作者
Alyssa M Civantos, Aman Prasad, Ryan M Carey, Andrés M Bur, Leila J Mady, Robert M Brody, Karthik Rajasekaran, Steven B Cannady, Lee Hartner, Said A Ibrahim, Jason G Newman, Jason A Brant
发表日期
2021/9
期刊
Head & Neck
卷号
43
期号
9
页码范围
2764-2777
出版商
John Wiley & Sons, Inc.
简介
Background
Due to inherent impact on quality of life, metastatic head and neck cancer patients are well‐suited to benefit from palliative care (PC). Our objective was to examine factors that shape PC utilization and implications for overall survival in stage IVc head and neck cancer patients.
Methods
A retrospective study of patients with stage IVc head and neck cancer in the National Cancer Database from 2004 and 2015 was conducted.
Results
7794 cases met inclusion criteria, of which 19.3% received PC. PC use was associated with more recent years of diagnosis, Northeast facility geography, and non‐private insurances (p < 0.05). Compared to no PC, “interventional” PC, defined as palliative surgery, radiation, and/or chemotherapy, and “pain management only” PC were associated with lower overall survival (p < 0.05).
Conclusions
PC use increased over time and was associated with demographic …
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AM Civantos, A Prasad, RM Carey, AM Bur, LJ Mady… - Head & Neck, 2021