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Sociodemographic correlates of head and neck cancer survival among patients with metastatic disease.

Publication ,  Journal Article
Pannu, JS; Simpson, MC; Donovan, CL; Adjei Boakye, E; Mass, K; Challapalli, SD; Varvares, MA; Osazuwa-Peters, N
Published in: Head Neck
September 2020

BACKGROUND: To describe sociodemographic factors associated with head and neck cancer (HNC) survival among patients with distant metastatic disease. METHODS: We retrospectively analyzed national data for 2889 adult patients with metastatic HNC (2007-2015). We used Fine and Gray competing risks proportional hazard models, stratified by oropharyngeal cancer status, controlled for sociodemographic factors (age, sex, race/ethnicity, marital status, and insurance status), and accounted for multiple testing. RESULTS: Median survival time was 11 months (15 months for patients married/partnered; 13 months for patients with non-Medicaid insurance; P < .01). Among patients with oropharyngeal cancer, being married/partnered was associated with lower mortality hazard (sdHRdivorced/separated = 1.37, 97.5% confidence interval [CI] = 1.07, 1.75; and sdHRnever married = 1.43, 97.5% CI = 1.14, 1.80), as was having non-Medicaid insurance (sdHRuninsured = 1.44, 97.5% CI = 1.02, 2.04). CONCLUSIONS: Health insurance and marital status are sociodemographic factors associated with survival among HNC patients with distant metastatic disease, especially in oropharyngeal cases.

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Published In

Head Neck

DOI

EISSN

1097-0347

Publication Date

September 2020

Volume

42

Issue

9

Start / End Page

2505 / 2515

Location

United States

Related Subject Headings

  • Retrospective Studies
  • Otorhinolaryngology
  • Medically Uninsured
  • Insurance, Health
  • Insurance Coverage
  • Humans
  • Head and Neck Neoplasms
  • Adult
  • 3203 Dentistry
  • 3202 Clinical sciences
 

Citation

APA
Chicago
ICMJE
MLA
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Pannu, J. S., Simpson, M. C., Donovan, C. L., Adjei Boakye, E., Mass, K., Challapalli, S. D., … Osazuwa-Peters, N. (2020). Sociodemographic correlates of head and neck cancer survival among patients with metastatic disease. Head Neck, 42(9), 2505–2515. https://doi.org/10.1002/hed.26284
Pannu, Jaibir S., Matthew C. Simpson, Connor L. Donovan, Eric Adjei Boakye, Katherine Mass, Sai D. Challapalli, Mark A. Varvares, and Nosayaba Osazuwa-Peters. “Sociodemographic correlates of head and neck cancer survival among patients with metastatic disease.Head Neck 42, no. 9 (September 2020): 2505–15. https://doi.org/10.1002/hed.26284.
Pannu JS, Simpson MC, Donovan CL, Adjei Boakye E, Mass K, Challapalli SD, et al. Sociodemographic correlates of head and neck cancer survival among patients with metastatic disease. Head Neck. 2020 Sep;42(9):2505–15.
Pannu, Jaibir S., et al. “Sociodemographic correlates of head and neck cancer survival among patients with metastatic disease.Head Neck, vol. 42, no. 9, Sept. 2020, pp. 2505–15. Pubmed, doi:10.1002/hed.26284.
Pannu JS, Simpson MC, Donovan CL, Adjei Boakye E, Mass K, Challapalli SD, Varvares MA, Osazuwa-Peters N. Sociodemographic correlates of head and neck cancer survival among patients with metastatic disease. Head Neck. 2020 Sep;42(9):2505–2515.
Journal cover image

Published In

Head Neck

DOI

EISSN

1097-0347

Publication Date

September 2020

Volume

42

Issue

9

Start / End Page

2505 / 2515

Location

United States

Related Subject Headings

  • Retrospective Studies
  • Otorhinolaryngology
  • Medically Uninsured
  • Insurance, Health
  • Insurance Coverage
  • Humans
  • Head and Neck Neoplasms
  • Adult
  • 3203 Dentistry
  • 3202 Clinical sciences