Effects of income and residential area on survival of patients with head and neck cancers following radiotherapy: working age individuals in Taiwan.

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Effects of income and residential area on survival of patients with head and neck cancers following radiotherapy: working age individuals in Taiwan.


JournalPeerJ
Publication date – Sep – 2018
Authors – Lai YC, Tang PL, Chu CH, Kuo TJ
KeywordsHead and neck cancer, HNC, Income, radiotherapy, Residential area, Survival rate
Open access
SpecialityENT surgery, Plastic surgery, Surgical oncology
World region Eastern Asia
Country: China
Language – English
Submitted to the One Surgery Index on October 5, 2018 at 12:00 am
Abstract:

The five-year survival rate of head and neck cancer (HNC) after radiotherapy (RT) varies widely from 35% to 89%. Many studies have addressed the effect of socioeconomic status and urban dwelling on the survival of HNC, but a limited number of studies have focused on the survival rate of HNC patients after RT.During the period of 2000-2013, 40,985 working age individuals (20 < age  medium income group > low income group and northern > central > southern > eastern Taiwan. Patients with moderate income levels had a 36.9% higher risk of mortality as compared with patients with high income levels (hazard ratio (HR) = 1.369; p < 0.001). Patients with low income levels had a 51.4% greater risk of mortality than patients with high income levels (HR = 1.514, p < 0.001).In Taiwan, income and residential area significantly affected the survival rate of HNC patients receiving RT. The highest income level group had the best survival rate, regardless of the geographic area. The difference in survival between the low and high income groups was still pronounced in more deprived areas.

OSI Number – 20248

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