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Evaluating for disparities in place of death for head and neck cancer patients in the United States utilizing the CDC WONDER database.

Publication ,  Journal Article
Stephens, SJ; Chino, F; Williamson, H; Niedzwiecki, D; Chino, J; Mowery, YM
Published in: Oral Oncol
March 2020

OBJECTIVE: Evaluate trends in place of death for patients with head and neck cancers (HNC) in the U.S. from 1999 to 2017 based on the CDC WONDER (Wide-ranging Online Data for Epidemiologic Research) database. MATERIALS/METHODS: Using patient-level data from 2015 and aggregate data from 1999 to 2017, multivariable logistic regression analyses (MLR) were performed to evaluate for disparities in place of death. RESULTS: We obtained aggregate data for 101,963 people who died of HNC between 1999 and 2017 (25.9% oral cavity, 24.6% oropharynx/pharynx, 0.4% nasopharynx, and 49.1% larynx/hypopharynx). Most were Caucasian (92.7%) and male (87.0%). Deaths at home or hospice increased over the study period (R2 = 0.96, p < 0.05) from 29.2% in 1999 to 61.2% in 2017. On MLR of patient-level data from 2015, those who were single (ref), ages 85+ (OR 0.78; 95% CI: 0.68, 0.90), African American (OR 0.73; 95% CI: 0.65, 0.82), or Asian/Pacific Islanders (OR 0.66; 95% CI: 0.54, 0.81) were less likely to die at home or hospice. On MLR of the aggregate data (1999-2017), those who were female (OR 0.87; 95% CI: 0.83, 0.91) or ages 75-84 (OR 0.79; 95% CI: 0.76, 0.82) were also less likely to die at home or hospice. In both analyses, those who died from larynx/hypopharynx cancers were less likely to die at home or hospice. CONCLUSIONS: HNC-related deaths at home or hospice increased between 1999 and 2017. Those who were single, female, African American, Asian/Pacific Islander, older (ages 75+), or those with larynx/hypopharynx cancers were less likely to die at home or hospice.

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Published In

Oral Oncol

DOI

EISSN

1879-0593

Publication Date

March 2020

Volume

102

Start / End Page

104555

Location

England

Related Subject Headings

  • White People
  • United States
  • Sex Distribution
  • Residence Characteristics
  • Regression Analysis
  • Oncology & Carcinogenesis
  • Odds Ratio
  • Native Hawaiian or Other Pacific Islander
  • Middle Aged
  • Male
 

Citation

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Stephens, S. J., Chino, F., Williamson, H., Niedzwiecki, D., Chino, J., & Mowery, Y. M. (2020). Evaluating for disparities in place of death for head and neck cancer patients in the United States utilizing the CDC WONDER database. Oral Oncol, 102, 104555. https://doi.org/10.1016/j.oraloncology.2019.104555
Stephens, Sarah J., Fumiko Chino, Hannah Williamson, Donna Niedzwiecki, Junzo Chino, and Yvonne M. Mowery. “Evaluating for disparities in place of death for head and neck cancer patients in the United States utilizing the CDC WONDER database.Oral Oncol 102 (March 2020): 104555. https://doi.org/10.1016/j.oraloncology.2019.104555.
Stephens SJ, Chino F, Williamson H, Niedzwiecki D, Chino J, Mowery YM. Evaluating for disparities in place of death for head and neck cancer patients in the United States utilizing the CDC WONDER database. Oral Oncol. 2020 Mar;102:104555.
Stephens, Sarah J., et al. “Evaluating for disparities in place of death for head and neck cancer patients in the United States utilizing the CDC WONDER database.Oral Oncol, vol. 102, Mar. 2020, p. 104555. Pubmed, doi:10.1016/j.oraloncology.2019.104555.
Stephens SJ, Chino F, Williamson H, Niedzwiecki D, Chino J, Mowery YM. Evaluating for disparities in place of death for head and neck cancer patients in the United States utilizing the CDC WONDER database. Oral Oncol. 2020 Mar;102:104555.
Journal cover image

Published In

Oral Oncol

DOI

EISSN

1879-0593

Publication Date

March 2020

Volume

102

Start / End Page

104555

Location

England

Related Subject Headings

  • White People
  • United States
  • Sex Distribution
  • Residence Characteristics
  • Regression Analysis
  • Oncology & Carcinogenesis
  • Odds Ratio
  • Native Hawaiian or Other Pacific Islander
  • Middle Aged
  • Male