期刊
HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK
卷 43, 期 4, 页码 1252-1270出版社
WILEY
DOI: 10.1002/hed.26589
关键词
cancer epidemiology; cohort study; head and neck cancer; inequality; Kaplan-Meier; survival
资金
- Above and Beyond, University Hospitals Bristol Research Capability Funding
- Cancer Research UK Programme Grant, the Integrative Cancer Epidemiology Programme [C18281/A19169]
- National Institute for Health Research (NIHR) under its Programme Grants for Applied Research Scheme [RP-PG0707-10034]
- NHS National Services Scotland (NSS) PhD Studentship
This study analyzed the UK Head and Neck 5000 prospective clinical cohort, finding that inequalities in survival among head and neck cancer patients could be explained by age, sex, health, and behavioral factors related to deprivation category, highest education level, and financial concerns. However, the inequality associated with annual household income or the proportion of income of benefits remained unexplained by the potential explanatory factors.
Background: Explanations for socioeconomic inequalities in survival of head and neck cancer (HNC) patients have had limited attention and are not well understood. Methods: The UK Head and Neck 5000 prospective clinical cohort study was analyzed. Survival relating to measures of socioeconomic status was explored including area-based and individual factors. Three-year overall survival was determined using the Kaplan-Meier method. All-cause mortality was investigated via adjusted Cox Proportional Hazard models. Results: A total of 3440 people were included. Three-year overall survival was 76.3% (95% CI 74.9, 77.7). Inequality in survival by deprivation category, highest education level, and financial concerns was explained by age, sex, health, and behavioral factors. None of the potential explanatory factors fully explained the inequality associated with annual household income or the proportion of income of benefits. Conclusion: These results support the interventions to address the financial issues within the wider care and support provided to HNC patients.
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