Racial Disparities in Oropharyngeal Cancer Stage at Diagnosis.
To evaluate the impact of race on disease stage at diagnosis in patients with oropharyngeal cancer.



The cohort included 18,791 adult patients diagnosed with oropharyngeal squamous cell carcinoma between 2004 and 2012, from the Surveillance, Epidemiology, and End Results 18 Database.



After adjusting for age, sex, marital status, tumor site, and year of diagnosis, black race was associated with increased risk of presenting with Stage III or IV disease (OR 1.24, p=0.016), T3 or T4 tumors (OR 2.16, <0.001), distant metastasis (OR 2, p<0.001), and unresectable tumors (OR 1.65, p<0.001). Race was not associated with risk of presenting with nodal metastasis diagnosis (OR 0.93, p=0.241).



Black race is associated with increased risk of advanced disease presentation in oropharyngeal cancer.
Department of Otolaryngology-Head and Neck Surgery, Stanford University School of Medicine, Stanford, CA, U.S.A. megwaluu@yahoo.com.
Uchechukwu C
UC
Megwalu
Department of Otolaryngology-Head and Neck Surgery, Stanford University School of Medicine, Stanford, CA, U.S.A.
Yifei
Y
Ma
D001741:Black or African American / Q000706:statistics & numerical data; D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000175:diagnosis / Q000208:ethnology* / Q000473:pathology; D015331:Cohort Studies; D005260:Female; D054624:Health Status Disparities; D006801:Humans; D008207:Lymphatic Metastasis; D008297:Male; D017533:Marital Status; D008875:Middle Aged; D015999:Multivariate Analysis; D009367:Neoplasm Staging; D009959:Oropharyngeal Neoplasms / Q000175:diagnosis / Q000208:ethnology* / Q000473:pathology; D012307:Risk Factors; D018426:SEER Program / Q000706:statistics & numerical data*; D014481:United States; D044465:White People / Q000706:statistics & numerical data
Oropharynx cancer; SEER Program; head and neck cancer; health status disparities; minority health