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Qi H, Chen W, Zhang C, Zheng X, Peng C, Zhao Q, Guo Y, Wu Y, Gao W, Wang B. Epidemiological Analysis of 1234 Cases of Laryngeal Cancer in Shanxi Province, China. Cancer Control 2021; 28:10732748211041236. [PMID: 34467770 PMCID: PMC8414613 DOI: 10.1177/10732748211041236] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022] Open
Abstract
Background Laryngeal cancer is a common malignancy of the head and neck, especially in
northern China, including Shanxi province. This study intends to describe
the epidemiological characteristics of laryngeal cancer in Shanxi Province,
China, in order to support prevention and treatment efforts. Methods Retrospective analysis of the medical records of patients diagnosed with
laryngeal cancer in hospitals in Shanxi Province from 2008 to 2012. Results The average annual incidence rate of laryngeal cancer in Shanxi province from
2008 to 2012 was 0.70/105, the Chinese population standardized
incidence rate was 0.57/105 and the world population standardized
incidence rate was 0.60/105. The city with the highest incidence
of laryngeal cancer in Shanxi Province is Taiyuan, followed by Yangquan, and
the lowest incidence are Yuncheng and Jincheng. The cases included 723
farmers (58.6%), 338 workers (27.4%), 95 government cadres (7.7%), 35
unemployed individuals (2.8%), 30 teachers (2.4%) and 13 individuals with
other occupations (1.1%). The incidence of laryngeal cancer in rural areas
was 0.78/105, while urban areas was 0.60/105. Of 1006
patients with smoking and drinking status reported, there were 238 both
smoking and drinking (23.7%), 491 only smoking but not drinking (48.8%), 4
only drinking but not smoking (0.4%), 273 both not smoking and not drinking
(27.1%) (P<0.001), and there were 695 males smoking (95.3%), 34 females
smoking (4.7%) (P<0.001). Of 879 patients for whom the primary cancer
location was known, 406 cases (46.2%) were supraglottic and 428 cases
(48.7%) were glottic. Among 1009 patients with known pathological
classification, the vast majority had squamous cell carcinoma (992 cases,
98.3%). Conclusions To sum up, the incidence of laryngeal cancer in Shanxi Province exhibited a
relatively stable trend from 2008 to 2012, and the incidence is higher in
men than in women in all years. The high percentage of smokers in this study
underscores the importance of smoking as a risk factor for laryngeal cancer,
whereas rates of drinking did not appear to be linked. Incidence of
laryngeal cancer was higher in rural areas than in urban areas, a pattern
that differs from other regions of China and internationally.
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Affiliation(s)
- Hui Qi
- Shanxi Key Laboratory of Otorhinolaryngology Head and Neck Cancer, 74648First Hospital of Shanxi Medical University, Shanxi, P. R. China.,Nursing College, 74648Shanxi Medical University, Shanxi, P. R. China
| | - Wenjie Chen
- Department of Otolaryngology Head and Neck Surgery, Shanxi Bethune Hospital, Shanxi, P. R. China
| | - Chunming Zhang
- Department of Otolaryngology Head and Neck Surgery, 74648First Hospital of Shanxi Medical University, Shanxi, P. R. China.,Research Center for Precision Medicine of Head and Neck Cancer, 74648First Hospital of Shanxi Medical University, Taiyuan, China
| | - Xiwang Zheng
- Shanxi Key Laboratory of Otorhinolaryngology Head and Neck Cancer, 74648First Hospital of Shanxi Medical University, Shanxi, P. R. China.,Research Center for Precision Medicine of Head and Neck Cancer, 74648First Hospital of Shanxi Medical University, Taiyuan, China
| | - Chen Peng
- Shanxi Key Laboratory of Otorhinolaryngology Head and Neck Cancer, 74648First Hospital of Shanxi Medical University, Shanxi, P. R. China.,Department of Head and Neck Surgery, 74648Shanxi Cancer Hospital of Shanxi Medical University, Shanxi, P. R. China
| | - Qinli Zhao
- Shanxi Key Laboratory of Otorhinolaryngology Head and Neck Cancer, 74648First Hospital of Shanxi Medical University, Shanxi, P. R. China.,Department of Otolaryngology Head and Neck Surgery, 74648First Hospital of Shanxi Medical University, Shanxi, P. R. China.,Research Center for Precision Medicine of Head and Neck Cancer, 74648First Hospital of Shanxi Medical University, Taiyuan, China
| | - Yujia Guo
- Shanxi Key Laboratory of Otorhinolaryngology Head and Neck Cancer, 74648First Hospital of Shanxi Medical University, Shanxi, P. R. China.,Department of Otolaryngology Head and Neck Surgery, 74648First Hospital of Shanxi Medical University, Shanxi, P. R. China.,Research Center for Precision Medicine of Head and Neck Cancer, 74648First Hospital of Shanxi Medical University, Taiyuan, China
| | - Yongyan Wu
- Shanxi Key Laboratory of Otorhinolaryngology Head and Neck Cancer, 74648First Hospital of Shanxi Medical University, Shanxi, P. R. China.,Department of Otolaryngology Head and Neck Surgery, 74648First Hospital of Shanxi Medical University, Shanxi, P. R. China.,Research Center for Precision Medicine of Head and Neck Cancer, 74648First Hospital of Shanxi Medical University, Taiyuan, China.,Key Laboratory of Cellular Physiology, Ministry of Education, Shanxi Medical University, Shanxi, P. R. China
| | - Wei Gao
- Shanxi Key Laboratory of Otorhinolaryngology Head and Neck Cancer, 74648First Hospital of Shanxi Medical University, Shanxi, P. R. China.,Department of Otolaryngology Head and Neck Surgery, 74648First Hospital of Shanxi Medical University, Shanxi, P. R. China.,Research Center for Precision Medicine of Head and Neck Cancer, 74648First Hospital of Shanxi Medical University, Taiyuan, China.,Key Laboratory of Cellular Physiology, Ministry of Education, Shanxi Medical University, Shanxi, P. R. China
| | - Binquan Wang
- Shanxi Key Laboratory of Otorhinolaryngology Head and Neck Cancer, 74648First Hospital of Shanxi Medical University, Shanxi, P. R. China.,Department of Otolaryngology Head and Neck Surgery, 74648First Hospital of Shanxi Medical University, Shanxi, P. R. China.,Research Center for Precision Medicine of Head and Neck Cancer, 74648First Hospital of Shanxi Medical University, Taiyuan, China
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Ding Z, Yu D, Li H, Ding Y. Effects of marital status on overall and cancer-specific survival in laryngeal cancer patients: a population-based study. Sci Rep 2021; 11:723. [PMID: 33436991 PMCID: PMC7803965 DOI: 10.1038/s41598-020-80698-z] [Citation(s) in RCA: 16] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2020] [Accepted: 12/24/2020] [Indexed: 02/06/2023] Open
Abstract
Marital status has long been recognized as an important prognostic factor for many cancers, however its' prognostic effect for patients with laryngeal cancer has not been fully examined. We retrospectively analyzed 8834 laryngeal cancer patients in the Surveillance Epidemiology and End Results database from 2004 to 2010. Patients were divided into four groups: married, widowed, single, and divorced/separated. The difference in overall survival (OS) and cancer-specific survival (CSS) of the various marital subgroups were calculated using the Kaplan-Meier curve. Multivariate Cox regression analysis screened for independent prognostic factors. Propensity score matching (PSM) was also conducted to minimize selection bias. We included 8834 eligible patients (4817 married, 894 widowed, 1732 single and 1391 divorced/separated) with laryngeal cancer. The 5-year OS and CSS of married, widowed, single, and separated/divorced patients were examined. Univariate and multivariate analyses found marital status to be an independent predictor of survival. Subgroup survival analysis showed that the OS and CSS rates in widowed patients were always the lowest in the various American Joint Committee on Cancer stages, irrespective of sex. Widowed patients demonstrated worse OS and CSS in the 1:1 matched group analysis. Among patients with laryngeal cancer, widowed patients represented the highest-risk group, with the lowest OS and CSS.
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Affiliation(s)
- Zhao Ding
- Clinical Medical College, Dali University, Dali, 671000, Yunnan, China
| | - Deshun Yu
- Department of Otolaryngology, The First Affiliated Hospital of Dali University, Dali, 671000, Yunnan, China
| | - Hefeng Li
- Clinical Medical College, Dali University, Dali, 671000, Yunnan, China
| | - Yueming Ding
- Department of Otolaryngology, The First Affiliated Hospital of Dali University, Dali, 671000, Yunnan, China.
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