An assessment of racial differences in epidemiological, clinical and psychosocial factors among head and neck cancer patients at the time of surgery

Objective: Racial disparities have been well characterized and African American (AA) patients have 30% lower 5-year survival rates than European Americans (EAs) for head and neck squamous carcinoma (HNSCC). This poorer survival can be attributed to a myriad of different factors. The purpose of this...

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Autores principales:	Anvesh Kompelli, Kathleen B. Cartmell, Katherine R. Sterba, Anthony J. Alberg, Christopher C. Xiao, Amit J. Sood, Elizabeth Garrett-Mayer, Shai J. White-Gilbertson, Steven A. Rosenzweig, Terry A. Day
Formato:	article
Lenguaje:	EN
Publicado:	KeAi Communications Co., Ltd. 2020
Materias:	Head and neck cancer Healthcare disparities Treatment delay Health services Quality care HPV Otorhinolaryngology RF1-547 Surgery RD1-811
Acceso en línea:	https://doaj.org/article/296d16c693ba44ac9e46ee35e1ad46e1
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spelling	oai:doaj.org-article:296d16c693ba44ac9e46ee35e1ad46e12021-12-02T13:52:09ZAn assessment of racial differences in epidemiological, clinical and psychosocial factors among head and neck cancer patients at the time of surgery2095-881110.1016/j.wjorl.2019.01.002https://doaj.org/article/296d16c693ba44ac9e46ee35e1ad46e12020-03-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2095881119300940https://doaj.org/toc/2095-8811Objective: Racial disparities have been well characterized and African American (AA) patients have 30% lower 5-year survival rates than European Americans (EAs) for head and neck squamous carcinoma (HNSCC). This poorer survival can be attributed to a myriad of different factors. The purpose of this study was to characterize AA-EA similarities and differences in sociodemographic, lifestyle, clinical, and psychosocial characteristics in HNSCC patients near the time of surgery. Methods: Setting: Single tertiary care center. Participants: Thirty-nine newly diagnosed, untreated HNSCC patients (n = 24 EAs,n = 15 AAs) who were to undergo surgery were recruited. Study Design: Cross-sectional study Sociodemographic, lifestyle factors, and disease factors (cancer site, AJCC clinical and pathologic stage, and HPV status)were assessed. Risk factors, leisure time, quality of life and social support were also assessed using validated questionnaires. Exposures: EA and AA patients were similar in the majority of sociodemographic factors assessed. AAs had a higher trend toward pathologically later stage disease compared to EAs and significantly increased time to treatment. Results: EA and AA patients were similar in the majority of sociodemographic factors assessed. AAs had a higher trend toward pathologically later stage disease compared to EAs. AAs also had significantly increased time to treatment (P = 0.05). The majority of AA patients (62%) had later stage pathologic disease. AA were less likely to complete high school or college (P = 0.01) than their EA counterparts. Additionally, AAs were more likely to report having a gap in health insurance during the past decade (37% vs. 15%). Conclusions: This preliminary study demonstrates a similar profile of demographics, clinical and psychosocial characteristics preoperatively for AAs and EAs. Key differences were AAs tending to have later pathologic stage disease, educational status, delays in treatment initiation, and gaps in health insurance.Anvesh KompelliKathleen B. CartmellKatherine R. SterbaAnthony J. AlbergChristopher C. XiaoAmit J. SoodElizabeth Garrett-MayerShai J. White-GilbertsonSteven A. RosenzweigTerry A. DayKeAi Communications Co., Ltd.articleHead and neck cancerHealthcare disparitiesTreatment delayHealth servicesQuality careHPVOtorhinolaryngologyRF1-547SurgeryRD1-811ENWorld Journal of Otorhinolaryngology-Head and Neck Surgery, Vol 6, Iss 1, Pp 41-48 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Head and neck cancer Healthcare disparities Treatment delay Health services Quality care HPV Otorhinolaryngology RF1-547 Surgery RD1-811
spellingShingle	Head and neck cancer Healthcare disparities Treatment delay Health services Quality care HPV Otorhinolaryngology RF1-547 Surgery RD1-811 Anvesh Kompelli Kathleen B. Cartmell Katherine R. Sterba Anthony J. Alberg Christopher C. Xiao Amit J. Sood Elizabeth Garrett-Mayer Shai J. White-Gilbertson Steven A. Rosenzweig Terry A. Day An assessment of racial differences in epidemiological, clinical and psychosocial factors among head and neck cancer patients at the time of surgery
description	Objective: Racial disparities have been well characterized and African American (AA) patients have 30% lower 5-year survival rates than European Americans (EAs) for head and neck squamous carcinoma (HNSCC). This poorer survival can be attributed to a myriad of different factors. The purpose of this study was to characterize AA-EA similarities and differences in sociodemographic, lifestyle, clinical, and psychosocial characteristics in HNSCC patients near the time of surgery. Methods: Setting: Single tertiary care center. Participants: Thirty-nine newly diagnosed, untreated HNSCC patients (n = 24 EAs,n = 15 AAs) who were to undergo surgery were recruited. Study Design: Cross-sectional study Sociodemographic, lifestyle factors, and disease factors (cancer site, AJCC clinical and pathologic stage, and HPV status)were assessed. Risk factors, leisure time, quality of life and social support were also assessed using validated questionnaires. Exposures: EA and AA patients were similar in the majority of sociodemographic factors assessed. AAs had a higher trend toward pathologically later stage disease compared to EAs and significantly increased time to treatment. Results: EA and AA patients were similar in the majority of sociodemographic factors assessed. AAs had a higher trend toward pathologically later stage disease compared to EAs. AAs also had significantly increased time to treatment (P = 0.05). The majority of AA patients (62%) had later stage pathologic disease. AA were less likely to complete high school or college (P = 0.01) than their EA counterparts. Additionally, AAs were more likely to report having a gap in health insurance during the past decade (37% vs. 15%). Conclusions: This preliminary study demonstrates a similar profile of demographics, clinical and psychosocial characteristics preoperatively for AAs and EAs. Key differences were AAs tending to have later pathologic stage disease, educational status, delays in treatment initiation, and gaps in health insurance.
format	article
author	Anvesh Kompelli Kathleen B. Cartmell Katherine R. Sterba Anthony J. Alberg Christopher C. Xiao Amit J. Sood Elizabeth Garrett-Mayer Shai J. White-Gilbertson Steven A. Rosenzweig Terry A. Day
author_facet	Anvesh Kompelli Kathleen B. Cartmell Katherine R. Sterba Anthony J. Alberg Christopher C. Xiao Amit J. Sood Elizabeth Garrett-Mayer Shai J. White-Gilbertson Steven A. Rosenzweig Terry A. Day
author_sort	Anvesh Kompelli
title	An assessment of racial differences in epidemiological, clinical and psychosocial factors among head and neck cancer patients at the time of surgery
title_short	An assessment of racial differences in epidemiological, clinical and psychosocial factors among head and neck cancer patients at the time of surgery
title_full	An assessment of racial differences in epidemiological, clinical and psychosocial factors among head and neck cancer patients at the time of surgery
title_fullStr	An assessment of racial differences in epidemiological, clinical and psychosocial factors among head and neck cancer patients at the time of surgery
title_full_unstemmed	An assessment of racial differences in epidemiological, clinical and psychosocial factors among head and neck cancer patients at the time of surgery
title_sort	assessment of racial differences in epidemiological, clinical and psychosocial factors among head and neck cancer patients at the time of surgery
publisher	KeAi Communications Co., Ltd.
publishDate	2020
url	https://doaj.org/article/296d16c693ba44ac9e46ee35e1ad46e1
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An assessment of racial differences in epidemiological, clinical and psychosocial factors among head and neck cancer patients at the time of surgery

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