{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,20]],"date-time":"2026-02-20T01:26:04Z","timestamp":1771550764647,"version":"3.50.1"},"reference-count":40,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2019,2,5]],"date-time":"2019-02-05T00:00:00Z","timestamp":1549324800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Head &amp; Neck"],"published-print":{"date-parts":[[2019,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Submandibular gland transfer (SMGT) mitigates radiation\u2010induced xerostomia but has yet to be widely adopted. We evaluate the feasibility of incorporating SMGT at multiple academic institutions and report the incidence of treatment delay.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Forty\u2010nine patients were identified who underwent SMGT. Time points pertaining to diagnosis and key treatment events including SMGT, surgery, chemotherapy, and radiation were extracted. Treatment delay was defined as either &gt;60\u2009days from diagnosis to definitive therapy or &gt;6 weeks between surgery and adjuvant therapy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Median time from diagnosis to primary treatment was 42\u2009days (IQR, 32\u201054). Median time from surgery to adjuvant therapy was 33\u2009days (IQR, 28\u201047). Delay in starting treatment was observed in 7\/49 patients (14%). Six patients incurred a delay in postoperative radiation therapy (6\/19; 32%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>With appropriate care coordination, SMGT can be implemented into a clinical pathway with a goal of decreasing radiation\u2010induced xerostomia without increasing treatment delays.<\/jats:p><\/jats:sec>","DOI":"10.1002\/hed.25685","type":"journal-article","created":{"date-parts":[[2019,2,6]],"date-time":"2019-02-06T04:03:49Z","timestamp":1549425829000},"page":"2182-2189","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Implementation of submandibular gland transfer: A multi\u2010institutional study of feasibility and time to treatment"],"prefix":"10.1002","volume":"41","author":[{"given":"John","family":"Pang","sequence":"first","affiliation":[{"name":"Department of Surgery, Division of Otolaryngology\u2010Head and Neck Surgery UC San Diego School of Medicine  San Diego California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Harry H.","family":"Ching","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery University of Nevada, Las Vegas School of Medicine  Las Vegas Nevada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryan H.","family":"Sobel","sequence":"additional","affiliation":[{"name":"Johns Hopkins Head and Neck Surgery at Greater Baltimore Medical Center Milton J. 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