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Access to Preventive Care Services and Stage at Diagnosis in Head and Neck Cancer

Citation

Farquhar, 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.

Abstract

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.

URL

http://dx.doi.org/10.1002/hed.26326

Reference Type

Journal Article

Article Type

Regular

Year Published

2020

Journal Title

Head & Neck

Author(s)

Farquhar, Douglas R.
Lenze, Nicholas R.
Masood, Maheer M.
Divaris, Kimon
Tasoulas, Jason
Blumberg, Jeffrey
Lumley, Catherine
Patel, Samip N.
Hackman, Trevor
Weissler, Mark Christian
Yarbrough, Wendell G.
Zanation, Adam M.
Olshan, Andrew F.

Continent/Country

United States of America

State

North Carolina