Outcomes of Oral and Oropharyngeal Squamous Cell Carcinoma Related to Healthcare Coverage: A Retrospective Cohort Study in Brazil.
Thinali Sousa DantasAline Samara Araújo de SousaThiago Oliveira Pinheiro SalesOsias Vieira De Oliveira FilhoPaulo Goberlânio de Barros SilvaAna Paula Negreiros Nunes AlvesMário Rogério Lima MotaFabrício Bitú SousaPublished in: Cancer investigation (2022)
We investigated the differences in prognosis according to the type of healthcare coverage of patients with oral and oropharyngeal squamous cell carcinoma (OOSCC). This study included 875 medical records. Patients covered by the publicly funded Unified Health System (SUS) had a low educational level, with advanced T stage and delayed treatment initiation. Multivariate analyses revealed an association between T stage ( p = .035) and poor prognosis in oral squamous cell carcinoma, and age ( p = .029) in oropharyngeal squamous cell carcinoma. Surgical treatment ( p = .036) and marital status ( p = .015) were considered predictors of better prognosis in OOSCC. Exclusive SUS-dependency can be considered an indirect prognostic factor for OOSCC.
Keyphrases
- squamous cell carcinoma
- prognostic factors
- healthcare
- poor prognosis
- end stage renal disease
- long non coding rna
- lymph node metastasis
- affordable care act
- ejection fraction
- chronic kidney disease
- locally advanced
- newly diagnosed
- peritoneal dialysis
- type diabetes
- atomic force microscopy
- combination therapy
- health insurance
- social media
- skeletal muscle
- rectal cancer
- health information
- smoking cessation