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Cooper JS , Porter K , Mallin K , Hoffman HT , Weber RS , Ang KK , Gay EG , Langer CJ
National cancer Database report on cancer of the head and neck: 10-year update
Head and Neck-Journal for the Sciences and Specialties of the Head and Neck. 2009 Jun;31(6) :748-758
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Abstract
Background. We sought to examine the current state of cancer care for head and neck tumors in the United States. We therefore performed a retrospective, longitudinal study of the approximately 822,000 head and neck cancer cases included in the National Cancer Data Base (NCDB) for 1990 through 2004, representing approximately 75% of the estimated incident diagnoses in the United States. Methods. All cases of head and neck cancer diagnosed and reported to the NCDB during this interval were reviewed, and descriptive statistics, grouped by disease and host factors, were analyzed over time and compared with a prior similar analysis done 10 years ago. Results. Although many similarities persist, several major changes in head and neck cancer have occurred, most notably (1) a decrease in the number of the older-aged patients who have mucosally derived squamous cell carcinomas coupled with an increase in the number of younger-aged patients who have thyroid-origin adenocarcinomas and (2) a decrease in the use of radiation therapy alone for treatment in favor of chemotherapy enhanced radiation therapy. Conclusion. Head and neck cancers include a heterogeneous group of tumors whose precise composition changes over time and whose therapy evolves as well. The NCDB is well suited to capture this information and provide both an analysis of the current state of cancer care for head and neck tumors and a longitudinal view over time. (c) 2009 Wiley Periodicals, Inc. Head Neck 31: 748-758, 2009
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ISI Document Delivery No.: 452LK Times Cited: 0 Cited Reference Count: 20 Cited References: *OFF MAN BUDG, 1977, FED REG NOT REV STAN *US CENS BUR, 1977, GEOGR COMP TABL 5 DI ANDERSEN RM, 1996, CHANGING US HLTH CAR, P14 BARTON PL, 1999, OVERVIEW US HLTH SER, P28 CHRISTIANSEN T, 1999, SCAND J PUBLIC HEALT, V27, P181 COHEN DA, 2003, SOC SCI MED, V57, P1631, DOI 10.1016/S0277-9536(03)00015-7 DAVIES L, 2006, JAMA-J AM MED ASSOC, V295, P2164 DAVIES L, 2006, OTOLARYNG HEAD NECK, V135, P451, DOI 10.1016/j.otohns.2006.01.029 DSOUZA G, 2007, NEW ENGL J MED, V356, P1944 ENGELS EA, 2006, AIDS, V20, P1645, PMID 16868446 GILLISON ML, 2000, J NATL CANCER I, V92, P675 HOFFMAN HT, 1998, ARCH OTOLARYNGOL, V124, P951 JESUP JM, 1996, CANCER, V78, P1829 LI W, 2003, INT J CANCER, V106, P553, DOI 10.1002/ijc.11261 MELLIN H, 2003, ANTICANCER RES, V23, P2821 SANDERSPHILLIPS K, 1994, PREV MED, V23, P781 SCHWARTZ SR, 2001, OTOLARYNG HEAD NECK, V125, P1 SHIBOSKI CH, 2005, CANCER, V103, P1843, DOI 10.1002/cncr.20998 STEELE GD, 1995, NATL CANC DATA BASE STURGIS EM, 2007, CANCER, V110, P429 Cooper, Jay S. Porter, Kim Mallin, Katherine Hoffman, Henry T. Weber, Randal S. Ang, Kian K. Gay, E. Greer Langer, Corey J. JOHN WILEY & SONS INC; 111 RIVER ST, HOBOKEN, NJ 07030 USA