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Study Finds- Fewer Dying from Throat & Mouth Cancer in the U.S.

Mon, Nov 21, 2011

Oral Cancer News

Source: HealthDay News, US News and World Report
Author: Staff


Death rates improved most for patients with more than 12 years’ education

Death rates for U.S. patients with throat and mouth cancers decreased between 1993 and 2007, a new study shows.

The finding comes from an analysis of National Center for Health Statistics data on white and black men and women, aged 25 to 64, in 26 states. The researchers also found that the largest decreases in death rates for mouth and throat (pharynx) cancers were among black patients with at least 12 years of education.

The study appears in the November issue of the Archives of Otolaryngology — Head & Neck Surgery. Death rates increased among white men with fewer than 12 years of education, according to Dr. Amy Y. Chen, of Emory University School of Medicine and the American Cancer Society, and colleagues.

Another study in the same issue of the journal found that poor overall quality of life, pain and continued tobacco use seem to be associated with poorer outcomes and a higher death rate two years after diagnosis for patients with head and neck cancer.

The study included 276 patients diagnosed between September 2001 and September 2008. The overall survival rate two years after diagnosis was 90.8 percent. The likelihood of death within two years of diagnosis was: four times higher for those who reported low quality of life than for those who reported a high quality of life; four times higher for those who continued to use tobacco than for those who had quit or never used tobacco; and two times higher for those who reported pain than for those who said they had no pain.

“In addition to older age and advanced stage, which are known to have a negative effect on survival, the presence of pain and continued tobacco use should flag patients who might need longer and more intense follow-up care to improve their observed and disease-specific survival rates,” concluded the researchers at the University of Iowa Hospital and Clinics in Iowa City in a journal news release.

“This information is useful for clinicians in the development of management plans for patients who are transitioning from treatment into survivorship,” they said.


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One Response to “Study Finds- Fewer Dying from Throat & Mouth Cancer in the U.S.”

  1. Brian Hill Says:

    While these doctors have looked at an overview of the situation here, they gloss over the reason why this is happening.

    Is it because we have improved treatments, early discovery at times when the disease is more vulnerable to treatments, or a new drug or treatment technique has been introduced? No. This is happening because more cases are originating from the Human Papilloma Virus #16 etiology/cause, which peer reviewed published papers from Dr. Maura Gillison and colleagues have shown responds better to the current treatments we have been using for years. In essence science, medicine, and social interventions have had no part in this change in the death rate from about 50% down to 44% at five years for all stages. It is just that the cause of these posterior of the mouth oral cancers are increasing as a percentage of the total incidence of oral cancer, and those cancers also respond better to treatments.

    In the end little has actually changed. Since the incidence of oral cancers is increasing annually, we still have an increase in the treatment related morbidities, costs both financial and emotional, and loss of functions that allow people to continue to be productive workers and parts of society. We are NOT seeing a reduction in deaths from non HPV related oral cancers. Tobacco and alcohol as problems and causes have not ceased to be a problem in the world, and this reduction referred to by these authors is limited to the US, and likely other well developed countries. It is not being seen in third world locations where tobacco is still the primary cause of the disease.

    Real progress still eludes us.


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