Sociodemographic correlates of head and neck cancer survival among patients with metastatic disease

被引：10
作者：
Pannu, Jaibir S. [1 ]
Simpson, Matthew C. [2 ,3 ]
Donovan, Connor L. [4 ]
Boakye, Eric Adjei [5 ]
Mass, Katherine [1 ]
Challapalli, Sai D. [6 ]
Varvares, Mark A. [7 ]
Osazuwa-Peters, Nosayaba [2 ,3 ]
机构：
[1] St Louis Univ, Sch Med, St Louis, MO USA
[2] St Louis Univ, Sch Med, Dept Otolaryngol Head & Neck Surg, St Louis, MO USA
[3] St Louis Univ, Canc Ctr, St Louis, MO 63103 USA
[4] Univ Arkansas, Fulbright Coll Arts & Sci, Fayetteville, AR 72701 USA
[5] Southern Illinois Univ, Sch Med, Dept Populat Sci & Policy, Springfield, IL USA
[6] Univ Texas Hlth Sci Ctr Houston, Dept Otorhinolaryngol Head & Neck Surg, McGovern Med Sch, Houston, TX 77030 USA
[7] Harvard Med Sch, Dept Otolaryngol, Massachusetts Eye & Ear Infirm, Boston, MA 02115 USA
来源：
HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK | 2020年 / 42卷 / 09期
关键词：
cancer survival; distant metastatic disease; head and neck cancer; social determinants of health; surveillance; epidemiology; and end results; SQUAMOUS-CELL CARCINOMAS; HEALTH-INSURANCE STATUS; HUMAN-PAPILLOMAVIRUS; OROPHARYNGEAL CANCER; MARITAL-STATUS; IMPACT; STAGE; DISPARITIES; DIAGNOSIS; ASSOCIATION;
D O I：
10.1002/hed.26284
中图分类号：
R76 [耳鼻咽喉科学];
学科分类号：
100213 ;
摘要：
Background To describe sociodemographic factors associated with head and neck cancer (HNC) survival among patients with distant metastatic disease. Methods We retrospectively analyzed national data for 2889 adult patients with metastatic HNC (2007-2015). We used Fine and Gray competing risks proportional hazard models, stratified by oropharyngeal cancer status, controlled for sociodemographic factors (age, sex, race/ethnicity, marital status, and insurance status), and accounted for multiple testing. Results Median survival time was 11 months (15 months for patients married/partnered; 13 months for patients with non-Medicaid insurance;P< .01). Among patients with oropharyngeal cancer, being married/partnered was associated with lower mortality hazard (sdHR(divorced/separated)= 1.37, 97.5% confidence interval [CI] = 1.07, 1.75; and sdHR(never married)= 1.43, 97.5% CI = 1.14, 1.80), as was having non-Medicaid insurance (sdHR(uninsured)= 1.44, 97.5% CI = 1.02, 2.04). Conclusions Health insurance and marital status are sociodemographic factors associated with survival among HNC patients with distant metastatic disease, especially in oropharyngeal cases.
引用
收藏
页码：2505 / 2515
页数：11
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