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• W4367174883 abstract "Abstract Background A prior study reported that over half of patients with HNSCC initiated PORT after 6 weeks from surgery during 2006–2014. In 2022, the CoC released a quality metric for patients to initiate PORT within 6 weeks. This study provides an update on time to PORT in recent years. Methods The NCDB and TriNetX Research Network were queried to identify patients with HNSCC who received PORT during 2015–2019 and 2015–2021, respectively. Treatment delay was defined as initiating PORT beyond 6 weeks after surgery. Results In NCDB, PORT was delayed for 62% of patients. Predictors of delay included age >50, female sex, black race, nonprivate insurance/uninsured status, lower education, oral cavity site, negative surgical margins, increased postoperative length of stay, unplanned hospital readmissions, IMRT radiation modality, treatment at an academic hospital or in the Northeast, and surgery and radiation at different facilities. In TriNetX, 64% experienced treatment delay. Additional associations with prolonged time to treatment included never married/divorced/widowed marital status, major surgery (neck dissection/free flaps/laryngectomy), and gastrostomy/tracheostomy dependence. Conclusions There continue to be challenges to timely initiation of PORT." @default.
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• W4367174883 date "2023-04-27" @default.
• W4367174883 modified "2023-10-14" @default.
• W4367174883 title "Update on adherence to guidelines for time to initiation of postoperative radiation for <scp>head and neck squamous cell carcinoma</scp>" @default.
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• W4367174883 doi "https://doi.org/10.1002/hed.27380" @default.
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