{"id":"https://openalex.org/W2977295147","doi":"https://doi.org/10.1002/hed.25966","title":"Factors predicting for patient refusal of head and neck cancer therapy","display_name":"Factors predicting for patient refusal of head and neck cancer therapy","publication_year":2019,"publication_date":"2019-10-04","ids":{"openalex":"https://openalex.org/W2977295147","doi":"https://doi.org/10.1002/hed.25966","mag":"2977295147","pmid":"https://pubmed.ncbi.nlm.nih.gov/31584746"},"language":"en","primary_location":{"id":"doi:10.1002/hed.25966","doi":"https://doi.org/10.1002/hed.25966","is_oa":false,"landing_page_url":"https://doi.org/10.1002/hed.25966","pdf_url":null,"source":{"id":"https://openalex.org/S4210201749","display_name":"Head & Neck","issn_l":"1043-3074","issn":["1043-3074","1097-0347"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-c","doyens","jufo-3","ki-jl-2","medline","norway-2","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Head &amp; Neck","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5068203031","display_name":"Arya Amini","orcid":"https://orcid.org/0000-0002-6205-5969","observed_orcids":["https://orcid.org/0000-0002-6205-5969"]},"institutions":[{"id":"https://openalex.org/I1301076528","display_name":"City Of Hope National Medical Center","ror":"https://ror.org/00w6g5w60","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1301076528"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Arya Amini","raw_affiliation_strings":["Department of Radiation Oncology City of Hope National Medical Center  Duarte California","Department of Radiation Oncology, City of Hope National Medical Center, Duarte, California"],"raw_orcid":"https://orcid.org/0000-0002-6205-5969","affiliations":[{"raw_affiliation_string":"Department of Radiation Oncology City of Hope National Medical Center  Duarte California","institution_ids":["https://openalex.org/I1301076528"]},{"raw_affiliation_string":"Department of Radiation Oncology, City of Hope National Medical Center, Duarte, California","institution_ids":["https://openalex.org/I1301076528"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5071827540","display_name":"Vivek Verma","orcid":"https://orcid.org/0000-0002-5863-6023","observed_orcids":["https://orcid.org/0000-0002-5863-6023","https://orcid.org/0000-0003-4701-3397"]},"institutions":[{"id":"https://openalex.org/I2800275141","display_name":"Allegheny General Hospital","ror":"https://ror.org/02gy6qp39","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1310421338","https://openalex.org/I2800275141"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Vivek Verma","raw_affiliation_strings":["Department of Radiation Oncology Allegheny General Hospital  Pittsburgh Pennsylvania","Department of Radiation Oncology, Allegheny General Hospital, Pittsburgh, Pennsylvania"],"raw_orcid":"https://orcid.org/0000-0002-5863-6023","affiliations":[{"raw_affiliation_string":"Department of Radiation Oncology Allegheny General Hospital  Pittsburgh Pennsylvania","institution_ids":["https://openalex.org/I2800275141"]},{"raw_affiliation_string":"Department of Radiation Oncology, Allegheny General Hospital, Pittsburgh, Pennsylvania","institution_ids":["https://openalex.org/I2800275141"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5100618621","display_name":"Richard Li","orcid":"https://orcid.org/0000-0002-9830-0970","observed_orcids":["https://orcid.org/0000-0002-9830-0970"]},"institutions":[{"id":"https://openalex.org/I1301076528","display_name":"City Of Hope National Medical Center","ror":"https://ror.org/00w6g5w60","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1301076528"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Richard Li","raw_affiliation_strings":["Department of Radiation Oncology City of Hope National Medical Center  Duarte California","Department of Radiation Oncology, City of Hope National Medical Center, Duarte, California"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Radiation Oncology City of Hope National Medical Center  Duarte California","institution_ids":["https://openalex.org/I1301076528"]},{"raw_affiliation_string":"Department of Radiation Oncology, City of Hope National Medical Center, Duarte, California","institution_ids":["https://openalex.org/I1301076528"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5105471401","display_name":"Nayana L. Vora","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1301076528","display_name":"City Of Hope National Medical Center","ror":"https://ror.org/00w6g5w60","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1301076528"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Nayana Vora","raw_affiliation_strings":["Department of Radiation Oncology City of Hope National Medical Center  Duarte California","Department of Radiation Oncology, City of Hope National Medical Center, Duarte, California"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Radiation Oncology City of Hope National Medical Center  Duarte California","institution_ids":["https://openalex.org/I1301076528"]},{"raw_affiliation_string":"Department of Radiation Oncology, City of Hope National Medical Center, Duarte, California","institution_ids":["https://openalex.org/I1301076528"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5114082803","display_name":"Robert S. Kang","orcid":"https://orcid.org/0000-0003-2672-5328","observed_orcids":["https://orcid.org/0000-0003-2672-5328"]},"institutions":[{"id":"https://openalex.org/I1301076528","display_name":"City Of Hope National Medical Center","ror":"https://ror.org/00w6g5w60","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1301076528"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Robert Kang","raw_affiliation_strings":["Department of Surgery City of Hope National Medical Center  Duarte California","Department of Surgery, City of Hope National Medical Center, Duarte, California"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery City of Hope National Medical Center  Duarte California","institution_ids":["https://openalex.org/I1301076528"]},{"raw_affiliation_string":"Department of Surgery, City of Hope National Medical Center, Duarte, California","institution_ids":["https://openalex.org/I1301076528"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5009519903","display_name":"Thomas J. Gernon","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1301076528","display_name":"City Of Hope National Medical Center","ror":"https://ror.org/00w6g5w60","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1301076528"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Thomas J. Gernon","raw_affiliation_strings":["Department of Surgery City of Hope National Medical Center  Duarte California","Department of Surgery, City of Hope National Medical Center, Duarte, California"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery City of Hope National Medical Center  Duarte California","institution_ids":["https://openalex.org/I1301076528"]},{"raw_affiliation_string":"Department of Surgery, City of Hope National Medical Center, Duarte, California","institution_ids":["https://openalex.org/I1301076528"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5081467544","display_name":"Sue Chang","orcid":"https://orcid.org/0000-0002-2379-0469","observed_orcids":["https://orcid.org/0000-0002-2379-0469"]},"institutions":[{"id":"https://openalex.org/I1301076528","display_name":"City Of Hope National Medical Center","ror":"https://ror.org/00w6g5w60","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1301076528"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Sue Chang","raw_affiliation_strings":["Department of Pathology City of Hope National Medical Center  Duarte California","Department of Pathology, City of Hope National Medical Center, Duarte, California"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pathology City of Hope National Medical Center  Duarte California","institution_ids":["https://openalex.org/I1301076528"]},{"raw_affiliation_string":"Department of Pathology, City of Hope National Medical Center, Duarte, California","institution_ids":["https://openalex.org/I1301076528"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5025056006","display_name":"Sana D. Karam","orcid":"https://orcid.org/0000-0003-1676-5967","observed_orcids":["https://orcid.org/0000-0003-1676-5967"]},"institutions":[{"id":"https://openalex.org/I51713134","display_name":"University of Colorado Anschutz","ror":"https://ror.org/03wmf1y16","country_code":"US","type":"education","lineage":["https://openalex.org/I51713134"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Sana Karam","raw_affiliation_strings":["Department of Radiation Oncology University of Colorado School of Medicine  Aurora Colorado","Department of Radiation Oncology, University of Colorado School of Medicine, Aurora, Colorado"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Radiation Oncology University of Colorado School of Medicine  Aurora Colorado","institution_ids":["https://openalex.org/I51713134"]},{"raw_affiliation_string":"Department of Radiation Oncology, University of Colorado School of Medicine, Aurora, Colorado","institution_ids":["https://openalex.org/I51713134"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5028021994","display_name":"Erminia Massarelli","orcid":"https://orcid.org/0000-0001-7798-7286","observed_orcids":["https://orcid.org/0000-0001-7798-7286"]},"institutions":[{"id":"https://openalex.org/I1301076528","display_name":"City Of Hope National Medical Center","ror":"https://ror.org/00w6g5w60","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1301076528"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Erminia Massarelli","raw_affiliation_strings":["Department of Medical Oncology City of Hope National Medical Center  Duarte California","Department of Medical Oncology, City of Hope National Medical Center, Duarte, California"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medical Oncology City of Hope National Medical Center  Duarte California","institution_ids":["https://openalex.org/I1301076528"]},{"raw_affiliation_string":"Department of Medical Oncology, City of Hope National Medical Center, Duarte, California","institution_ids":["https://openalex.org/I1301076528"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5017712004","display_name":"Ellie G. Maghami","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1301076528","display_name":"City Of Hope National Medical Center","ror":"https://ror.org/00w6g5w60","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1301076528"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Ellie G. Maghami","raw_affiliation_strings":["Department of Surgery City of Hope National Medical Center  Duarte California","Department of Surgery, City of Hope National Medical Center, Duarte, California"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery City of Hope National Medical Center  Duarte California","institution_ids":["https://openalex.org/I1301076528"]},{"raw_affiliation_string":"Department of Surgery, City of Hope National Medical Center, Duarte, California","institution_ids":["https://openalex.org/I1301076528"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5089084282","display_name":"Scott Glaser","orcid":"https://orcid.org/0000-0002-0756-9449","observed_orcids":["https://orcid.org/0000-0002-0756-9449"]},"institutions":[{"id":"https://openalex.org/I1301076528","display_name":"City Of Hope National Medical Center","ror":"https://ror.org/00w6g5w60","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1301076528"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Scott Glaser","raw_affiliation_strings":["Department of Radiation Oncology City of Hope National Medical Center  Duarte California","Department of Radiation Oncology, City of Hope National Medical Center, Duarte, California"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Radiation Oncology City of Hope National Medical Center  Duarte California","institution_ids":["https://openalex.org/I1301076528"]},{"raw_affiliation_string":"Department of Radiation Oncology, City of Hope National Medical Center, Duarte, California","institution_ids":["https://openalex.org/I1301076528"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5068203031"],"corresponding_institution_ids":["https://openalex.org/I1301076528"],"apc_list":{"value":3650,"currency":"USD","value_usd":3650},"apc_paid":null,"fwci":1.1084,"has_fulltext":false,"cited_by_count":26,"citation_normalized_percentile":{"value":0.7648573,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":99},"biblio":{"volume":"42","issue":"1","first_page":"33","last_page":"42"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10307","display_name":"Head and Neck Cancer Studies","score":0.9976000189781189,"subfield":{"id":"https://openalex.org/subfields/2733","display_name":"Otorhinolaryngology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10307","display_name":"Head and Neck Cancer Studies","score":0.9976000189781189,"subfield":{"id":"https://openalex.org/subfields/2733","display_name":"Otorhinolaryngology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10827","display_name":"Patient-Provider Communication in Healthcare","score":0.0005000000237487257,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12708","display_name":"Economic and Financial Impacts of Cancer","score":0.0003000000142492354,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/head-and-neck-cancer","display_name":"head and neck cancer","score":0.890999972820282},{"id":"https://openalex.org/keywords/treatment-refusal","display_name":"treatment refusal","score":0.9599999785423279},{"id":"https://openalex.org/keywords/survival-outcomes","display_name":"survival outcomes","score":0.7020000219345093},{"id":"https://openalex.org/keywords/comorbidity","display_name":"comorbidities","score":0.8190000057220459},{"id":"https://openalex.org/keywords/racial-disparities","display_name":"racial disparities","score":0.5289999842643738},{"id":"https://openalex.org/keywords/insurance-status","display_name":"insurance status","score":0.7559999823570251},{"id":"https://openalex.org/keywords/academic-medical-centers","display_name":"academic medical centers","score":0.5849999785423279},{"id":"https://openalex.org/keywords/geographic-access-to-care","display_name":"geographic access to care","score":0.5669999718666077}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9331182241439819},{"id":"https://openalex.org/C509974204","wikidata":"https://www.wikidata.org/wiki/Q180507","display_name":"Radiation therapy","level":2,"score":0.6943032741546631},{"id":"https://openalex.org/C2776530083","wikidata":"https://www.wikidata.org/wiki/Q1783924","display_name":"Head and neck cancer","level":3,"score":0.5768490433692932},{"id":"https://openalex.org/C121608353","wikidata":"https://www.wikidata.org/wiki/Q12078","display_name":"Cancer","level":2,"score":0.5470531582832336},{"id":"https://openalex.org/C3018411727","wikidata":"https://www.wikidata.org/wiki/Q3867488","display_name":"Head and neck","level":2,"score":0.47833797335624695},{"id":"https://openalex.org/C2776694085","wikidata":"https://www.wikidata.org/wiki/Q974135","display_name":"Chemotherapy","level":2,"score":0.41552963852882385},{"id":"https://openalex.org/C3019992690","wikidata":"https://www.wikidata.org/wiki/Q92767510","display_name":"Basal cell","level":2,"score":0.41079646348953247},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.3839187026023865},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.3557250499725342}],"mesh":[{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001741","descriptor_name":"Black or African American","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001741","descriptor_name":"Black or African American","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001741","descriptor_name":"Black or African American","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002294","descriptor_name":"Carcinoma, Squamous Cell","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D002294","descriptor_name":"Carcinoma, Squamous Cell","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D002294","descriptor_name":"Carcinoma, Squamous Cell","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006258","descriptor_name":"Head and Neck Neoplasms","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D006258","descriptor_name":"Head and Neck Neoplasms","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D006258","descriptor_name":"Head and Neck Neoplasms","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016208","descriptor_name":"Databases, Factual","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016208","descriptor_name":"Databases, Factual","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016208","descriptor_name":"Databases, Factual","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016312","descriptor_name":"Treatment Refusal","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016312","descriptor_name":"Treatment Refusal","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016312","descriptor_name":"Treatment Refusal","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1002/hed.25966","doi":"https://doi.org/10.1002/hed.25966","is_oa":false,"landing_page_url":"https://doi.org/10.1002/hed.25966","pdf_url":null,"source":{"id":"https://openalex.org/S4210201749","display_name":"Head & Neck","issn_l":"1043-3074","issn":["1043-3074","1097-0347"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-c","doyens","jufo-3","ki-jl-2","medline","norway-2","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Head &amp; Neck","raw_type":"journal-article"},{"id":"pmid:31584746","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/31584746","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Head & neck","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.9940000176429749}],"sustainable_development_goals_aurora":[{"display_name":"No poverty","id":"https://metadata.un.org/sdg/1","score":0.7900000214576721}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":23,"referenced_works":["https://openalex.org/W1559283731","https://openalex.org/W1988007558","https://openalex.org/W1999130958","https://openalex.org/W2000551139","https://openalex.org/W2000879687","https://openalex.org/W2004079062","https://openalex.org/W2029008405","https://openalex.org/W2062817752","https://openalex.org/W2070353358","https://openalex.org/W2079605840","https://openalex.org/W2089257078","https://openalex.org/W2090163419","https://openalex.org/W2093679650","https://openalex.org/W2120777403","https://openalex.org/W2140897733","https://openalex.org/W2152609192","https://openalex.org/W2161477710","https://openalex.org/W2189753832","https://openalex.org/W2273670691","https://openalex.org/W2293600379","https://openalex.org/W2348053759","https://openalex.org/W2406213538","https://openalex.org/W2594041752"],"related_works":["https://openalex.org/W2355955825","https://openalex.org/W2387970634","https://openalex.org/W2089609493","https://openalex.org/W2147863910","https://openalex.org/W2417555288","https://openalex.org/W2349204430","https://openalex.org/W3211657369","https://openalex.org/W2353276349","https://openalex.org/W2347438058","https://openalex.org/W2348112866"],"abstract_inverted_index":{"BACKGROUND:":[0],"The":[1,22],"purpose":[2],"of":[3,12,33,43,97],"this":[4],"study":[5],"was":[6,26],"to":[7,41,50,62,85,115,148],"evaluate":[8],"the":[9,34,51,86],"national":[10],"rate":[11],"treatment":[13],"refusal":[14],"in":[15,144,151],"head":[16,35],"and":[17,36,82,106,146],"neck":[18],"cancer":[19],"(HNC).":[20],"METHODS:":[21],"National":[23],"Cancer":[24],"Database":[25],"queried":[27],"for":[28],"nonmetastatic":[29],"squamous":[30],"cell":[31],"carcinoma":[32],"neck.":[37],"Oncologic":[38],"therapy":[39,117,125,140],"referred":[40],"receipt":[42],"surgery,":[44],"radiotherapy,":[45],"or":[46],"chemotherapy.":[47],"RESULTS:":[48],"Compared":[49],"230":[52],"424":[53],"patients":[54],"who":[55,122],"received":[56],"treatment,":[57],"2965":[58],"(1.3%)":[59],"were":[60,112],"reported":[61],"have":[63],"refused":[64,123],"definitive":[65,124],"therapy.":[66],"Predictors":[67],"included":[68],"older":[69],"age,":[70],"female":[71],"sex,":[72],"African-American/other":[73],"race,":[74,100],"nonprivate":[75],"insurance,":[76],"greater":[77],"comorbidities,":[78],"more":[79],"advanced":[80],"disease,":[81],"residence":[83],"closer":[84],"treating":[87],"facility":[88],"(P":[89,118],"<":[90,119,135],".05).":[91,120],"Patients":[92,121],"with":[93],"a":[94],"prior":[95],"history":[96],"cancer,":[98],"Hispanic":[99],"those":[101,107],"treated":[102],"at":[103],"academic":[104],"centers,":[105],"from":[108],"higher":[109],"income":[110],"counties":[111],"less":[113],"likely":[114],"refuse":[116],"experienced":[126],"poorer":[127],"survival":[128],"(median":[129],"79.1":[130],"vs":[131],"8.7":[132],"months,":[133],"P":[134],".001).":[136],"CONCLUSIONS:":[137],"Refusing":[138],"oncologic":[139],"is":[141],"relatively":[142],"rare":[143],"HNC":[145],"appears":[147],"be":[149],"multifocal":[150],"nature.":[152]},"counts_by_year":[{"year":2026,"cited_by_count":2},{"year":2025,"cited_by_count":4},{"year":2024,"cited_by_count":6},{"year":2023,"cited_by_count":8},{"year":2022,"cited_by_count":2},{"year":2021,"cited_by_count":1},{"year":2020,"cited_by_count":3}],"updated_date":"2026-10-16T09:59:22.235173","created_date":"2025-10-10T00:00:00"}