Racial/ethnic patterns of care for cancers of the oral cavity, pharynx, larynx, sinuses, and salivary glands.

摘要: Background Among Americans, both incidence and mortality from cancers of the larynx, oral cavity, pharynx are higher for African Americans than whites men women. In addition, 5-year survival rates these sites significantly lower each disease stage, particularly among American males. We examine racial/ethnic variation in tumor characteristics, treatment practices, their relationship to pharynx, nasal cavity salivary glands. Methods Eligible individuals were age 20 or older newly diagnosed with a primary invasive cancer (excluding lip), sinuses glands 1997 reported one nine National Cancer Institute's Surveillance Epidemiology End Results Registries (SEER). Persons meeting eligibility criteria registry first stratified by race/ethnic group stage then selected random sampling within strata. found differences diagnoses at specific anatomic sites, treatment. less frequently received directed Hispanics when treated generally likely receive cancer-directed surgery. multivariate analysis, receipt any was associated race group. had poorer, but not so, overall, cancer-specific, survival. Conclusion racial patients head neck cancers. also favorable distribution compared whites. The we noted screening previously populations suggests that differential early detection may contribute pharynx. Therefore, conclude more equitable along preventive measures earlier will help reduce disparities larynx.