高级实践提供者领导的头颈癌生存诊所的新评估：护理质量度量分析和house指数应用。

IF 2.2 3区医学 Q1 OTORHINOLARYNGOLOGY

Head and Neck-Journal for the Sciences and Specialties of the Head and Neck Pub Date : 2025-10-03 DOI:10.1002/hed.70062

Katey M Wert, Byron C May, Jeffrey R Janus, Samip Patel, Phillip Pirgousis, Yujie Zhao, Shenduo Li, Katharine A Price, Lisa A McGee, Daniel J Ma, David M Routman, Chung Il Wi, Sungjune Kim, Homan Mohammadi, Adam L Holtzman

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引用次数: 0

摘要

背景：随着头颈癌生存率的提高，对高质量的生存护理和预测患者依从性的工具的需求日益增长；本研究旨在评估一个先进的实践提供者（APP）主导的生存诊所，并评估这些关键指标。方法：我们对2016年至2023年期间接受根治性放疗的213例头颈癌患者进行了回顾性研究，以评估一家高级执业医师主导的生存诊所的随访依从性。结果：中位随访时间为2.4年，随访护理指标显示肺癌筛查、戒烟、甲状腺筛查、牙科评估、口干、吞咽困难和发音困难的完成率很高（bbb90 %）。诊断时基于住房的社会经济地位（HOUSES）指数显示出显著的依从性差异（中位数，78% vs 55%，坚持vs不坚持；p = 0.03）。结论：高依从率的指南定义的护理指标是可以实现在先进的实践提供者领导的头颈癌生存诊所。HOUSES指数可以帮助预测不依从；然而，还需要进一步的研究。

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Novel Assessment of Advanced Practice Provider-Led Head and Neck Cancer Survivorship Clinic: Quality-of-Care Metric Analysis and HOUSES Index Application.

Background: 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 (APP)-led survivorship clinic and assess these key metrics.

Methods: We performed a retrospective review of 213 head and neck cancer patients treated with curative radiation therapy between 2016 and 2023, to assess follow-up adherence in an advanced practice provider-led survivorship clinic.

Results: With a median follow-up of 2.4 years, follow-up care metrics identified high completion percentages (> 90%) for lung cancer screening, smoking cessation, thyroid screening, dental evaluation, xerostomia, dysphagia, and dysgeusia. The HOUsing-based SocioEconomic Status (HOUSES) index at diagnosis showed a significant adherence difference (median percentile, 78% vs. 55%, adherent vs. nonadherent; p = 0.03).

Conclusions: High adherence rates with guideline-defined care metrics are achievable in an advanced practice provider-led head and neck cancer survivorship clinic. The HOUSES index may assist in predicting nonadherence; however, further studies are needed.

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来源期刊

Head and Neck-Journal for the Sciences and Specialties of the Head and Neck 医学-耳鼻喉科学

CiteScore

7.00

自引率

6.90%

发文量

278

审稿时长

1.6 months

期刊介绍： Head & Neck is an international multidisciplinary publication of original contributions concerning the diagnosis and management of diseases of the head and neck. This area involves the overlapping interests and expertise of several surgical and medical specialties, including general surgery, neurosurgery, otolaryngology, plastic surgery, oral surgery, dermatology, ophthalmology, pathology, radiotherapy, medical oncology, and the corresponding basic sciences.