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38-18.47). The minimal P generated cutoff point at LNR ≥ 17% demonstrated a HR 4.34 (95% CI 1.24-15.2) for disease-free survival. CONCLUSION For HPV-related OPSCC, continuous LNR and an LNR threshold of 17% could be helpful in identifying recurrent disease in addition to measures such as lymph node number alone. LEVEL OF EVIDENCE 4. © 2020 The American Laryngological, Rhinological and Otological Society, Inc.BACKGROUND Nursing student fatigue and recovery time are important considerations. PURPOSE This descriptive research compared chroni