumoren

Langer

Wittekindt

Jensen

2022

TumorDiagnostik & Therapie

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ZusammenfassungRadio- und Chemotherapie stellen sowohl als definitiver Therapieansatz als auch im adjuvanten Setting wesentliche Bestandteile der Behandlung von malignen Kopf-Hals-Tumoren dar. Der Behandlungserfolg ist hier wesentlich abhängig von Auswahl und Dosierung der verwendeten Substanzen sowie vom spezifischen radiotherapeutischen Setting in Bezug auf Fraktionierung, Therapiegesamtdauer und Bestrahlungstechnik.Hinzu kommen Untersuchungen zur immunologisch basierten Therapie und strahlentherapeutischen Modifikation durch Evaluation der Partikeltherapie innerhalb oder additiv zu etablierten Behandlungskonzepten. Die Therapie HPV-induzierter Tumoren stellt aufgrund der differenten Tumorbiologie und des damit verbundenen verbesserten Gesamtüberlebens eine weitere aktuell untersuchte therapeutische Herausforderung dar.

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Timely Adjuvant Postoperative Radiotherapy

Abstract: Impact of socioeconomic status on the diagnosis to treatment interval in Waldeyer's ring carcinoma.

Cited by 5 publications

References 9 publications

Evaluating delays in patients treated with post‐operative radiation therapy for head and neck squamous cell carcinoma

Evaluating delays in patients treated with post‐operative radiation therapy for head and neck squamous cell carcinoma

Development and Validation of Nomograms for Predicting Delayed Postoperative Radiotherapy Initiation in Head and Neck Squamous Cell Carcinoma

Kurative Radiochemotherapie von Kopf-Hals-Tumoren

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