Does the frequency of routine follow-up after curative treatment for head-and-neck cancer affect survival?

  • S. F. Hall Queen’s Cancer Research Institute http://orcid.org/0000-0001-8399-7552
  • T. Owen Dalhousie University
  • R. J. Griffiths ICES Queen’s, Queen’s University
  • K. Brennan Dalhousie University
Keywords: Head-and-neck cancer, routine follow-up, follow-up frequency, disease surveillance, population based research

Abstract

Background: Routine follow-up is a cornerstone of oncology practice but evidence is lacking to support most aspects.   Our Objective was to investigate the relationship between frequency of routine follow-up and survival.

Methods: A population-based study using electronic health-care data based on 5310 patients from Ontario diagnosed with squamous cell head and neck cancer between 2007 and 2012.  Treatments included surgery (24.6%), radiotherapy +/- chemotherapy (52.4%) and combined surgery and radiotherapy (23%).  We determined the follow-up oncologist for each patient, calculated the average follow-up visits over 2.5 years for all the patients of each oncologist and compared by treatment the overall survival of the patients for the high, medium and low follow-up oncologist groups using Kaplan Meier and multiple variable regression analysis. 

Results:  Many oncologists saw patients 40 to 80% more often than others. There was no relationship between appointment frequency and survival for patients for any treatment group.

Conclusion:  The practice of routine follow-up varies and is costly to both a health care system and to patients.  Without evidence on the effectiveness of our current policies further research is required to investigate new or optimal practices. 

Author Biographies

S. F. Hall, Queen’s Cancer Research Institute

Department of Otolaryngology, Division of Cancer Care and
Epidemiology 

T. Owen, Dalhousie University

Department of Oncology, Division of Radiation Oncology

K. Brennan, Dalhousie University
Clinical Research Centre
Published
2019-10-24
How to Cite
Hall, S. F., Owen, T., Griffiths, R. J., & Brennan, K. (2019). Does the frequency of routine follow-up after curative treatment for head-and-neck cancer affect survival?. Current Oncology, 26(5). https://doi.org/10.3747/co.26.4949
Section
Cancer Rehabilitation and Survivorship