Assessment of Oropharyngeal and Laryngeal Cancer Treatment Delay in a Private and Safety Net Hospital System

Haley K. Perlow, Stephen J. Ramey, Ben Silver, Deukwoo Kwon, Felix M. Chinea, Stuart E. Samuels, Michael A. Samuels, Nagy Elsayyad, Raphael Yechieli

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Objective: To examine the impact of treatment setting and demographic factors on oropharyngeal and laryngeal cancer time to treatment initiation (TTI). Study Design: Retrospective case series. Setting: Safety net hospital and adjacent private academic hospital. Subjects and Methods: Demographic, staging, and treatment details were retrospectively collected for 239 patients treated from January 1, 2014, to June 30, 2016. TTI was defined as days between diagnostic biopsy and initiation of curative treatment (defined as first day of radiotherapy [RT], surgery, or chemotherapy). Results: On multivariable analysis, safety net hospital treatment (vs private academic hospital treatment), initial diagnosis at outside hospital, and oropharyngeal cancer (vs laryngeal cancer) were all associated with increased TTI. Surgical treatment, severe comorbidity, and both N1 and N2 status were associated with decreased TTI. Conclusion: Safety net hospital treatment was associated with increased TTI. No differences in TTI were found when language spoken and socioeconomic status were examined in the overall cohort.

Original languageEnglish (US)
Pages (from-to)484-493
Number of pages10
JournalOtolaryngology - Head and Neck Surgery (United States)
Volume159
Issue number3
DOIs
StatePublished - Sep 1 2018

Fingerprint

Safety-net Providers
Oropharyngeal Neoplasms
Laryngeal Neoplasms
Therapeutics
Private Hospitals
Demography

Keywords

  • Hispanics
  • head and neck cancer
  • health care disparities
  • treatment delay

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology

Cite this

Assessment of Oropharyngeal and Laryngeal Cancer Treatment Delay in a Private and Safety Net Hospital System. / Perlow, Haley K.; Ramey, Stephen J.; Silver, Ben; Kwon, Deukwoo; Chinea, Felix M.; Samuels, Stuart E.; Samuels, Michael A.; Elsayyad, Nagy; Yechieli, Raphael.

In: Otolaryngology - Head and Neck Surgery (United States), Vol. 159, No. 3, 01.09.2018, p. 484-493.

Research output: Contribution to journalArticle

Perlow, Haley K. ; Ramey, Stephen J. ; Silver, Ben ; Kwon, Deukwoo ; Chinea, Felix M. ; Samuels, Stuart E. ; Samuels, Michael A. ; Elsayyad, Nagy ; Yechieli, Raphael. / Assessment of Oropharyngeal and Laryngeal Cancer Treatment Delay in a Private and Safety Net Hospital System. In: Otolaryngology - Head and Neck Surgery (United States). 2018 ; Vol. 159, No. 3. pp. 484-493.
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