外科医生辐射瘤二极管对口腔腔癌结果的影响
Jacob Wihlidal1, Alex O Esemezie2, Shao Hui Huang1,3
1Department of Otolaryngology - Head and Neck Surgery, University of Toronto, Toronto, ON, Canada.
Annals of surgical oncology
|October 29, 2024
概括
合作的外科医生-放射瘤学家团队减少了口腔状细胞癌 (OCSCC) 治疗的延迟. 这种多学科的方法改善了护理协调,但没有显著影响生存结果.
科学领域:
- 在瘤学瘤学.
- 手术瘤学手术瘤学
- 辐射瘤学 辐射瘤学
背景情况:
- 多学科护理对于口腔状细胞癌 (OCSCC) 治疗决策至关重要.
- 手术和术后放射治疗 (S-PORT) 之间的长时间间隔会对OCSCC患者的治疗结果产生负面影响.
- 调查外科医生-放射瘤学家合作对OCSCC治疗的影响至关重要.
研究的目的:
- 检查外科医生-放射瘤学家双如何影响OCSCC治疗中的S-PORT间隔.
- 评估OCSCC患者的二护理与疾病特异性结局之间的关联.
主要方法:
- 在2009-2017年期间治疗的444名OCSCC患者的回顾性分析.
- 分类为"dyad" (配对团队,联合诊所或共享体积) 和"nondyad"组.
- 后勤回归以确定与长期S-PORT (≥8周) 相关的因素;生存和复发分析.
主要成果:
- 双护理与显著缩短的S-PORT间隔 (OR 0.65,p=0.03) 有关.
- 手术前的放射瘤咨询也减少了S-PORT间隔.
- 根据二状态或S-PORT间隔,没有发现总体存活率或局部区域复发的显著差异.
结论:
- 外科医生-放射瘤学家二有效地缩短了OCSCC患者的S-PORT间隔.
- 这些发现支持OCSCC的综合,协作多学科护理模式.
- 虽然没有观察到生存益处,但双护理提高了治疗协调.
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