Racial disparities in surgical treatment of oropharyngeal cancer: A Surveillance, Epidemiology, and End Results review

被引：1

作者：

Douse, Dontre' M. ^{[1
]}

Yin, Linda X. ^{[1
]}

Olawuni, Felicia O. ^{[1
]}

Glasgow, Amy E. ^{[2
,3
]}

Habermann, Elizabeth B. ^{[2
,3
]}

Price, Daniel L. ^{[1
]}

Tasche, Kendall K. ^{[1
]}

Moore, Eric J. ^{[1
]}

Van Abel, Kathryn M. ^{[1
,4
]}

机构：

[1] Mayo Clin, Dept Otorhinolaryngol Head & Neck Surg, Rochester, MN USA

[2] Mayo Clin, Div Hlth Care Policy & Res, Sch Med, Rochester, MN USA

[3] Mayo Clin, Robert D & Patricia E Kern Ctr Sci Hlth Care Deliv, Sch Med, Rochester, MN USA

[4] Mayo Clin, Dept Otorhinolaryngol Head & Neck Surg, 200 First St SW, Rochester, MN 55905 USA

来源：

HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK | 2023年 / 45卷 / 09期

关键词：

epidemiology; head and neck surgery; health disparities; oropharyngeal carcinoma; racial disparities; squamous cell carcinoma; surgical disparities; TORS; SQUAMOUS-CELL CARCINOMA; TRANSORAL ROBOTIC SURGERY; HEALTH-CARE; BLACK PATIENTS; HUMAN-PAPILLOMAVIRUS; RADIATION-THERAPY; BREAST-CANCER; RISK-FACTORS; NECK-CANCER; SURVIVAL;

D O I：

10.1002/hed.27467

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

ObjectivesOropharyngeal squamous cell carcinoma (OPSCC) has been rising. This manuscript looks to explore racial disparities in the surgical management of OPSCC. MethodsA cancer database was queried for patients with OPSCC diagnosed from 2004 to 2017. Univariate and multivariable logistic regressions were used to evaluate associations between patient race/ethnicity, surgical treatment, and reasons for lack of surgery. Results37 306 (74.3%) patients did not undergo surgery, while 12 901 (25.7%) patients did. Non-Hispanic black (NHB) patients were less likely to undergo surgery than other races (17.9% vs. 26.5%; p < 0.0001). In clinical discussions, the Asian, Native American, Hawaiian, Pacific Islander (ANAHPI), and unknown race group was more likely to directly refuse surgery when recommended (2.5% vs. 1.5%; p = 0.015). ConclusionRacial differences exist in treatment for OPSCC. NHB patients are less likely to actually undergo surgical management for OPSCC, while other patients are more likely to directly "refuse" surgery outright when offered.

引用

页码：2313 / 2322

页数：10