Improving outcomes in veterans with oropharyngeal squamous cell carcinoma through implementation of a multidisciplinary clinic

Tyler Light, Edward El Rassi, Ronald J. Maggiore, John Holland, Julie Reed, Kathleen Suriano, Marcelle Stooksbury, Nora Tobin, Neil Gross, Daniel Clayburgh

Research output: Contribution to journalArticlepeer-review

9 Scopus citations

Abstract

Background: Treatment of head and neck cancer is complex, and a multidisciplinary clinic may improve the coordination of care. The value of a head and neck multidisciplinary clinic has not yet been established in oropharyngeal squamous cell carcinoma (SCC). Methods: A retrospective review was conducted of Veterans Affairs patients with oropharyngeal SCC undergoing concurrent chemoradiation before and after implementation of the head and neck multidisciplinary clinic. Results: Fifty-two patients before and 54 patients after multidisciplinary clinic were included in this study. Age, tobacco use, and p16+ status were similar between groups. With multidisciplinary clinic, time to treatment decreased, and utilization of supportive services, including speech pathology, dentistry, and nutrition increased. The 5-year disease-specific survival rate increased from 63% to 81% (p =.043) after implementation of the multidisciplinary clinic. Multivariate analysis showed that disease stage (p =.016), p16 status (p =.006), and multidisciplinary clinic participation (p =.042) were predictors of disease-specific survival. Conclusion: Implementation of a multidisciplinary clinic improved care coordination and disease-specific survival in patients with oropharyngeal SCC.

Original languageEnglish (US)
Pages (from-to)1106-1112
Number of pages7
JournalHead and Neck
Volume39
Issue number6
DOIs
StatePublished - Jun 2017

Keywords

  • multidisciplinary care
  • oropharyngeal squamous cell carcinoma
  • survival
  • treatment outcomes

ASJC Scopus subject areas

  • Otorhinolaryngology

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