%0 Journal Article
%T Multidisciplinary Service Utilization Pattern by Advanced Head and Neck Cancer Patients: A Single Institution Study
%A Jacqueline C. Junn
%A Irene A. Kim
%A Marianna L. Zahurak
%A Marietta Tan
%A Katherine Y. Fan
%A Spencer T. Lake
%A David Zaboli
%A Barbara P. Messing
%A Karen Ulmer
%A Karen B. Harrer
%A Dorothy Gold
%A Keri L. Ryniak
%A Eva S. Zinreich
%A Mei Tang
%A Marshall A. Levine
%A Ray G. Blanco
%A John R. Saunders
%A Joseph A. Califano
%A Patrick K. Ha
%J International Journal of Otolaryngology
%D 2012
%I Hindawi Publishing Corporation
%R 10.1155/2012/628578
%X Purpose. To analyze the patterns and associations of adjunctive service visits by head and neck cancer patients receiving primary, concurrent chemoradiation therapy. Methods. Retrospective chart review of patients receiving adjunctive support during a uniform chemoradiation regimen for stages III-IV head and neck squamous cell carcinoma. Univariate and multivariate models for each outcome were obtained from simple and multivariate linear regression analyses. Results. Fifty-two consecutive patients were assessed. Female gender, single marital status, and nonprivate insurance were factors associated with an increased number of social work visits. In a multivariate analysis, female gender and marital status were related to increased social work services. Female gender and stage IV disease were significant for increased nursing visits. In a multivariate analysis for nursing visits, living greater than 20 miles between home and hospital was a negative predictive factor. Conclusion. Treatment of advanced stage head and neck cancer with concurrent chemoradiation warrants a multidisciplinary approach. Female gender, single marital status, and stage IV disease were correlated with increased utilization of social work and nursing services. Distance over 20 miles from the center was a negative factor. This information may help guide the treatment team to allocate resources for the comprehensive care of patients.
%U http://www.hindawi.com/journals/ijol/2012/628578/