Targets for improving disparate head and neck cancer outcomes in the low-income population

被引:12
作者
Entezami, Payam [1 ]
Thomas, Bennett [1 ]
Mansour, Jobran [1 ]
Asarkar, Ameya [1 ]
Nathan, Cherie-Ann [1 ]
Pang, John [1 ]
机构
[1] Louisiana State Univ, Shreveport Med Ctr, 1501 Kings Highway,9th Floor Otolaryngol, Shreveport, LA 71103 USA
关键词
head and neck cancer; health policy; outcomes; underserved; SQUAMOUS-CELL CARCINOMA; POSTOPERATIVE RADIATION-THERAPY; LOCALLY ADVANCED HEAD; UNITED-STATES; MEDICAID EXPANSION; HEALTH-CARE; SMOKING; TIME; DISPARITIES; DIAGNOSIS;
D O I
10.1002/lio2.698
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
Low-income patients have worse head and neck cancer outcomes than those with high-income. Yet, few targets have been identified to specifically improve outcomes in the low-income population. Here, we conduct a review on the current literature on head and neck cancer outcomes in the low-income population and identify targets for intervention. The degree of disparity is in the range of 20%-90% worse overall survival in the low-income population. Eliminating smoking would have the greatest effect on head and neck cancer mortality rates in the low-income population. Additionally, access to oral cancer exams, assistance with transportation, and continued expansion of telemedicine would facilitate early diagnosis and timely treatment in patients who develop head and neck cancer.
引用
收藏
页码:1481 / 1488
页数:8
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