. "4 Delivering Cancer Survivorship Care." From Cancer Patient to Cancer Survivor: Lost in Transition. Washington, DC: The National Academies Press, 2005.
The following HTML text is provided to enhance online
readability. Many aspects of typography translate only awkwardly to HTML.
Please use the page image
as the authoritative form to ensure accuracy.
From Cancer Patient to Cancer Survivor: Lost in Transition
Upper Aerodigestive Tract Cancer (UADT)
Reference/Study Question
Methods
How tumor stage affects surgeons’ surveillance strategies after surgery for carcinoma of the upper aerodigestive tract (Johnson et al., 1998)
How surgeon age affects post-treatment surveillance strategies for upper aerodigestive tract cancer patients (Clark et al., 1999)
Surgical decision making in upper aerodigestive tract cancer patient follow-up (Virgo et al., 2002)
_________
Does tumor stage and surgeon age affect surveillance practices? Do clinical beliefs explain follow-up practices?
Method: Mail survey of head and neck surgeons.
Sample: 824 members of the Society of Head and Neck Surgeons (SHNS) and 522 members of the American Society for Head and Neck Surgery (ASHNS) who were not members of the SHNS were surveyed by mail in 1996 on use of 14 follow-up modalities for patients with resectable UADT cancer during years 1 to 5 after potentially curative primary treatment.
Office visit
CBC
Serum electrolytes (calcium level)
Serum liver function tests
Serum tumor marker measurement
Thyroid function tests
Chest X ray
Bone scan
Chest CT
Head and neck CT
Head and neck MRI
Sonogram of the head and neck
Flexible esophagoscopy
Flexible bronchoscopy
RR = 24% (199/824) for SHNS and 42% (221/522) for ASHNS.
Statistical methods: Repeated-measures analysis of variance. The relationship between clinical beliefs and test ordering practices was examined using Poisson and negative binomial regression analysis.
Explanatory variables: TNM stage, year post-surgery, and surgeon age clinical beliefs.
