title: Oral cancer mortality in Maryland.
abstract: Oral cancer mortality is one of the most preventable types of cancer deaths when the lesion is detected early. The survival rate is quite low, however, when oral cancer is diagnosed at an advanced stage. While the Maryland oral cancer incidence rate is lower than the US average, the state ranks fourth in the country for overall age-adjusted oral cancer mortality; Maryland's African-American population has the highest oral cavity and pharyngeal mortality rate. Delayed diagnosis may explain this occurrence since groups at high risk for developing oral cancer, such as the elderly and minority groups, do not have ready access to the Maryland oral health care system. As the elderly annually use physicians' services almost twice as much as they use dentists' services, physicians are encouraged to routinely complete an oral cavity and pharyngeal examination. Inclusion of oral health services into a Maryland health system reform benefits package would also improve routine screening frequency for oral cancer.
authors.affiliation: Veterans Affairs Medical Center, Perry Point, Maryland.
authors.forename: R D
authors.initials: RD
authors.lastname: Carpenter
authors.forename: J A
authors.initials: JA
authors.lastname: Yellowitz
authors.forename: H S
authors.initials: HS
authors.lastname: Goodman
mesh_terms: D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D008396:Maryland / Q000453:epidemiology; D009062:Mouth Neoplasms / Q000401:mortality*