Abstract
Laryngeal cancer in men is a relatively common malignancy, with a marked socioeconomic gradient in survival between affluent and deprived patients. Cancer of the larynx in women is rare. Survival tends to lower than for men, and little is known about the association between deprivation and survival in women with laryngeal cancer. This paper explores the trends and socio-economic inequalities in laryngeal cancer survival in women, with comparison to men. We examined relative survival among men and women diagnosed with laryngeal cancer in England and Wales during 1991-2006, followed up to 31 December 2007. We estimated the difference in survival between the most deprived and most affluent groups (the 'deprivation gap') at one and five years after diagnosis, for each sex, anatomical subsite and calendar period. Five year survival for all laryngeal cancers combined was up to 8% lower in women than in men. This difference is only partially explained by the differential distribution of anatomical subsites in men and women. Disparities in survival between men and women were also present within specific subsites. In contrast to men, there was little evidence of a consistent deprivation gap in survival for women at any of the anatomical subsites. The stark socioeconomic inequalities in laryngeal cancer survival in men do not appear to be replicated in women. The origins of the socio-economic inequalities in survival among men, and the disparities in survival between men and women at specific tumour subsites remains unclear.
Original language | English (US) |
---|---|
Pages (from-to) | 284-289 |
Number of pages | 6 |
Journal | Oral Oncology |
Volume | 48 |
Issue number | 3 |
DOIs | |
State | Published - Mar 2012 |
Externally published | Yes |
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Keywords
- Head and neck cancer
- Laryngeal cancer
- Relative survival
- Socioeconomic inequalities
ASJC Scopus subject areas
- Oncology
- Oral Surgery
- Cancer Research
Cite this
Trends and inequalities in laryngeal cancer survival in men and women : England and Wales 1991-2006. / Ellis, Libby; Rachet, Bernard; Birchall, Martin; Coleman, Michel P.
In: Oral Oncology, Vol. 48, No. 3, 03.2012, p. 284-289.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Trends and inequalities in laryngeal cancer survival in men and women
T2 - England and Wales 1991-2006
AU - Ellis, Libby
AU - Rachet, Bernard
AU - Birchall, Martin
AU - Coleman, Michel P.
PY - 2012/3
Y1 - 2012/3
N2 - Laryngeal cancer in men is a relatively common malignancy, with a marked socioeconomic gradient in survival between affluent and deprived patients. Cancer of the larynx in women is rare. Survival tends to lower than for men, and little is known about the association between deprivation and survival in women with laryngeal cancer. This paper explores the trends and socio-economic inequalities in laryngeal cancer survival in women, with comparison to men. We examined relative survival among men and women diagnosed with laryngeal cancer in England and Wales during 1991-2006, followed up to 31 December 2007. We estimated the difference in survival between the most deprived and most affluent groups (the 'deprivation gap') at one and five years after diagnosis, for each sex, anatomical subsite and calendar period. Five year survival for all laryngeal cancers combined was up to 8% lower in women than in men. This difference is only partially explained by the differential distribution of anatomical subsites in men and women. Disparities in survival between men and women were also present within specific subsites. In contrast to men, there was little evidence of a consistent deprivation gap in survival for women at any of the anatomical subsites. The stark socioeconomic inequalities in laryngeal cancer survival in men do not appear to be replicated in women. The origins of the socio-economic inequalities in survival among men, and the disparities in survival between men and women at specific tumour subsites remains unclear.
AB - Laryngeal cancer in men is a relatively common malignancy, with a marked socioeconomic gradient in survival between affluent and deprived patients. Cancer of the larynx in women is rare. Survival tends to lower than for men, and little is known about the association between deprivation and survival in women with laryngeal cancer. This paper explores the trends and socio-economic inequalities in laryngeal cancer survival in women, with comparison to men. We examined relative survival among men and women diagnosed with laryngeal cancer in England and Wales during 1991-2006, followed up to 31 December 2007. We estimated the difference in survival between the most deprived and most affluent groups (the 'deprivation gap') at one and five years after diagnosis, for each sex, anatomical subsite and calendar period. Five year survival for all laryngeal cancers combined was up to 8% lower in women than in men. This difference is only partially explained by the differential distribution of anatomical subsites in men and women. Disparities in survival between men and women were also present within specific subsites. In contrast to men, there was little evidence of a consistent deprivation gap in survival for women at any of the anatomical subsites. The stark socioeconomic inequalities in laryngeal cancer survival in men do not appear to be replicated in women. The origins of the socio-economic inequalities in survival among men, and the disparities in survival between men and women at specific tumour subsites remains unclear.
KW - Head and neck cancer
KW - Laryngeal cancer
KW - Relative survival
KW - Socioeconomic inequalities
UR - http://www.scopus.com/inward/record.url?scp=84857454746&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84857454746&partnerID=8YFLogxK
U2 - 10.1016/j.oraloncology.2011.10.012
DO - 10.1016/j.oraloncology.2011.10.012
M3 - Article
C2 - 22093376
AN - SCOPUS:84857454746
VL - 48
SP - 284
EP - 289
JO - Oral Oncology
JF - Oral Oncology
SN - 1368-8375
IS - 3
ER -