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Missed radiation therapy sessions in first three weeks predict distant metastasis and less favorable outcomes in surgically treated patients with oral cavity squamous cell carcinoma.


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

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Missed radiation therapy sessions in first three weeks predict distant metastasis and less favorable outcomes in surgically treated patients with oral cavity squamous cell carcinoma.

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]

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