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. 2020 Oct;42(10):2841-2851.
doi: 10.1002/hed.26326. Epub 2020 Jul 3.

Access to preventive care services and stage at diagnosis in head and neck cancer

Douglas R Farquhar  1 , Nicholas R Lenze  1 , Maheer M Masood  2 , Kimon Divaris  3   4 , Jason Tasoulas  1 , Jeffrey Blumberg  1 , Catherine Lumley  1 , Samip Patel  1 , Trevor Hackman  1 , Mark C Weissler  1 , Wendell Yarbrough  1 , Adam M Zanation  1 , Andrew F Olshan  4
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Access to preventive care services and stage at diagnosis in head and neck cancer

Douglas R Farquhar et al. Head Neck. 2020 Oct.

Abstract

Background: Decreased access to preventive care services has been proposed as a mechanism for the association between low socioeconomic status (SES) and advanced stage at diagnosis in patients with head and neck squamous cell carcinoma (HNSCC).

Methods: Retrospective analysis of patients diagnosed with HNSCC in North Carolina between 2002 and 2006.

Results: A total of 1108 patients with HNSCC were included in the study. In the multivariable analysis, use of annual routine dental services (OR 0.7, 95% CI 0.5-0.9) and colonoscopy in the past 10 years (OR 0.7, 95% CI 0.5-0.9) were associated with lower odds of advanced T stage at diagnosis. Having no insurance (OR 1.8, 95% CI 1.1-2.9), an income <$20 000 (OR 1.6 95% CI 1.03-2.6), and >10 pack-years tobacco use (OR 1.5, 95% CI 1.04-2.2) were associated with advanced T stage at diagnosis.

Conclusion: Use of preventive care services and SES independently predict stage at diagnosis in HNSCC.

Keywords: dental health services; early detection of cancer; head and neck neoplasms; neoplasm staging; preventive medicine.

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References

REFERENCES

    1. El-Naggar AK, Chan JKC, Grandis JR, Takata T, Slootweg PJ, eds. WHO Classification of Head and Neck Tumours. 4th ed. Lyon: International Agency for Research on Cancer; 2017.
    1. American Cancer Society. Cancer Facts & Figures 2019. Atlanta, GA: ACS; 2019 https://www.cancer.org/content/dam/cancer-org/research/cancer-facts-and-....
    1. Giraldi L, Leoncini E, Pastorino R, et al. Alcohol and cigarette consumption predict mortality in patients with head and neck cancer: a pooled analysis within the international head and neck cancer epidemiology (INHANCE) consortium. Ann Oncol. 2017;28(11):2843-2851. https://doi.org/10.1093/annonc/mdx486.
    1. Carvalho AL, Nishimoto IN, Califano JA, Kowalski LP. Trends in incidence and prognosis for head and neck cancer in the United States: a site-specific analysis of the SEER database. Int J Cancer. 2005;114(5):806-816. https://doi.org/10.1002/ijc.20740.
    1. Stanford-Moore G, Bradshaw PT, Weissler MC, et al. Interaction between known risk factors for head and neck cancer and socioeconomic status: the Carolina head and neck cancer study. Cancer Causes Control. 2018;29(9):863-873. https://doi.org/10.1007/s10552-018-1062-8.

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