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International Journal of Otolaryngology
Volume 2012, Article ID 628578, 6 pages
http://dx.doi.org/10.1155/2012/628578
Clinical Study

Multidisciplinary Service Utilization Pattern by Advanced Head and Neck Cancer Patients: A Single Institution Study

1New York Medical College, Valhalla, NY, USA
2Department of Otolaryngology, University of California, Los Angeles, CA, USA
3Johns Hopkins Department of Oncology Biostatistics, Baltimore, MD, USA
4Johns Hopkins Department of Otolaryngology, Baltimore, MD, USA
5Department of Otolaryngology, Montefiore Medical Center, Bronx, NY, USA
6Milton J. Dance Jr. Head and Neck Center, Baltimore, MD, USA
7Department of Radiation Oncology, GBMC, Baltimore, MD, USA
8Department of Medical Oncology, GBMC, Baltimore, MD, USA
9Johns Hopkins Head and Neck Surgery, GBMC, 1550 Orleans Street, Room 5M06, David H Koch Cancer Research Building, Baltimore, MD 21231, USA

Received 22 August 2012; Accepted 26 September 2012

Academic Editor: Charles Monroe Myer

Copyright © 2012 Jacqueline C. Junn et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose. To analyze the patterns and associations of adjunctive service visits by head and neck cancer patients receiving primary, concurrent chemoradiation therapy. Methods. Retrospective chart review of patients receiving adjunctive support during a uniform chemoradiation regimen for stages III-IV head and neck squamous cell carcinoma. Univariate and multivariate models for each outcome were obtained from simple and multivariate linear regression analyses. Results. Fifty-two consecutive patients were assessed. Female gender, single marital status, and nonprivate insurance were factors associated with an increased number of social work visits. In a multivariate analysis, female gender and marital status were related to increased social work services. Female gender and stage IV disease were significant for increased nursing visits. In a multivariate analysis for nursing visits, living greater than 20 miles between home and hospital was a negative predictive factor. Conclusion. Treatment of advanced stage head and neck cancer with concurrent chemoradiation warrants a multidisciplinary approach. Female gender, single marital status, and stage IV disease were correlated with increased utilization of social work and nursing services. Distance over 20 miles from the center was a negative factor. This information may help guide the treatment team to allocate resources for the comprehensive care of patients.