## Abstract ## Background The purpose of this study was to describe patient characteristics and prognostic factors for survival in the palliative stage of patients with head and neck cancer. ## Methods Since November 2003, all patients with palliative head and neck cancer treated in our hospital
Determinants of head and neck cancer survival by race
β Scribed by Camille C. Ragin; Scott M. Langevin; Mark Marzouk; Jennifer Grandis; Emanuela Taioli
- Publisher
- John Wiley and Sons
- Year
- 2010
- Tongue
- English
- Weight
- 110 KB
- Volume
- 33
- Category
- Article
- ISSN
- 1043-3074
No coin nor oath required. For personal study only.
β¦ Synopsis
Abstract
Background
Several factors contribute to the documented racial disparity in head and neck cancer, among which are socioeconomic status, access to care, and biologic factors.
Methods
Clinical characteristics of 87 AfricanβAmerican patients with head and neck cancer and a random sample of 261 white patients matched on age and smoking dose were associated with outcome.
Results
Black patients with cancers of the oral cavity and larynx were more likely diagnosed with advanced stages than whites, after adjusting for socioeconomic and insurance status and other confounding factors. There was a significant difference in relapseβfree survival between blacks and whites with tumors of the larynx (hazard ratio [HR] = 3.36, 95% confidence interval [CI]: 1.62β7.00), but not with tumors of the oral cavity or pharynx.
Conclusions
Differences in disease outcome may be attributed to a combination of tumor stage, socioeconomic status, and access to health care. The inclusion of biologic markers such as human papillomavirus (HPV) status is needed in future studies to further evaluate racial disparities in head and neck cancer outcomes. Β© 2010 Wiley Periodicals, Inc. Head Neck, 2011
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