A preliminary assessment of guideline adherence and clinical variation in oral cancer treatment: a MarketScan database study.

ABSTRACT:

Background

To assess variations in adherence to guideline-recommended processes of care for oral cavity cancer patients.

Methods

Retrospective study using a U.S. healthcare research database (MarketScan). Index diagnoses were considered from 2010 to 2012 with follow-up from 2013 to 2014. Diagnostic and procedure codes were utilized to identify oral cavity patients with a defined treatment modality. Compliance with guideline-recommended processes of care, which included pre-treatment imaging, thyroid-function testing (TFTs), multidisciplinary consultation and gastrostomy-tube insertion rates, were assessed.

Results

A total of 2752 patients were identified. Surgery alone was the most common treatment (60.8%), followed by surgery with adjuvant chemoradiotherapy (20.4%) a

SUBMITTER: Eskander A 

PROVIDER: S-EPMC8130137 | biostudies-literature | 2021 May

REPOSITORIES: biostudies-literature