Effect of socioeconomic status on survival in patients with head and neck cancer

Head & Neck ◽  
2021 ◽  
Author(s):  
Baruch Weizman ◽  
Nili Golan ◽  
Ohad Ronen
2020 ◽  
Author(s):  
Nicholas R. Lenze ◽  
Douglas Farquhar ◽  
Siddharth Sheth ◽  
Jose P. Zevallos ◽  
Jeffrey Blumberg ◽  
...  

2020 ◽  
Vol 41 (6) ◽  
pp. 102624 ◽  
Author(s):  
Daniel P. Russo ◽  
Tristan Tham ◽  
Yonatan Bardash ◽  
Dennis Kraus

Cancer ◽  
2010 ◽  
Vol 117 (9) ◽  
pp. 1935-1945 ◽  
Author(s):  
Karen P. Chu ◽  
Sarah Shema ◽  
Simon Wu ◽  
Scarlett L. Gomez ◽  
Ellen T. Chang ◽  
...  

Author(s):  
Grace Margaret Scott ◽  
Corliss Best ◽  
Kevin Fung ◽  
Michael Gupta ◽  
Doron D. Sommer ◽  
...  

Abstract Background Considerable evidence now indicates that individuals living in underprivileged neighbourhoods have higher rates of mortality and morbidity independent of individual-level characteristics. This study explored the impact of geographical marginalization on smoking cessation in a population of individuals with a diagnosis of head and neck cancer. The aims of this study were twofold: (1) assess the prevalence of smoking cessation in those with a previous diagnosis of head and neck cancer, (2) analyze the determinants of smoking alongside area-based measures of socioeconomic status. Methods This was a cross-sectional study. We administered a self-reported nicotine dependence package to participants between the ages of 20–90 with a previous mucosal head and neck cancer diagnosis and with a history of tobacco use. Using the Canadian Marginalization (CAN-Marg) Index tool based on 2006 Canada Census data we compared the degree of marginalization to the smoking status. For those individuals who were currently smoking, nicotine dependence and readiness to quit were assessed. A summative score of marginalization was compared to smoking status of individuals. Results The results from this study indicate that the summative level of marginalization developed from the combined factors of residential instability, material deprivation, ethnic concentration and dependency may be important factors in smoking cessation. Conclusions This analysis of determinants of smoking alongside area-based measures of socioeconomic status may implicate the need for targeted population-based smoking cessation interventions.


2018 ◽  
Vol 29 (9) ◽  
pp. 863-873 ◽  
Author(s):  
Gaelen Stanford-Moore ◽  
Patrick T. Bradshaw ◽  
Mark C. Weissler ◽  
Jose P. Zevallos ◽  
Paul Brennan ◽  
...  

2020 ◽  
Vol 38 (15_suppl) ◽  
pp. e14151-e14151
Author(s):  
Agnès Dupret-Bories ◽  
Pascale Grosclaude ◽  
Sebastien Lamy ◽  
Antoine Nebout ◽  
Pierre Bories ◽  
...  

e14151 Background: The choice between surgical or medical treatments in head and neck cancer is a function of many patient-related and disease-related factors. We investigated how physicians' behavioral characteristics and patients’ socioeconomic status could affect medical decision-making. Methods: A nationwide cross-sectional online survey of surgeons and (radiation) oncologists specialized in head and neck oncology collected data on medical decision-making for 7 clinical vignettes involving head and neck squamous cell carcinoma patients that were representative of routine practice. Questionnaires elicited physicians' demographic and occupational characteristics along with their individual behavioral characteristics according to the decision theory framework. Patients’ gender and socioeconomic position were distributed across vignettes using a Latin square design. Results: We obtained 206 assessable answers. A multivariate analysis shows that surgeons suggested surgery more often than other professionals, which is mostly related to vignettes corresponding to clinical cases for which there is no consensus, so oncologists are 68% less likely than surgeons to choose surgery. For clinical vignette with an absence of consensus, physicians with lower risk aversion recommend more often surgery compared to those with higher risk aversion (OR = 1.88, p = 0.052). When the vignette corresponds to a clinical case for which there is a surgical consensus decision the isolated male blue-collar worker has a 75% lower chance of being offered surgery compared to the married male small business owner (OR = 0.25, p = 0.024). We did not observe any differences based on the patient's gender. Conclusions: Patients’ socioeconomic status did affect our clinical management decisions in head and neck oncology. The significant association between medical decision and individual behavioral characteristics of the physician documented still understudied mechanisms that involved nonbiological factor to explain clinical practices variations.


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