CitationFarquhar, Douglas R.; Lenze, Nicholas R.; Masood, Maheer M.; Divaris, Kimon; Tasoulas, Jason; Blumberg, Jeffrey; Lumley, Catherine; Patel, Samip N.; Hackman, Trevor; & Weissler, Mark Christian, et al. (2020). Access to Preventive Care Services and Stage at Diagnosis in Head and Neck Cancer. Head & Neck, 42(10), 2841-2851.
AbstractBACKGROUND: 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.
Reference TypeJournal Article
Journal TitleHead & Neck
Author(s)Farquhar, Douglas R.
Lenze, Nicholas R.
Masood, Maheer M.
Patel, Samip N.
Weissler, Mark Christian
Yarbrough, Wendell G.
Zanation, Adam M.
Olshan, Andrew F.