Sinonasal adenocarcinoma: Population-based analysis of demographic and socioeconomic disparities.

SEER anterior skull base disparities endoscopic skull base surgery health disparities paranasal sinuses rhinology sinonasal sinonasal adenocarcinoma sinonasal malignancy

Journal

Head & neck
ISSN: 1097-0347
Titre abrégé: Head Neck
Pays: United States
ID NLM: 8902541

Informations de publication

Date de publication:
10 2021
Historique:
revised: 22 03 2021
received: 07 10 2020
accepted: 03 06 2021
pubmed: 13 6 2021
medline: 30 9 2021
entrez: 12 6 2021
Statut: ppublish

Résumé

Sinonasal adenocarcinoma (SNAC) is a rare tumor. The impact of health disparities on survival, stage at presentation, and utilization of surgery is not well understood in patients with SNAC. The Surveillance, Epidemiology, and End Results database was queried for cases of SNAC from 1973 to 2015. Cases were analyzed to assess for disparities in presentation, treatment, and survival. SNAC was identified in 630 patients. In a multivariate model of overall survival, an age increase of 10 years (Hazard Ratio (HR) = 1.37, p < 0.001), male sex (HR = 1.26, p = 0.045), and more recent decade of diagnosis (HR = 0.74, p < 0.001) were significantly related to time-to-death. There is a higher rate of SNAC-related death in counties with more rural populations (p = 0.027). Future interventions targeting rural and less well-educated populations may improve care with the goal of increasing the span of healthy life and reducing survival disparities related to SNAC.

Sections du résumé

BACKGROUND
Sinonasal adenocarcinoma (SNAC) is a rare tumor. The impact of health disparities on survival, stage at presentation, and utilization of surgery is not well understood in patients with SNAC.
METHODS
The Surveillance, Epidemiology, and End Results database was queried for cases of SNAC from 1973 to 2015. Cases were analyzed to assess for disparities in presentation, treatment, and survival.
RESULTS
SNAC was identified in 630 patients. In a multivariate model of overall survival, an age increase of 10 years (Hazard Ratio (HR) = 1.37, p < 0.001), male sex (HR = 1.26, p = 0.045), and more recent decade of diagnosis (HR = 0.74, p < 0.001) were significantly related to time-to-death. There is a higher rate of SNAC-related death in counties with more rural populations (p = 0.027).
CONCLUSION
Future interventions targeting rural and less well-educated populations may improve care with the goal of increasing the span of healthy life and reducing survival disparities related to SNAC.

Identifiants

pubmed: 34117674
doi: 10.1002/hed.26783
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

2946-2953

Informations de copyright

© 2021 Wiley Periodicals LLC.

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Auteurs

Christopher M Low (CM)

Department of Otolaryngology-Head and Neck Surgery, Mayo Clinic, Rochester, Minnesota, USA.

Karthik Balakrishnan (K)

Department of Otolaryngology-Head and Neck Surgery, Stanford University School of Medicine, Palo Alto, California, USA.

Byron M Smith (BM)

Department of Biomedical Statistics and Informatics, Mayo Clinic, Rochester, Minnesota, USA.

Janalee K Stokken (JK)

Department of Otolaryngology-Head and Neck Surgery, Mayo Clinic, Rochester, Minnesota, USA.

Erin K O'Brien (EK)

Department of Otolaryngology-Head and Neck Surgery, Mayo Clinic, Rochester, Minnesota, USA.

Jamie J Van Gompel (JJ)

Department of Otolaryngology-Head and Neck Surgery, Mayo Clinic, Rochester, Minnesota, USA.
Department of Neurological Surgery, Mayo Clinic, Rochester, Minnesota, USA.

Nicholas R Rowan (NR)

Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.

Garret Choby (G)

Department of Otolaryngology-Head and Neck Surgery, Mayo Clinic, Rochester, Minnesota, USA.
Department of Neurological Surgery, Mayo Clinic, Rochester, Minnesota, USA.

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