Head & neck · 2025
Novel Assessment of Advanced Practice Provider-Led Head and Neck Cancer Survivorship Clinic: Quality-of-Care Metric Analysis and HOUSES Index Application.
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Wert Katey M, May Byron C, Janus Jeffrey R, Patel Samip, Pirgousis Phillip, Zhao Yujie, Li Shenduo, Price Katharine A, McGee Lisa A, Ma Daniel J, Routman David M, Wi Chung Il, Kim Sungjune, Mohammadi Homan, Holtzman Adam L
Аннотация
BACKGROUND: As head and neck cancer survival rates improve, there is growing demand for quality survivorship care and tools to predict patient adherence; this study aims to evaluate an advanced practice provider (APP)-led survivorship clinic and assess these key metrics.
METHODS: We performed a retrospective review of 213 head and neck cancer patients treated with curative radiation therapy between 2016 and 2023, to assess follow-up adherence in an advanced practice provider-led survivorship clinic.
RESULTS: With a median follow-up of 2.4 years, follow-up care metrics identified high completion percentages (> 90%) for lung cancer screening, smoking cessation, thyroid screening, dental evaluation, xerostomia, dysphagia, and dysgeusia. The HOUsing-based SocioEconomic Status (HOUSES) index at diagnosis showed a significant adherence difference (median percentile, 78% vs. 55%, adherent vs. nonadherent; p = 0.03).
CONCLUSIONS: High adherence rates with guideline-defined care metrics are achievable in an advanced practice provider-led head and neck cancer survivorship clinic. The HOUSES index may assist in predicting nonadherence; however, further studies are needed.
METHODS: We performed a retrospective review of 213 head and neck cancer patients treated with curative radiation therapy between 2016 and 2023, to assess follow-up adherence in an advanced practice provider-led survivorship clinic.
RESULTS: With a median follow-up of 2.4 years, follow-up care metrics identified high completion percentages (> 90%) for lung cancer screening, smoking cessation, thyroid screening, dental evaluation, xerostomia, dysphagia, and dysgeusia. The HOUsing-based SocioEconomic Status (HOUSES) index at diagnosis showed a significant adherence difference (median percentile, 78% vs. 55%, adherent vs. nonadherent; p = 0.03).
CONCLUSIONS: High adherence rates with guideline-defined care metrics are achievable in an advanced practice provider-led head and neck cancer survivorship clinic. The HOUSES index may assist in predicting nonadherence; however, further studies are needed.