Racial disparity and prognosis in patients with mouth and oropharynx cancer in Brazil
Med. oral patol. oral cir. bucal (Internet)
; 27(4): 1-5, July 2022. tab
Article
in English
| IBECS
| ID: ibc-209803
Responsible library:
ES1.1
Localization: ES15.1 - BNCS
ABSTRACT
Background:
Oral and oropharyngeal cancer (OPC) is an important cause of morbidity and mortality worldwide.Populations in situations of social vulnerability tend to have higher incidences of cancer, a higher proportion oflate diagnosis, greater difficulties in accessing health services, and, consequently, worse prognosis. The aim ofthis study was to evaluate the relationship between race/skin color and OPC prognosis in Brazil.Material andMethods:
This is a cross-sectional epidemiological study using OPC data from the National CancerInstitute between the years 2000 and 2019. The selected variables were gender, race/skin color, age, education,smoking and alcohol consumption, stage of the disease and disease status at the end of the 1st treatment.Results:
154,214 cases were recorded. Black men, in the 6th decade of life, were the most affected population.Blacks had a lower level of education when compared to non-blacks (p<0.001). Blacks were more exposed tosmoking and alcohol consumption (p<0.001). At the time of diagnosis, the black population was at the most advanced stage when compared to non-blacks (p<0.001). At the end of the 1st treatment, more black patients haddisease in progression, as well as more black patients died (p<0.001).Conclusions:
Blacks had a worse prognosisfor OPC in Brazil. Despite the limitations, these results are important to elucidate the scenario of health disparitiesin relation to the race/skin color of the Brazilian population. (AU)
Full text:
Available
Collection:
National databases
/
Spain
Database:
IBECS
Main subject:
Prognosis
/
Mouth Neoplasms
/
Oropharyngeal Neoplasms
Limits:
Humans
/
Male
Country/Region as subject:
South America
/
Brazil
Language:
English
Journal:
Med. oral patol. oral cir. bucal (Internet)
Year:
2022
Document type:
Article
Institution/Affiliation country:
Aggeu Magalhães Institute/Brazil
/
University of Pernambuco/Brazil