Abstract
The aim of the study was to compare standards for the process of care and 2-year survival between two cohorts of patients with head and neck cancer in the south and west of England. A total of 566 and 727 patients presented in 1996-97 and 1999-2000, respectively. The median number of cases treated per surgeon was 4 (1997, range 1-26) and 4 (2000, 1-23) and per radiotherapist was 10 (1-51) and 19 (1-70). For all 'nontemporal' standards, the overall standard increased, without reaching minimum high targets, while most 'waiting times' increased. Overall 2-year survival was 64.1% in 1997 and 65.1% in 2000. There was no difference in survival between networks (range 56-68, 1997, log-rank test 4.1, P = 0.4; 62-69, 2000, log-rank test 1.26, P = 0.69). Patients assessed by a multidisciplinary clinic exhibited improved survival (1997: P = 0.1; 2000: hazard ratio 0.7, P = 0.02), as did those with a pretreatment chest X-ray (hazard ratio 0.7, P = 0.03). Despite an increased incidence, standards for the process of care for patients with head and neck cancer improved between 1996 and 2000, while waiting times increased and 2-year survival rates remained unaltered. Two out of five networks demonstrated centralisation of services between audits. Being seen in a multidisciplinary clinic correlated strongly with patient survival.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 1477-1481 |
| Number of pages | 5 |
| Journal | British Journal of Cancer |
| Volume | 91 |
| Issue number | 8 |
| DOIs | |
| State | Published - Oct 18 2004 |
| Externally published | Yes |
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Keywords
- Head and neck cancer
- Standards
- Survival
- Waiting times
ASJC Scopus subject areas
- Cancer Research
- Oncology
Cite this
Effect of process standards on survival of patients with head and neck cancer in the south and west of England. / Birchall, M.; Bailey, D.; King, P.
In: British Journal of Cancer, Vol. 91, No. 8, 18.10.2004, p. 1477-1481.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Effect of process standards on survival of patients with head and neck cancer in the south and west of England
AU - Birchall, M.
AU - Bailey, D.
AU - King, P.
PY - 2004/10/18
Y1 - 2004/10/18
N2 - The aim of the study was to compare standards for the process of care and 2-year survival between two cohorts of patients with head and neck cancer in the south and west of England. A total of 566 and 727 patients presented in 1996-97 and 1999-2000, respectively. The median number of cases treated per surgeon was 4 (1997, range 1-26) and 4 (2000, 1-23) and per radiotherapist was 10 (1-51) and 19 (1-70). For all 'nontemporal' standards, the overall standard increased, without reaching minimum high targets, while most 'waiting times' increased. Overall 2-year survival was 64.1% in 1997 and 65.1% in 2000. There was no difference in survival between networks (range 56-68, 1997, log-rank test 4.1, P = 0.4; 62-69, 2000, log-rank test 1.26, P = 0.69). Patients assessed by a multidisciplinary clinic exhibited improved survival (1997: P = 0.1; 2000: hazard ratio 0.7, P = 0.02), as did those with a pretreatment chest X-ray (hazard ratio 0.7, P = 0.03). Despite an increased incidence, standards for the process of care for patients with head and neck cancer improved between 1996 and 2000, while waiting times increased and 2-year survival rates remained unaltered. Two out of five networks demonstrated centralisation of services between audits. Being seen in a multidisciplinary clinic correlated strongly with patient survival.
AB - The aim of the study was to compare standards for the process of care and 2-year survival between two cohorts of patients with head and neck cancer in the south and west of England. A total of 566 and 727 patients presented in 1996-97 and 1999-2000, respectively. The median number of cases treated per surgeon was 4 (1997, range 1-26) and 4 (2000, 1-23) and per radiotherapist was 10 (1-51) and 19 (1-70). For all 'nontemporal' standards, the overall standard increased, without reaching minimum high targets, while most 'waiting times' increased. Overall 2-year survival was 64.1% in 1997 and 65.1% in 2000. There was no difference in survival between networks (range 56-68, 1997, log-rank test 4.1, P = 0.4; 62-69, 2000, log-rank test 1.26, P = 0.69). Patients assessed by a multidisciplinary clinic exhibited improved survival (1997: P = 0.1; 2000: hazard ratio 0.7, P = 0.02), as did those with a pretreatment chest X-ray (hazard ratio 0.7, P = 0.03). Despite an increased incidence, standards for the process of care for patients with head and neck cancer improved between 1996 and 2000, while waiting times increased and 2-year survival rates remained unaltered. Two out of five networks demonstrated centralisation of services between audits. Being seen in a multidisciplinary clinic correlated strongly with patient survival.
KW - Head and neck cancer
KW - Standards
KW - Survival
KW - Waiting times
UR - http://www.scopus.com/inward/record.url?scp=7944237080&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=7944237080&partnerID=8YFLogxK
U2 - 10.1038/sj.bjc.6602118
DO - 10.1038/sj.bjc.6602118
M3 - Article
VL - 91
SP - 1477
EP - 1481
JO - British Journal of Cancer
JF - British Journal of Cancer
SN - 0007-0920
IS - 8
ER -