Joseph Rylands1, Derek Lowe2, Simon N Rogers3. 1. Accident and Emergency Department, University Hospital Aintree, Liverpool L9 1AE, England. Electronic address: joseph.rylands@gmail.com. 2. Evidence-Based Practice Research Centre (EPRC), Faculty of Health, Edge Hill University, St Helens Road, Ormskirk L39 4QP, England. Electronic address: astraglobeltd@btconnect.com. 3. Evidence-Based Practice Research Centre (EPRC), Faculty of Health, Edge Hill University, St Helens Road, Ormskirk L39 4QP, England; Regional Maxillofacial Unit, University Hospital Aintree, Liverpool L9 1AE, England. Electronic address: snrogers.aintree@gmail.com.
Abstract
OBJECTIVES: Oral cancer patients from lower socio-economic backgrounds have worse outcomes of survival and health related quality of life. The mechanism of cause is not fully understood. The purpose of the paper is to report treatment selection, survival, health related quality of life, cause and place of death in relation to deprivation status. MATERIALS AND METHODS: 553 patients treated for oral cancer between 2008 and 2012 were identified from records at University hospital. Mortality was tracked via the Office of National Statistics (ONS) and health-related quality of life was measured using the University Washington quality of life questionnaire (UW-QoLv4). Postcodes of residence at diagnosis were used to obtain index of multiple deprivation (IMD) 2010 scores. RESULTS: Nearly half of the sample (47%) lived in the 'most deprived' IMD 2010 quartile of residential areas in England and such patients when treated with curative intent using surgery with or without adjuvant radiotherapy had worse survival than patients living elsewhere, p=0.01 after adjusting for pathological staging and age group. There were no notable differences by IMD group in cancer being mentioned anywhere in part 1 or part 2 of the death certificate or in place of death. After adjustment for patient and clinical factors patients residing in more deprived areas had worse quality of life outcomes in regard to social-emotional functioning and overall quality of life but not in regard to physical oral function. CONCLUSION: Addressing inequalities in health care related to deprivation is a priority for patients with oral cancer.
OBJECTIVES:Oral cancerpatients from lower socio-economic backgrounds have worse outcomes of survival and health related quality of life. The mechanism of cause is not fully understood. The purpose of the paper is to report treatment selection, survival, health related quality of life, cause and place of death in relation to deprivation status. MATERIALS AND METHODS: 553 patients treated for oral cancer between 2008 and 2012 were identified from records at University hospital. Mortality was tracked via the Office of National Statistics (ONS) and health-related quality of life was measured using the University Washington quality of life questionnaire (UW-QoLv4). Postcodes of residence at diagnosis were used to obtain index of multiple deprivation (IMD) 2010 scores. RESULTS: Nearly half of the sample (47%) lived in the 'most deprived' IMD 2010 quartile of residential areas in England and such patients when treated with curative intent using surgery with or without adjuvant radiotherapy had worse survival than patients living elsewhere, p=0.01 after adjusting for pathological staging and age group. There were no notable differences by IMD group in cancer being mentioned anywhere in part 1 or part 2 of the death certificate or in place of death. After adjustment for patient and clinical factors patients residing in more deprived areas had worse quality of life outcomes in regard to social-emotional functioning and overall quality of life but not in regard to physical oral function. CONCLUSION: Addressing inequalities in health care related to deprivation is a priority for patients with oral cancer.
Authors: Douglas R Farquhar; Kimon Divaris; Angela L Mazul; Mark C Weissler; Jose P Zevallos; Andrew F Olshan Journal: Oral Oncol Date: 2017-10 Impact factor: 5.337
Authors: Janet N Chu; Alison J Canchola; Theresa H M Keegan; Alyssa Nickell; Ingrid Oakley-Girvan; Ann S Hamilton; Rosa L Yu; Scarlett Lin Gomez; Salma Shariff-Marco Journal: Cancer Epidemiol Biomarkers Prev Date: 2021-11-02 Impact factor: 4.090
Authors: Sarah Allen; Derek Lowe; Rebecca V Harris; Steve Brown; Simon N Rogers Journal: Eur Arch Otorhinolaryngol Date: 2016-07-22 Impact factor: 2.503
Authors: Catriona Rachel Mayland; Hannah C Doughty; Simon N Rogers; Anna Gola; Stephen Mason; Cathy Hubbert; Dominic Macareavy; Barbara A Jack Journal: J Palliat Care Date: 2020-09-15 Impact factor: 2.250
Authors: Catriona R Mayland; Qiaoling Marilyn Ho; Hannah C Doughty; Simon N Rogers; Prithvi Peddinti; Praytush Chada; Stephen Mason; Matthew Cooper; Paola Dey Journal: Palliat Med Date: 2020-10-21 Impact factor: 4.762