{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T12:54:16Z","timestamp":1774616056457,"version":"3.50.1"},"reference-count":23,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2018,12,24]],"date-time":"2018-12-24T00:00:00Z","timestamp":1545609600000},"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":["The Laryngoscope"],"published-print":{"date-parts":[[2019,10]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>In this study, we aim to determine the frequency of adherence to National Comprehensive Cancer Network follow\u2010up guidelines in a population of head and neck cancer patients who received curative treatment. We will also assess the impact of race, ethnicity, socioeconomic status, and treatment setting on utilization of follow\u2010up care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This study included patients with biopsy\u2010proven, nonmetastatic oropharyngeal or laryngeal cancer treated with radiotherapy between January 1, 2014, and June 30, 2016, at a safety\u2010net hospital or adjacent private academic hospital. Components of follow\u2010up care analyzed included an appointment with a surgeon or radiation oncologist within 3 months and posttreatment imaging of the primary site within 6 months. Univariable and multivariable analyses were conducted using a logistic regression model to estimate odds ratios and corresponding 95% confidence intervals.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Two hundred and thirty\u2010four patients were included in this study. Of those, 88.8% received posttreatment imaging of the primary site within 6 months; 88.5% attended a follow\u2010up appointment with a radiation oncologist within 3 months; and 71.1% of patients attended a follow\u2010up appointment with a surgeon within 3 months. On multivariable analysis, private academic hospital treatment versus safety\u2010net hospital treatment was associated with increased utilization of both surgical and radiation oncology follow\u2010up. Non\u2010Hispanic black (NHB) patients, Hispanic patients, and those with a low socioeconomic status were also less likely to receive follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Safety\u2010net hospital treatment, socioeconomic status, Hispanic ethnicity, and NHB race were associated with decreased follow\u2010up service utilization. Quality improvement initiatives are needed to reduce these disparities.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>2b<\/jats:p><jats:p><jats:italic>Laryngoscope<\/jats:italic>, 129:2303\u20132308, 2019<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.27676","type":"journal-article","created":{"date-parts":[[2018,12,24]],"date-time":"2018-12-24T14:20:36Z","timestamp":1545661236000},"page":"2303-2308","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":25,"title":["Disparities in adherence to head and neck cancer follow\u2010up guidelines"],"prefix":"10.1002","volume":"129","author":[{"given":"Haley K.","family":"Perlow","sequence":"first","affiliation":[{"name":"Miller School of Medicine  Miami Florida U.S.A"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen J.","family":"Ramey","sequence":"additional","affiliation":[{"name":"Sylvester Comprehensive Cancer Center  Miami Florida U.S.A"},{"name":"Department of Radiation Oncology Jackson Memorial Hospital  Miami Florida U.S.A"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vincent","family":"Cassidy","sequence":"additional","affiliation":[{"name":"Miller School of Medicine  Miami Florida U.S.A"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deukwoo","family":"Kwon","sequence":"additional","affiliation":[{"name":"Sylvester Comprehensive Cancer Center  Miami Florida U.S.A"},{"name":"Department of Radiation Oncology University of Miami  Miami Florida U.S.A"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benjamin","family":"Farnia","sequence":"additional","affiliation":[{"name":"Sylvester Comprehensive Cancer Center  Miami Florida U.S.A"},{"name":"Department of Radiation Oncology Jackson Memorial Hospital  Miami Florida U.S.A"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth","family":"Nicolli","sequence":"additional","affiliation":[{"name":"Sylvester Comprehensive Cancer Center  Miami Florida U.S.A"},{"name":"Department of Otolaryngology  Miami Florida U.S.A"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael A.","family":"Samuels","sequence":"additional","affiliation":[{"name":"Sylvester Comprehensive Cancer Center  Miami Florida U.S.A"},{"name":"Department of Radiation Oncology University of Miami  Miami Florida U.S.A"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura","family":"Freedman","sequence":"additional","affiliation":[{"name":"Sylvester Comprehensive Cancer Center  Miami Florida U.S.A"},{"name":"Department of Radiation Oncology University of Miami  Miami Florida U.S.A"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nagy","family":"Elsayyad","sequence":"additional","affiliation":[{"name":"Sylvester Comprehensive Cancer Center  Miami Florida U.S.A"},{"name":"Department of Radiation Oncology University of Miami  Miami Florida U.S.A"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raphael","family":"Yechieli","sequence":"additional","affiliation":[{"name":"Sylvester Comprehensive Cancer Center  Miami Florida U.S.A"},{"name":"Department of Radiation Oncology University of Miami  Miami Florida U.S.A"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stuart E.","family":"Samuels","sequence":"additional","affiliation":[{"name":"Sylvester Comprehensive Cancer Center  Miami Florida U.S.A"},{"name":"Department of Radiation Oncology University of Miami  Miami Florida U.S.A"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,12,24]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"NCCN \u2010 Head and Neck Cancers 2017."},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.30984"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-015-2706-9"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11764-014-0343-9"},{"key":"e_1_2_6_6_1","unstructured":"KrogstadJM. Key facts about how the U.S. Hispanic population is changing. Available at:http:\/\/www.pewresearch.org\/fact-tank\/2016\/09\/08\/key-facts-about-how-the-u-s-hispanic-population-is-changing\/. Accessed March 3 2017."},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jgo.2012.01.006"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.ede.0000129512.61698.03"},{"key":"e_1_2_6_9_1","unstructured":"NCCN Guidelines \u2010 Head and Neck Cancers 2011."},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ctrv.2009.08.007"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0167-8140(02)00073-7"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1749-4486.2009.02033.x"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.125.3.309"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0959-8049(05)80068-1"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1994.01880330022005"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.21642"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.23364"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.prro.2015.10.002"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjoms.2005.08.010"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.20576"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.20536"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.10314"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200402000-00011"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-013-2111-1"}],"container-title":["The Laryngoscope"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Flary.27676","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.27676","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/lary.27676","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.27676","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,9]],"date-time":"2023-09-09T06:28:07Z","timestamp":1694240887000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/lary.27676"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,12,24]]},"references-count":23,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2019,10]]}},"alternative-id":["10.1002\/lary.27676"],"URL":"https:\/\/doi.org\/10.1002\/lary.27676","archive":["Portico"],"relation":{},"ISSN":["0023-852X","1531-4995"],"issn-type":[{"value":"0023-852X","type":"print"},{"value":"1531-4995","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,12,24]]},"assertion":[{"value":"2018-10-19","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-12-24","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}