https://scholars.lib.ntu.edu.tw/handle/123456789/597761
標題: | Less is more? The association between survival and follow‐up protocol after treatment in oral cavity cancer patients from a betel quid‐prevalent region | 作者: | Liu, Shih An Wang, Chen Chi Jiang, Rong San YU-CHI TUNG |
關鍵字: | Choosing wisely | Oral cavity cancer | Post‐treatment surveillance;Choosing wisely; Oral cavity cancer; Post?treatment surveillance | 公開日期: | 1-十二月-2021 | 出版社: | MDPI | 卷: | 18 | 期: | 23 | 來源出版物: | International Journal of Environmental Research and Public Health | 摘要: | The optimal follow‐up protocol after treatment of oral cavity cancer patients is still debatable. We aimed to investigate the impact of frequency of different imaging studies and follow‐up visits on the survival of oral cavity cancer patients. The current study retrospectively reviewed oral cavity cancer patients who underwent surgical intervention in our hospital. Basic demographic data, tumor‐related features, treatment modalities, imaging studies, and clinic visits were recorded. Cox proportional hazard model was used to examine the influence of variables on the survival of oral cavity cancer patients. In total, 741 patients with newly diagnosed oral cavity cancer were included in the final analysis. Overall, the frequency of imaging studies was not associated with survival in the multivariate analysis, except PET scan (hazard ratio [HR]: 5.30, 95% confidence interval [CI]: 3.57–7.86). However, in late‐stage and elder patients, frequent head and neck CT/MRI scan was associated with a better prognosis (HR: 0.55, 95% CI: 0.36–0.84; HR: 0.52, 95% CI: 0.30–0.91, respectively). In conclusion, precision medicine is a global trend nowadays. Different subgroups may need different follow‐up protocols. Further prospective study is warranted to clarify the relationship between frequency of image studies and survival of oral cavity cancer patients. |
URI: | https://scholars.lib.ntu.edu.tw/handle/123456789/597761 | ISSN: | 16617827 | DOI: | 10.3390/ijerph182312596 | SDG/關鍵字: | cancer; multivariate analysis; oral health; survival; adult; age; antineoplastic protocol; Article; betel quid; cancer patient; cancer prognosis; cancer staging; cancer surgery; cancer survival; clinical feature; controlled study; demography; female; follow up; human; imaging; major clinical study; male; medical record review; middle aged; mouth cancer; neck; nuclear magnetic resonance imaging; patient monitoring; personalized medicine; positron emission tomography; prevalence; retrospective study; aged; Areca; follow up; mouth; neoplasm; prospective study; Aged; Areca; Follow-Up Studies; Humans; Mouth; Neoplasms; Prospective Studies; Retrospective Studies |
顯示於: | 健康政策與管理研究所 |
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