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Impact of social deprivation on the outcome of major head and neck cancer surgery in England: A national analysis
Author(s) -
Mirza Adal H.,
Aylin Paul,
Middleton Steve,
King Emma V.,
Nouraei Reza A. R.,
Repanos Costa
Publication year - 2019
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.25461
Subject(s) - medicine , head and neck cancer , socioeconomic status , social deprivation , incidence (geometry) , odds ratio , observational study , cancer , head and neck , retrospective cohort study , population , surgery , environmental health , physics , optics , economics , economic growth
Background Socioeconomic status plays an important role in the incidence and prognosis of many cancers. We examined the relationship between social deprivation and clinical outcomes in patients undergoing major surgery for head and neck cancer. Methods A retrospective population‐based observational study was performed. Patients undergoing head and neck surgical procedures in England between 2002 and 2012 were identified. This totaled 5051 patients in the less socially deprived (LSD) and 7282 in the more socially deprived (MSD) group. Results MSD patients were younger (61 vs 63) and were more likely to present with hypopharyngeal‐laryngeal cancers (41% vs 30%). They had higher burdens of morbidity and more frequently required emergency surgery (odds ratio [OR] 1.74 [95% CI 1.52‐1.99]). Following surgery, MSD patients had higher lengths of inpatient stay (OR 1.72 [95% CI 1.57‐1.88]) and higher proportions of both inpatient (OR 1.47 [95% CI 1.19‐1.82]) and overall mortality (OR 1.34 [95% CI 1.24‐1.45]). Conclusion Increasing socioeconomic deprivation is associated with poor health outcomes in patients with head and neck cancer.