Nosayaba Osazuwa-Peters1,2,3, Kara M Christopher2, Adnan S Hussaini4, Anit Behera4,5, Ronald J Walker2, Mark A Varvares2,6. 1. Saint Louis University Cancer Center, Saint Louis, Missouri. 2. Department of Otolaryngology-Head and Neck Surgery, Saint Louis University, School of Medicine, Saint Louis, Missouri. 3. Department of Epidemiology, College for Public Health and Social Justice, Saint Louis University, Saint Louis, Missouri. 4. Saint Louis University, School of Medicine, Saint Louis, Missouri. 5. Saint Louis University Center for Outcomes Research, Saint Louis, Missouri. 6. Harvard Medical School, Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Boston, Massachusetts.
Abstract
BACKGROUND: To increase early detection of head and neck cancers, it is important that disparities associated with access to care are addressed. METHODS: A total of 351 patients aged 20 to 91 years (58.72 ± 11.70 years) diagnosed with head and neck cancers at a university hospital from 1997 to 2010 were analyzed. Logistic regression assessed the association between clinical stage at presentation and predictors. Cox proportional hazards model assessed the effect of stage at presentation on survival. RESULTS: Being African American was associated with increased odds of late stage at presentation (adjusted odds ratio [OR] = 2.16; 95% confidence interval [CI] = 1.01-4.59), and those without health insurance were 10.97 times more likely to present at late stage (95% CI = 1.30-92.49). Unmarried patients were 1.6 times at an increased hazard of death (95% CI = 1.12-2.24). CONCLUSION: Disparities, such as race and health insurance status, are important predictors of stage at presentation of patients with head and neck cancer.
BACKGROUND: To increase early detection of head and neck cancers, it is important that disparities associated with access to care are addressed. METHODS: A total of 351 patients aged 20 to 91 years (58.72 ± 11.70 years) diagnosed with head and neck cancers at a university hospital from 1997 to 2010 were analyzed. Logistic regression assessed the association between clinical stage at presentation and predictors. Cox proportional hazards model assessed the effect of stage at presentation on survival. RESULTS: Being African American was associated with increased odds of late stage at presentation (adjusted odds ratio [OR] = 2.16; 95% confidence interval [CI] = 1.01-4.59), and those without health insurance were 10.97 times more likely to present at late stage (95% CI = 1.30-92.49). Unmarried patients were 1.6 times at an increased hazard of death (95% CI = 1.12-2.24). CONCLUSION: Disparities, such as race and health insurance status, are important predictors of stage at presentation of patients with head and neck 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: Ashley O London; Liam W Gallagher; Rahul K Sharma; Daniel Spielman; Justin S Golub; Jonathan B Overdevest; Carol H Yan; Adam DeConde; David A Gudis Journal: J Neurol Surg B Skull Base Date: 2021-12-29
Authors: Nosayaba Osazuwa-Peters; Sean T Massa; Kara M Christopher; Ronald J Walker; Mark A Varvares Journal: J Cancer Res Clin Oncol Date: 2015-10-28 Impact factor: 4.553
Authors: Sean T Massa; Nosayaba Osazuwa-Peters; Eric Adjei Boakye; Ronald J Walker; Gregory M Ward Journal: JAMA Otolaryngol Head Neck Surg Date: 2019-03-01 Impact factor: 6.223
Authors: Nosayaba Osazuwa-Peters; Eric Adjei Boakye; Betty Y Chen; Betelihem B Tobo; Mark A Varvares Journal: JAMA Otolaryngol Head Neck Surg Date: 2018-01-01 Impact factor: 6.223
Authors: Marc A Emerson; Douglas R Farquhar; Nicholas R Lenze; Siddharth Sheth; Angela L Mazul; Adam M Zanation; Trevor G Hackman; Mark C Weissler; Jose P Zevallos; Wendell G Yarbrough; Paul Brennan; Behnoush Abedi-Ardekani; Andrew F Olshan Journal: Head Neck Date: 2022-01-19 Impact factor: 3.147
Authors: Nosayaba Osazuwa-Peters; Eric Adjei Boakye; Adnan S Hussaini; Nanthiya Sujijantarat; Rajan N Ganesh; Matthew Snider; Devin Thompson; Mark A Varvares Journal: PLoS One Date: 2017-05-17 Impact factor: 3.240
Authors: Nosayaba Osazuwa-Peters; Matthew C Simpson; Rebecca L Rohde; Sai D Challapalli; Sean T Massa; Eric Adjei Boakye Journal: Cancer Control Date: 2021 Jan-Dec Impact factor: 3.302