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ABSTRACT: Background
We sought to investigate the prognostic impact of missed RT sessions in patients who had undergone surgery for oral cavity squamous cell carcinoma (OCSCC).Methods
The study sample consisted of 905 patients with surgically treated OCSCC who fulfilled criteria of RT course ≤8 weeks. The study participants were divided into three groups based on the characteristics of missed RT, as follows: 1) early missed RT, 2) late missed RT, and 3) RT as scheduled.Results
The 5-year overall survival (OS) rates in the early missed RT, late missed RT, and RT as scheduled groups were 53.0, 58.1, and 64.5%, respectively (p = 0.046). In multivariate analysis, early missed RT was independently associated with both OS (hazard ratio (HR) = 1.486; 95% confidence interval (CI): 1.122-1.966; p = 0.006) and the occurrence of distant metastasis (HR = 1.644; 95% CI: 1.047-2.583; p = 0.031).Conclusion
Early missed RT was independently associated with a higher occurrence of distant metastasis and less favorable OS in patients who had undergone surgery for OCSCC.
SUBMITTER: Chiang YY
PROVIDER: S-EPMC7427928 | biostudies-literature | 2020 Aug
REPOSITORIES: biostudies-literature
Chiang Yin-Yin YY Chou Yung-Chih YC Chang Kai-Ping KP Liao Chun-Ta CT Wu Yao-Yu YY Yap Wing-Keen WK Pai Ping-Ching PC Chang Joseph Tung-Chieh JT Lin Chien-Yu CY Fan Kang-Hsing KH Huang Bing-Shen BS Hung Tsung-Min TM Tsang Ngan-Ming NM
Radiation oncology (London, England) 20200814 1
<h4>Background</h4>We sought to investigate the prognostic impact of missed RT sessions in patients who had undergone surgery for oral cavity squamous cell carcinoma (OCSCC).<h4>Methods</h4>The study sample consisted of 905 patients with surgically treated OCSCC who fulfilled criteria of RT course ≤8 weeks. The study participants were divided into three groups based on the characteristics of missed RT, as follows: 1) early missed RT, 2) late missed RT, and 3) RT as scheduled.<h4>Results</h4>The ...[more]