Efficacy of current regular follow-up policy after treatment for head and neck cancer: Need for individualized and obligatory follow-up strategy

Head Neck. 2014 May;36(5):715-21. doi: 10.1002/hed.23364. Epub 2013 Jul 30.

Abstract

Background: The purpose of this study was to report the efficacy of routine follow-up after head and neck cancer treatment.

Method: Data for 520 patients with head and neck cancer registered with between 2002 and 2008 were reviewed retrospectively.

Results: The mean ± SD follow-up period taken into account was 34.7 ± 22.8 months. The pickup rate for recurrence using our follow-up protocol in this cohort was 1 in every 79 visits (1.26%). High pickup rates were observed in patients older than 70 years and patients with advanced T classification, whereas low pickup rates were observed in patients who had received treatment including surgery. The only factor on multivariate analysis to influence follow-up visits was surgical treatment (p = .043).

Conclusion: Individualized and obligatory follow-up policy is desirable considering various factors, especially age, T classification, and whether treatment modality includes surgery or not.

Keywords: follow-up; head and neck neoplasms; office visits; recurrence; salvage therapy.

MeSH terms

  • Adult
  • Aged
  • Analysis of Variance
  • Carcinoma, Squamous Cell / epidemiology
  • Carcinoma, Squamous Cell / pathology
  • Carcinoma, Squamous Cell / therapy*
  • Cohort Studies
  • Continuity of Patient Care / organization & administration*
  • Female
  • Follow-Up Studies
  • Head and Neck Neoplasms / diagnosis
  • Head and Neck Neoplasms / epidemiology
  • Head and Neck Neoplasms / therapy*
  • Humans
  • Logistic Models
  • Male
  • Middle Aged
  • Monitoring, Physiologic / standards
  • Monitoring, Physiologic / trends
  • Multivariate Analysis
  • Needs Assessment
  • Neoplasm Invasiveness / pathology
  • Neoplasm Recurrence, Local / epidemiology
  • Neoplasm Recurrence, Local / pathology
  • Neoplasm Recurrence, Local / therapy*
  • Neoplasm Staging
  • Office Visits / statistics & numerical data
  • Policy Making
  • Precision Medicine / methods*
  • Prognosis
  • Registries
  • Retrospective Studies
  • Salvage Therapy / methods