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Overview of surgery for laryngeal and hypopharyngeal cancer in Ontario, 2003‐2010
Author(s) -
Eskander Antoine,
Mifsud Matthew,
Irish Jonathan,
Gullane Patrick,
Gilbert Ralph,
Brown Dale,
de Almeida John R.,
Urbach David R.,
Goldstein David P.
Publication year - 2017
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/hed.24787
Subject(s) - medicine , incidence (geometry) , hypopharyngeal cancer , cancer registry , demography , laryngectomy , cancer , population , surgery , larynx , environmental health , physics , sociology , optics
Background The primary purpose of this study was to describe variations in incidence rates, resections rates, and types of surgical resection for patients diagnosed with laryngeal and hypopharyngeal cancers in Ontario. Methods All laryngeal and hypopharyngeal cancer cases in Ontario (2003‐2010) were identified from the Ontario Cancer Registry (n = 3034). Variations in incidence rates, resection rates, and type of surgical resection were compared by sex, age group, neighborhood income, community population, health region, and physician specialty. Results Incidence rates per 100 000 vary significantly by sex, age, neighborhood income, and community size. Women, the elderly (75+ years), those in the higher income quintiles, and those living in larger communities were significantly less likely to receive a laryngectomy procedure. Conclusions Laryngeal and hypopharyngeal cancer incidence rates vary by sex, age, neighborhood income, community size, and health region. Resection rates vary by age, sex, and health region. These disparities warrant further evaluation to improve the quality of delivered care in Ontario.