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A contemporary analysis of racial disparities in recommended and received treatment for head and neck cancer

Cancer Oct 12, 2019

Nocon CC, et al. - Since a negative influence of racial disparities in squamous cell carcinoma of the head and neck (HNSCC) has been seen in non-Hispanic black (NHB) patients, researchers focused on treatment prescribing and receipt across all HNSCC subsites. They analyzed cases with surgically resectable HNSCCs, including tumors of the oral cavity, oropharynx, hypopharynx, and larynx, identified from the National Cancer Database. Either upfront surgery or nonsurgical treatment was used to treat these patients. The likelihood of being recommended for and receiving surgery was less and the probability of refusing surgery was more among NHB patients vs non-Hispanic white patients, across all HNSCC subsites. Closing of these variations over time but still their persistence was reported. In order to improve these disparities, enhanced shared decision making may be of help.
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