Background: The purpose of this study is to evaluate whether demographics, lifestyle habits, clinical data and alcohol dehydrogenase polymorphisms rs1229984 and rs1573496 associated with first primary head and neck (HNC) are associated with overall survival, recurrence, and second primary cancer (SPC). Methods: We conducted a follow-up study in five centres including 801 cases. Hazard ratios (HRs) and 95% confidence intervals (CIs) were estimated for overall survival, recurrence and SPC. Results: Five-years overall survival was 62% for HNC cases, 55% for oral cavity, 53% for oropharynx, 41% for hypopharynx, and 71% for larynx. Predictors of survival were older ages (HR. =. 1.18 for 5 years increase; CI: 1.07-1.30), higher tumour stage (HR. =. 4.16; CI: 2.49-6.96), and high alcohol consumption (HR. =. 3.93; CI: 1.79-8.63). A combined therapy (HR. =. 3.29; CI: 1.18-9.13) was associated with a worst prognosis for oral cavity cancer. The only predictor was higher tumour stage (HR. =. 2.25; CI: 1.26-4.03) for recurrence, and duration of smoking (HR. =. 1.91; CI: 1.00-3.68) for SPC. ADH1B rs1229984 polymorphism HRs for HNC and oesophageal cancer death and for alcohol related cancer death were 0.67 (95% CI: 0.42-1.08), and 0.64 (95% CI: 0.40-1.03), respectively. Conclusions: The survival expectation differs among HNC sites. Increasing age and stage, and high alcohol consumption were unfavourable predictors of HNC survival overall. Duration of tobacco consumption before the first primary tumour was a risk factor for SPC.

Leoncini, E., Vukovic, V., Cadoni, G., Pastorino, R., Arzani, D., Bosetti, C., et al. (2015). Clinical features and prognostic factors in patients with head and neck cancer: Results from a multicentric study. CANCER EPIDEMIOLOGY, 39(3), 367-374 [10.1016/j.canep.2015.02.004].

Clinical features and prognostic factors in patients with head and neck cancer: Results from a multicentric study

GARAVELLO, WERNER;
2015

Abstract

Background: The purpose of this study is to evaluate whether demographics, lifestyle habits, clinical data and alcohol dehydrogenase polymorphisms rs1229984 and rs1573496 associated with first primary head and neck (HNC) are associated with overall survival, recurrence, and second primary cancer (SPC). Methods: We conducted a follow-up study in five centres including 801 cases. Hazard ratios (HRs) and 95% confidence intervals (CIs) were estimated for overall survival, recurrence and SPC. Results: Five-years overall survival was 62% for HNC cases, 55% for oral cavity, 53% for oropharynx, 41% for hypopharynx, and 71% for larynx. Predictors of survival were older ages (HR. =. 1.18 for 5 years increase; CI: 1.07-1.30), higher tumour stage (HR. =. 4.16; CI: 2.49-6.96), and high alcohol consumption (HR. =. 3.93; CI: 1.79-8.63). A combined therapy (HR. =. 3.29; CI: 1.18-9.13) was associated with a worst prognosis for oral cavity cancer. The only predictor was higher tumour stage (HR. =. 2.25; CI: 1.26-4.03) for recurrence, and duration of smoking (HR. =. 1.91; CI: 1.00-3.68) for SPC. ADH1B rs1229984 polymorphism HRs for HNC and oesophageal cancer death and for alcohol related cancer death were 0.67 (95% CI: 0.42-1.08), and 0.64 (95% CI: 0.40-1.03), respectively. Conclusions: The survival expectation differs among HNC sites. Increasing age and stage, and high alcohol consumption were unfavourable predictors of HNC survival overall. Duration of tobacco consumption before the first primary tumour was a risk factor for SPC.
Articolo in rivista - Articolo scientifico
Scientifica
Head and neck cancer; Recurrence; Second primary; Survival;
Head and neck cancer; Recurrence; Second primary; Survival; Cancer Research; Oncology; Epidemiology
English
Leoncini, E., Vukovic, V., Cadoni, G., Pastorino, R., Arzani, D., Bosetti, C., et al. (2015). Clinical features and prognostic factors in patients with head and neck cancer: Results from a multicentric study. CANCER EPIDEMIOLOGY, 39(3), 367-374 [10.1016/j.canep.2015.02.004].
Leoncini, E; Vukovic, V; Cadoni, G; Pastorino, R; Arzani, D; Bosetti, C; Canova, C; Garavello, W; La Vecchia, C; Maule, M; Petrelli, L; Pira, E; Polesel, J; Richiardi, L; Serraino, D; Simonato, L; Ricciardi, W; Boccia, S
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/10281/112044
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