Assessment of Oropharyngeal and Laryngeal Cancer Treatment Delay in a Private and Safety Net Hospital System

Haley K. Perlow; Stephen J. Ramey; Ben Silver; Deukwoo Kwon; Felix M. Chinea; Stuart E. Samuels; Michael A. Samuels; Nagy Elsayyad; Raphael Yechieli

doi:10.1177/0194599818768795

Assessment of Oropharyngeal and Laryngeal Cancer Treatment Delay in a Private and Safety Net Hospital System

Haley K. Perlow, Stephen J. Ramey, Ben Silver, Deukwoo Kwon, Felix M. Chinea, Stuart E. Samuels, Michael A. Samuels, Nagy Elsayyad, Raphael Yechieli

Research output: Contribution to journal › Article › peer-review

13 Scopus citations

Abstract

Objective: To examine the impact of treatment setting and demographic factors on oropharyngeal and laryngeal cancer time to treatment initiation (TTI). Study Design: Retrospective case series. Setting: Safety net hospital and adjacent private academic hospital. Subjects and Methods: Demographic, staging, and treatment details were retrospectively collected for 239 patients treated from January 1, 2014, to June 30, 2016. TTI was defined as days between diagnostic biopsy and initiation of curative treatment (defined as first day of radiotherapy [RT], surgery, or chemotherapy). Results: On multivariable analysis, safety net hospital treatment (vs private academic hospital treatment), initial diagnosis at outside hospital, and oropharyngeal cancer (vs laryngeal cancer) were all associated with increased TTI. Surgical treatment, severe comorbidity, and both N1 and N2 status were associated with decreased TTI. Conclusion: Safety net hospital treatment was associated with increased TTI. No differences in TTI were found when language spoken and socioeconomic status were examined in the overall cohort.

Original language	English (US)
Pages (from-to)	484-493
Number of pages	10
Journal	Otolaryngology - Head and Neck Surgery (United States)
Volume	159
Issue number	3
DOIs	https://doi.org/10.1177/0194599818768795
State	Published - Sep 1 2018
Externally published	Yes

Keywords

Hispanics
head and neck cancer
health care disparities
treatment delay

ASJC Scopus subject areas

Surgery
Otorhinolaryngology

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1177/0194599818768795

Cite this

@article{cba47861994d4570a4cd3fd6dcef33f5,

title = "Assessment of Oropharyngeal and Laryngeal Cancer Treatment Delay in a Private and Safety Net Hospital System",

abstract = "Objective: To examine the impact of treatment setting and demographic factors on oropharyngeal and laryngeal cancer time to treatment initiation (TTI). Study Design: Retrospective case series. Setting: Safety net hospital and adjacent private academic hospital. Subjects and Methods: Demographic, staging, and treatment details were retrospectively collected for 239 patients treated from January 1, 2014, to June 30, 2016. TTI was defined as days between diagnostic biopsy and initiation of curative treatment (defined as first day of radiotherapy [RT], surgery, or chemotherapy). Results: On multivariable analysis, safety net hospital treatment (vs private academic hospital treatment), initial diagnosis at outside hospital, and oropharyngeal cancer (vs laryngeal cancer) were all associated with increased TTI. Surgical treatment, severe comorbidity, and both N1 and N2 status were associated with decreased TTI. Conclusion: Safety net hospital treatment was associated with increased TTI. No differences in TTI were found when language spoken and socioeconomic status were examined in the overall cohort.",

keywords = "Hispanics, head and neck cancer, health care disparities, treatment delay",

author = "Perlow, {Haley K.} and Ramey, {Stephen J.} and Ben Silver and Deukwoo Kwon and Chinea, {Felix M.} and Samuels, {Stuart E.} and Samuels, {Michael A.} and Nagy Elsayyad and Raphael Yechieli",

note = "Publisher Copyright: {\textcopyright} American Academy of Otolaryngology—Head and Neck Surgery Foundation 2018.",

year = "2018",

month = sep,

day = "1",

doi = "10.1177/0194599818768795",

language = "English (US)",

volume = "159",

pages = "484--493",

journal = "Otolaryngology - Head and Neck Surgery (United States)",

issn = "0194-5998",

publisher = "Mosby Inc.",

number = "3",

}

TY - JOUR

T1 - Assessment of Oropharyngeal and Laryngeal Cancer Treatment Delay in a Private and Safety Net Hospital System

AU - Perlow, Haley K.

AU - Ramey, Stephen J.

AU - Silver, Ben

AU - Kwon, Deukwoo

AU - Chinea, Felix M.

AU - Samuels, Stuart E.

AU - Samuels, Michael A.

AU - Elsayyad, Nagy

AU - Yechieli, Raphael

N1 - Publisher Copyright: © American Academy of Otolaryngology—Head and Neck Surgery Foundation 2018.

PY - 2018/9/1

Y1 - 2018/9/1

N2 - Objective: To examine the impact of treatment setting and demographic factors on oropharyngeal and laryngeal cancer time to treatment initiation (TTI). Study Design: Retrospective case series. Setting: Safety net hospital and adjacent private academic hospital. Subjects and Methods: Demographic, staging, and treatment details were retrospectively collected for 239 patients treated from January 1, 2014, to June 30, 2016. TTI was defined as days between diagnostic biopsy and initiation of curative treatment (defined as first day of radiotherapy [RT], surgery, or chemotherapy). Results: On multivariable analysis, safety net hospital treatment (vs private academic hospital treatment), initial diagnosis at outside hospital, and oropharyngeal cancer (vs laryngeal cancer) were all associated with increased TTI. Surgical treatment, severe comorbidity, and both N1 and N2 status were associated with decreased TTI. Conclusion: Safety net hospital treatment was associated with increased TTI. No differences in TTI were found when language spoken and socioeconomic status were examined in the overall cohort.

AB - Objective: To examine the impact of treatment setting and demographic factors on oropharyngeal and laryngeal cancer time to treatment initiation (TTI). Study Design: Retrospective case series. Setting: Safety net hospital and adjacent private academic hospital. Subjects and Methods: Demographic, staging, and treatment details were retrospectively collected for 239 patients treated from January 1, 2014, to June 30, 2016. TTI was defined as days between diagnostic biopsy and initiation of curative treatment (defined as first day of radiotherapy [RT], surgery, or chemotherapy). Results: On multivariable analysis, safety net hospital treatment (vs private academic hospital treatment), initial diagnosis at outside hospital, and oropharyngeal cancer (vs laryngeal cancer) were all associated with increased TTI. Surgical treatment, severe comorbidity, and both N1 and N2 status were associated with decreased TTI. Conclusion: Safety net hospital treatment was associated with increased TTI. No differences in TTI were found when language spoken and socioeconomic status were examined in the overall cohort.

KW - Hispanics

KW - head and neck cancer

KW - health care disparities

KW - treatment delay

UR - http://www.scopus.com/inward/record.url?scp=85045350430&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85045350430&partnerID=8YFLogxK

U2 - 10.1177/0194599818768795

DO - 10.1177/0194599818768795

M3 - Article

C2 - 29634400

AN - SCOPUS:85045350430

SN - 0194-5998

VL - 159

SP - 484

EP - 493

JO - Otolaryngology - Head and Neck Surgery (United States)

JF - Otolaryngology - Head and Neck Surgery (United States)

IS - 3

ER -

Assessment of Oropharyngeal and Laryngeal Cancer Treatment Delay in a Private and Safety Net Hospital System

Abstract

Keywords

ASJC Scopus subject areas

UN SDGs

Access to Document

Other files and links

Fingerprint

Cite this