Background: Head and neck cancer (HNC) and its treatment lead to functional impairments. Rehabilitation by speech-language pathology (SLP) and occupational/physical therapy (OT/PT) can decrease morbidity.
Methods: The Surveillance, Epidemiology and End Results-Medicare data for patients with HNC diagnosed between 2002 and 2011 was utilized to evaluate posttreatment rehabilitation.
Results: In 16 194 patients, the overall utilization rate was 20.7% for SLP and 26.2% for OT/PT services. Treatment modality was significantly associated rehabilitation utilization. Compared to patients treated with primary surgery, those treated with primary radiotherapy had significantly lower odds of OT/PT utilization. Patients treated with surgery plus adjuvant treatment and primary concurrent chemoradiation had higher odds of SLP utilization compared to patients treated with surgery alone.
Conclusions: Rehabilitation services appeared to be underutilized by patients with HNC in the United States and vary with treatment modality. There is a need to improve integration of rehabilitation services into the HNC care continuum.
Summary: Rehabilitation services are underutilized by patients with HNC during posttreatment surveillance in the United States. Treatment modality significantly impacts rehabilitation utilization patterns.
Keywords: head and neck cancer; occupational therapy; physical and rehabilitation medicine; rehabilitation research; speech-language pathology; survivorship.
© 2019 Wiley Periodicals, Inc.
Utilization of rehabilitation therapy services in Parkinson disease in the United States.Neurology. 2017 Sep 12;89(11):1162-1169. doi: 10.1212/WNL.0000000000004355. Epub 2017 Aug 23. Neurology. 2017. PMID: 28835397 Free PMC article.
Speech-language pathology care and short- and long-term outcomes of laryngeal cancer treatment in the elderly.Laryngoscope. 2015 Dec;125(12):2756-63. doi: 10.1002/lary.25454. Epub 2015 Jul 7. Laryngoscope. 2015. PMID: 26152893
Speech-language pathology care and short- and long-term outcomes of oropharyngeal cancer treatment in the elderly.Laryngoscope. 2018 Jun;128(6):1403-1411. doi: 10.1002/lary.26950. Epub 2017 Oct 23. Laryngoscope. 2018. PMID: 29057504
Rehabilitation service utilization in children and youth with cerebral palsy.Child Care Health Dev. 2014 Mar;40(2):275-82. doi: 10.1111/cch.12026. Epub 2013 Jan 30. Child Care Health Dev. 2014. PMID: 23363242 Review.
Racial/ethnic differences in utilization of post-stroke rehabilitation services: a systematic review.Ethn Dis. 2008 Summer;18(3):365-72. Ethn Dis. 2008. PMID: 18785453 Review.