{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,28]],"date-time":"2026-06-28T03:45:58Z","timestamp":1782618358849,"version":"3.54.5"},"reference-count":23,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2023,10,23]],"date-time":"2023-10-23T00:00:00Z","timestamp":1698019200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2023,10,23]],"date-time":"2023-10-23T00:00:00Z","timestamp":1698019200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ear Nose Throat J"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:p>\n                    <jats:bold>Objectives:<\/jats:bold>\n                    This study aims to investigate the factors that lead to poor compliance in initiating the treatment in patients with newly diagnosed head and neck cancers.\n                    <jats:bold>Methods:<\/jats:bold>\n                    A total of 193 patients from the head and neck cancer database dated from January 1, 2018 to September 30, 2020, were analyzed. Variables analyzed included age, gender, primary cancer site, T stage, N stage, M stage, overall stage (I\u2013IV), patient\u2019s residential distance, and the impact of COVID-19. Univariate and multivariate analyses were used to assess the significance of these variables in relation to the time to receiving on-time treatment as recommended by specialists.\n                    <jats:bold>Results:<\/jats:bold>\n                    Upon multivariate analysis, the advanced stage and residential distance were significantly associated with initial compliance (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; .09). The impact of nasopharyngeal carcinoma (NPC) and COVID-19 shows a borderline significance (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = .224 and\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = .184).\n                    <jats:bold>Conclusions:<\/jats:bold>\n                    The overall stage and patient living distance to the healthcare facility, patient with NPC, and the impact of COVID-19 might affect the compliance of initiating a curative-intent treatment in patients with newly diagnosed head and neck cancers.\n                  <\/jats:p>","DOI":"10.1177\/01455613231204206","type":"journal-article","created":{"date-parts":[[2023,10,24]],"date-time":"2023-10-24T01:25:22Z","timestamp":1698110722000},"page":"354-359","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Factors Affecting the Compliance of Curative-Intent Treatment in Patients With Head and Neck Cancer"],"prefix":"10.1177","volume":"105","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9558-6873","authenticated-orcid":false,"given":"Ting-Chieh","family":"Huang","sequence":"first","affiliation":[{"name":"Department of Otolaryngology, Wan Fang Hospital, Taipei Medical University, Taipei"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sheng-Kai","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Wan Fang Hospital, Taipei Medical University, Taipei"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9591-5489","authenticated-orcid":false,"given":"Shih-Han","family":"Hung","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Wan Fang Hospital, Taipei Medical University, Taipei"},{"name":"Department of Otolaryngology, School of Medicine, College of Medicine, Taipei Medical University, Taipei"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2383-1718","authenticated-orcid":false,"given":"Luong Huu","family":"Dang","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam"},{"name":"International Master\/PhD Program in Medicine, College of Medicine, Taipei Medical University, Taipei"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei-Wen","family":"Chang","sequence":"additional","affiliation":[{"name":"Division of General Surgery, Department of Surgery, Wan Fang Hospital, Taipei Medical University, Taipei"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tzeon-Jye","family":"Chiou","sequence":"additional","affiliation":[{"name":"Cancer Center, Wan Fang Hospital, Taipei Medical University, Taipei"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Po-Yueh","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Wan Fang Hospital, Taipei Medical University, Taipei"},{"name":"Department of Otolaryngology, School of Medicine, College of Medicine, Taipei Medical University, Taipei"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,10,23]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.drup.2018.09.001"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.coms.2020.04.002"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1002\/hed.23869"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2005.11.005"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijrobp.2009.08.004"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215106002751"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2019.2414"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.oraloncology.2018.11.021"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2018.2716"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1002\/hed.25091"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-200209000-00009"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1002\/lary.20072"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-019-04904-z"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2753.2006.00607.x"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.4103\/sajc.sajc_26_19"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6963-6-54"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzv024"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2015.0814"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.6004\/jnccn.2011.0055"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1002\/hed.21471"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.1159\/000499720"},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.clcc.2011.05.001"},{"key":"e_1_3_2_24_2","doi-asserted-by":"publisher","DOI":"10.1177\/0361198121991497"}],"container-title":["Ear, 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