Trends and inequalities in laryngeal cancer survival in men and women: England and Wales 1991-2006

Libby Ellis, Bernard Rachet, Martin Birchall, Michel P. Coleman

Research output: Contribution to journalArticle

11 Citations (Scopus)

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 languageEnglish (US)
Pages (from-to)284-289
Number of pages6
JournalOral Oncology
Volume48
Issue number3
DOIs
StatePublished - Mar 2012
Externally publishedYes

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Laryngeal Neoplasms
Wales
England
Survival
Economics
Neoplasms

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 journalArticle

Ellis, Libby ; Rachet, Bernard ; Birchall, Martin ; Coleman, Michel P. / Trends and inequalities in laryngeal cancer survival in men and women : England and Wales 1991-2006. In: Oral Oncology. 2012 ; Vol. 48, No. 3. pp. 284-289.
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