Trends in Head and Neck Cancer Post-Treatment Rehabilitation
ASTRO Poster Library. Lewis C. 09/24/17; 192372; 3281 Topic: Patient Reported Outcomes/QoL/Survivorship
Carol Lewis
Carol Lewis
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C. Lewis1, Z. Nurgalieva2, G. B. Gunn2, H. Zhao3, S. Giordano3, M. Bhayani4, and K. A. Hutcheson5; 1Department of Head and Neck Surgery, The University of Texas MD Anderson Cancer Center, Houston, TX, 2UT MD Anderson Cancer Center, Houston, TX, 3Department of Health Service Research, The University of Texas MD Anderson Cancer Center, Houston, TX, 4NorthShore University HealthSystem, Evanston, IL, 5The University of Texas MD Anderson Cancer Center, Houston, TX

Purpose/Objective(s): Little is known about patterns of surveillance in head and neck cancer (HNC) survivorship care. Using a national database, we aimed to evaluate trends in post-treatment utilization of rehabilitation services for HNC survivors. 

Materials/Methods: Using Surveillance, Epidemiology and End Results (SEER)-Medicare data for HNC patients treated between 2002 and 2011 to evaluate post-treatment rehabilitation use.

Results: A total of 16,194 eligible patients underwent treatment for HNC between January 1, 2002, and December 31, 2011. During the first 2 post-treatment years, 25.7% (N=4,155) of patients received any rehabilitation services, while 20.6% (N=3,328) specifically received speech pathology services. The use of rehabilitation services increased in the second post-treatment year over the first (3.6% versus 3.1%, respectively, p<0.02). Patients who underwent multimodality therapy were more likely to utilize speech pathology services than those who received single modality therapy (28.1% versus 55.9%, P < 0.0001). Multivariate analysis demonstrated that speech pathology utilization increased on average 7% for each increasing year of diagnosis (OR=1.07, 95% CI 1.05-1.09); this was most prominent for patients who received radiation as part of their therapy (OR 2.3, 95% CI 2.02-2.7).

Conclusion: We evaluated national trends of post-treatment use of rehabilitation services. The use of services increased in the second post-treatment year, indicating an increasing need for long-term treatment effects. The frequency of post-treatment speech pathology services increased annually over the study period; further study is needed to identify benefits of this increased resource utilization.

AuthorDisclosure: C. Lewis: None. Z. Nurgalieva: None. G.B. Gunn: ; MD Anderson Cancer Center - Proton Therapy. H. Zhao: None. S. Giordano: None. M. Bhayani: None. K.A. Hutcheson: None.
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