Access to preventive care services and stage at diagnosis in head and neck cancer.
dental health services
early detection of cancer
head and neck neoplasms
neoplasm staging
preventive medicine
Journal
Head & neck
ISSN: 1097-0347
Titre abrégé: Head Neck
Pays: United States
ID NLM: 8902541
Informations de publication
Date de publication:
10 2020
10 2020
Historique:
received:
10
01
2020
revised:
17
03
2020
accepted:
27
05
2020
pubmed:
4
7
2020
medline:
22
6
2021
entrez:
4
7
2020
Statut:
ppublish
Résumé
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). Retrospective analysis of patients diagnosed with HNSCC in North Carolina between 2002 and 2006. 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. Use of preventive care services and SES independently predict stage at diagnosis in HNSCC.
Sections du résumé
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.
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
2841-2851Subventions
Organisme : NCI NIH HHS
ID : R01- CA90731
Pays : United States
Organisme : NIDCD NIH HHS
ID : T32 - DC005360-12
Pays : United States
Informations de copyright
© 2020 Wiley Periodicals LLC.
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