Survival inequalities in head and neck cancers: A hospital-based cohort study

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art_MENEZES_Survival_inequalities_in_head_and_neck_cancers_A_2023.PDF (1.58 MB)
Citações na Scopus
0
Tipo de produção
article
Data de publicação
2023
DOI
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
WILEY
Autores
MENEZES, Fabricio dos Santos
PERES, Stela Verzinhasse
ANTUNES, Jose Leopoldo Ferreira
LATORRE, Maria do Rosario Dias de Oliveira
TOPORCOV, Tatiana Natasha
Citação
HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK, v.45, n.9, p.2377-2393, 2023
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
BackgroundWe investigated whether the socioeconomic status (SES) influenced survival rates in oropharynx cancers (OPC), oral cavity cancers (OCC), and larynx cancers (LC) in Brazilian patients. MethodsThis hospital-based cohort study assessed the age-standardized 5-year relative survival (RS) using the Pohar Perme estimator. ResultsOverall, we identified 37 191 cases, and 5-year RS were 24.4%, 34.1%, and 44.9% in OPC, OCC, and LC, respectively. In multiple Cox regression, the highest risk of death occurred in the most vulnerable social strata for all subsites-that is, illiterates or patients relying on publicly funded healthcare services. Disparities increased over time by 34.9% in OPC due to the rising of survival rates in the highest SES, whereas they reduced by 10.2% and 29.6% in OCC and LC. ConclusionsThe potential inequities were more significant for OPC than for OCC and LC. It is urgent to tackle social disparities to improve prognoses in highly unequal countries.
Palavras-chave
head and neck cancer, healthcare disparities, mortality, oropharnyx cancer, social inequalities, survival
URI
https://observatorio.fm.usp.br/handle/OPI/57642
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Coleções
Artigos e Materiais de Revistas Científicas - HC/ICESP
Artigos e Materiais de Revistas Científicas - LIM/24
Artigos e Materiais de Revistas Científicas - ODS/03
Artigos e Materiais de Revistas Científicas - ODS/10