Evidence map›Paper›PMID 41721138›Full record

ArticleJournal of cancer survivorship : research and practice2026

Clinical and social determinants of sustained head and neck cancer survivorship clinic attendance.

Katie M Carlson, Maryanna S Owoc, Marci Lee Nilsen, Yvonne M Mowery, Rebecca A Deek, Kevin J Contrera, Jennifer Hetrick, Nosayaba Osazuwa-Peters, Dan P Zandberg, Sandra Stinnett and 2 more

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Article in Journal of cancer survivorship : research and practice, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

12 authors.

Katie M CarlsonDepartment of Otolaryngology - Head and Neck Surgery, University of Pittsburgh Medical Center, 203 Lothrop St # 500, Pittsburgh, PA, 15213, USA.
Maryanna S OwocDepartment of Otolaryngology - Head and Neck Surgery, University of Pittsburgh Medical Center, 203 Lothrop St # 500, Pittsburgh, PA, 15213, USA.
Marci Lee NilsenDepartment of Otolaryngology - Head and Neck Surgery, University of Pittsburgh Medical Center, 203 Lothrop St # 500, Pittsburgh, PA, 15213, USA.
Yvonne M MoweryUPMC Hillman Cancer Center, 5115 Centre Ave, Pittsburgh, PA, 15232, USA.
Rebecca A DeekDepartment of Biostatistics and Health Data Science, School of Public Health, University of Pittsburgh, 130 De Soto St, Pittsburgh, PA, 15261, USA.
Kevin J ContreraDepartment of Otolaryngology - Head and Neck Surgery, University of Pittsburgh Medical Center, 203 Lothrop St # 500, Pittsburgh, PA, 15213, USA.
Jennifer HetrickDepartment of Otolaryngology - Head and Neck Surgery, University of Pittsburgh Medical Center, 203 Lothrop St # 500, Pittsburgh, PA, 15213, USA.
Nosayaba Osazuwa-PetersDepartment of Head and Neck Surgery and Communication Sciences, Duke University School of Medicine, Davison Building, 40 Duke Medicine Cir Box 3805, Durham, NC, 27710, USA.
Dan P ZandbergUPMC Hillman Cancer Center, 5115 Centre Ave, Pittsburgh, PA, 15232, USA.
Sandra StinnettDepartment of Otolaryngology - Head and Neck Surgery, University of Pittsburgh Medical Center, 203 Lothrop St # 500, Pittsburgh, PA, 15213, USA.
Jonas T JohnsonDepartment of Otolaryngology - Head and Neck Surgery, University of Pittsburgh Medical Center, 203 Lothrop St # 500, Pittsburgh, PA, 15213, USA.
Angela L MazulDepartment of Otolaryngology - Head and Neck Surgery, University of Pittsburgh Medical Center, 203 Lothrop St # 500, Pittsburgh, PA, 15213, USA. angela.mazul@pitt.edu.

Funding

VECTOR CORE FACILITYP30CA047904 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI CHRISTOPHER J. BAKKENIST · 1988 to 2026
$158.0M
NCI NIH HHS P30 CA047904NCI NIH HHS P30CA047904NIH HHS P50 CA097190-17
6 · The paper itself

Abstract

purposeDespite its importance, little is known about engagement with structured, multidisciplinary head and neck cancer (HNC) survivorship care. We sought to identify clinical and sociodemographic factors associated with sustained attendance at an HNC Survivorship Clinic.

methodsOur retrospective cohort of 625 HNC patients was divided into a subset of patients who received radiotherapy (n = 510) and patients who did not (n = 115). We defined sustained attendance as 1) the total number of visits that occurred before completing treatment and within three years post-treatment, and 2) adherence scores, calculated as the number of timeframes during which at least one visit occurred: pre-treatment completion (for the radiotherapy subset only) and one-, two-, and three-years post-treatment. We used Fisher's exact test for descriptive statistics and Poisson regression to estimate prevalence ratios (PRs) for sustained attendance.

resultsIn the overall cohort, 248 patients (39.7%) had only one visit to the Survivorship Clinic. In the radiotherapy subset, 211 patients (41.4%) had an adherence score of 1, compared to 81 (70.4%) in the non-radiotherapy subset. In adjusted analysis, treatment with radiotherapy was associated with more total visits (PR: 1.41, 95% confidence interval [CI]: 1.19-1.68), while greater neighborhood socioeconomic deprivation (PR: 0.82, 95% CI: 0.70-0.97) and farther distance from the Clinic (PR: 0.81, 95% CI: 0.69-0.95) were associated with fewer total visits.

conclusionsClinical and sociodemographic factors are independently associated with sustained attendance at an HNC Survivorship Clinic. IMPLICATIONS FOR CANCER SURVIVORS: Disparities in engagement with HNC survivorship care highlight the need for targeted interventions to improve adherence to follow-up recommendations.

Indexed as

Adherence to follow-up recommendationsCancer survivorshipHead and neck cancerSocial determinants of health

Identifiers

PMID41721138

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.