Influence of travel burden on tumor classification and survival of head and neck cancer patients.

PURPOSE: Cancer patients have to overcome various barriers to obtain diagnostics and treatment at head and neck cancer centers. Travel distance to a specialized hospital may result in psychosocial and financial distress, thus interfering with diagnostics, treatment, and follow-up care. In this study, we have aimed to analyze the association of travel distance with cTNM status, UICC stage at primary diagnosis, and survival outcomes of head and neck cancer (HNC) patients. METHODS: We have analyzed data of 1921 consecutive HNC patients diagnosed between 2014 and 2019 at the head and neck cancer center of the Comprehensive Cancer Center Ulm (CCCU), Germany. Postal code-based travel distance calculation in kilometers, TNM status, and UICC stage were recorded at initial diagnosis. The assembly of travel distance-related groups (short, intermediate, long-distance) has been investigated. Moreover, group-related survival and recurrence analysis have been performed. RESULTS: In contrast to observations from overseas, no association of travel distance and higher cTNM status or UICC stage at primary diagnosis has been observed. Furthermore, no significant differences for recurrence-free survival and overall survival by travel distance were detected. CONCLUSION: In southern Germany, travel distance to head and neck cancer centers seems to be tolerable. Travel burden is not synonymous with travel distance alone but also involves sociodemographic, monetary, and disease-specific aspects as well as accessibility to proper infrastructure of transport and health care system.

Stereoscopic perception with brief exposures.

In this report we describe the results of an experiment in which we demonstrated that a powerful and compelling stereoscopic experience is elicited with very brief (< 1 msec) stimulus durations. The observers were highly successful in recognizing briefly flashed, stereoscopic, random-dot surfaces in the absence of monocular contours. The results are shown to be closely related to the range of depths for any stimulus form; however, the recognition thresholds were nonmonotonic as a function of disparity. Previous investigators have disagreed about the existence of a temporal threshold for stereopsis. We believe that prior findings suggesting that stereopsis cannot occur at short exposure durations are probably due to inadequate control of fixation disparity. Therefore, there is poor dichoptic image registration when a stereoscopic stimulus is presented. The present results also raise difficulties for any theory of stereopsis that requires eye movements.