Disparities in Optimal Treatment of Oral and Pharyngeal Cancer by Ethnicity and Smoking Status

Hannah Fechtel

Authors:  Hannah Fechtel & Yi Guo

Faculty Mentor:  Yi Guo

College:  College of Medicine

Abstract

Oral and Pharyngeal Cancer (OPC) is a deadly cancer with complex treatment plans and outcomes. In practice, surgery followed by radiation or chemotherapy is considered the “optimal treatment” associated with better OPC survival. However, not all OPC patients receive the optimal treatment. Prior research has documented that survival varies by smoking status and ethno-racial groups, but little is known about the relationship between a patient’s smoking status, ethnicity, and the choices they make about cancer treatment post diagnosis. To shed light on this under-studied issue, data from the Florida Cancer Data System were analyzed. A logit model was built with the response variable treatment pattern arranged into three levels: surgery only (reference), surgery followed by radiation or chemotherapy, and other treatment types. The predictors included smoking status, race-ethnicity, smoking by race-ethnicity interaction, health insurance, age at diagnosis, gender, and marital status. Overall, the odds of receiving optimal treatment for Non-Hispanic Whites and Non-Hispanic Blacks are 29%-34% (p<0.001) greater than the odds of optimal treatment for Hispanics. One significant smoking by race-ethnicity interaction was found between Non-Hispanic Blacks and current smoking status, making Non-Hispanic Blacks who currently smoke less likely to receive optimal treatment than those who do not smoke.

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Hannah Fechtel
Hannah Fechtel (@guest_80)
1 year ago

Hello all,

Thank you for viewing my poster! I will be online and open for questions via Zoom from 2PM-3PM today, April 2nd. Here is the Zoom link: https://ufl.zoom.us/j/836029701 . Don’t hesitate to join.

Enjoy the symposium!
Hannah Fechtel

Isabella Schultz
Isabella Schultz (@guest_4314)
1 year ago

You did a great job explaining the importance of the data and your poster looks fantastic!

Hannah Fechtel
Hannah Fechtel (@guest_8364)
Reply to  Isabella Schultz
1 year ago

Thank you for your feedback!

Sidney Broome
Sidney Broome (@guest_5748)
1 year ago

Hannah, I think your work is incredibly important! Health disparities is a prominent issue in our healthcare system, and I think your examination of the demographic inequalities of oral and pharyngeal cancer treatment is one of the first steps in correcting theses disparities.

Hannah Fechtel
Hannah Fechtel (@guest_8368)
Reply to  Sidney Broome
1 year ago

Thank you for your comment. I agree: Any work put towards understanding and eliminating disparities is worth it.