Efficacy of current regular follow-up policy after treatment for head and neck cancer: Need for individualized and obligatory follow-up strategy
- Authors
- Jung, Young Ho; Song, Chang Myeon; Park, Joo Hyun; Kim, Heejin; Cha, Wonjae; Hah, J. Hun; Kwon, Tack-Kyun; Kim, Kwang Hyun; Sung, Myung-Whun
- Issue Date
- May-2014
- Publisher
- WILEY
- Keywords
- office visits; salvage therapy; follow-up; head and neck neoplasms; recurrence
- Citation
- HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK, v.36, no.5, pp.715 - 721
- Indexed
- SCIE
SCOPUS
- Journal Title
- HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK
- Volume
- 36
- Number
- 5
- Start Page
- 715
- End Page
- 721
- URI
- https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/159949
- DOI
- 10.1002/hed.23364
- ISSN
- 1043-3074
- Abstract
- Background The purpose of this study was to report the efficacy of routine follow-up after head and neck cancer treatment. Method Data for 520 patients with head and neck cancer registered with between 2002 and 2008 were reviewed retrospectively. Results The mean ± SD follow-up period taken into account was 34.7 ± 22.8 months. The pickup rate for recurrence using our follow-up protocol in this cohort was 1 in every 79 visits (1.26%). High pickup rates were observed in patients older than 70 years and patients with advanced T classification, whereas low pickup rates were observed in patients who had received treatment including surgery. The only factor on multivariate analysis to influence follow-up visits was surgical treatment (p =.043). Conclusion Individualized and obligatory follow-up policy is desirable considering various factors, especially age, T classification, and whether treatment modality includes surgery or not.
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