{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T19:47:13Z","timestamp":1778010433891,"version":"3.51.4"},"reference-count":26,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,10,3]],"date-time":"2025-10-03T00:00:00Z","timestamp":1759449600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,10,3]],"date-time":"2025-10-03T00:00:00Z","timestamp":1759449600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Head &amp; Neck"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>\n                      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 (\n                      <jats:styled-content style=\"fixed-case\">APP<\/jats:styled-content>\n                      )\u2010led survivorship clinic and assess these key metrics.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We performed a retrospective review of 213 head and neck cancer patients treated with curative radiation therapy between 2016 and 2023, to assess follow\u2010up adherence in an advanced practice provider\u2013led survivorship clinic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      With a median follow\u2010up of 2.4\u2009years, follow\u2010up care metrics identified high completion percentages (&gt;\u200990%) for lung cancer screening, smoking cessation, thyroid screening, dental evaluation, xerostomia, dysphagia, and dysgeusia. The\n                      <jats:styled-content style=\"fixed-case\">HOUsing<\/jats:styled-content>\n                      \u2010based\n                      <jats:styled-content style=\"fixed-case\">SocioEconomic<\/jats:styled-content>\n                      Status (\n                      <jats:styled-content style=\"fixed-case\">HOUSES<\/jats:styled-content>\n                      ) index at diagnosis showed a significant adherence difference (median percentile, 78% vs. 55%, adherent vs. nonadherent;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.03).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      High adherence rates with guideline\u2010defined care metrics are achievable in an advanced practice provider\u2010led head and neck cancer survivorship clinic. The\n                      <jats:styled-content style=\"fixed-case\">HOUSES<\/jats:styled-content>\n                      index may assist in predicting nonadherence; however, further studies are needed.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hed.70062","type":"journal-article","created":{"date-parts":[[2025,10,3]],"date-time":"2025-10-03T10:14:51Z","timestamp":1759486491000},"page":"528-534","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Novel Assessment of Advanced Practice Provider\u2010Led Head and Neck Cancer Survivorship Clinic: Quality\u2010of\u2010Care Metric Analysis and\n                    <scp>HOUSES<\/scp>\n                    Index Application"],"prefix":"10.1002","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2340-2064","authenticated-orcid":false,"given":"Katey M.","family":"Wert","sequence":"first","affiliation":[{"name":"Department of Radiation Oncology Mayo Clinic  Jacksonville Florida USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Byron C.","family":"May","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology Mayo Clinic  Jacksonville Florida USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5324-0740","authenticated-orcid":false,"given":"Jeffrey R.","family":"Janus","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology\/Audiology Mayo Clinic  Jacksonville Florida USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1575-4043","authenticated-orcid":false,"given":"Samip","family":"Patel","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology\/Audiology Mayo Clinic  Jacksonville Florida 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USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1890-0237","authenticated-orcid":false,"given":"Lisa A.","family":"McGee","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology Mayo Clinic  Phoenix Arizona USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2957-4687","authenticated-orcid":false,"given":"Daniel J.","family":"Ma","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology Mayo Clinic  Rochester Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2768-003X","authenticated-orcid":false,"given":"David M.","family":"Routman","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology Mayo Clinic  Rochester Minnesota 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