期刊
HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK
卷 42, 期 10, 页码 2841-2851出版社
WILEY
DOI: 10.1002/hed.26326
关键词
dental health services; early detection of cancer; head and neck neoplasms; neoplasm staging; preventive medicine
资金
- National Cancer Institute [R01-CA90731]
- National Institute on Deafness and Other Communication Disorders [T32 -DC005360-12]
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.
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