A geographical comparison between head & neck cancer incidence and distribution of otolaryngologists

IF 1.8 4区医学 Q2 OTORHINOLARYNGOLOGY

American Journal of Otolaryngology Pub Date : 2025-04-18 DOI:10.1016/j.amjoto.2025.104625

Henry C. Ideker , Ahmad Odeh , Angela Mazul , Sean T. Massa

{"title":"A geographical comparison between head & neck cancer incidence and distribution of otolaryngologists","authors":"Henry C. Ideker , Ahmad Odeh , Angela Mazul , Sean T. Massa","doi":"10.1016/j.amjoto.2025.104625","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><div>The incidence of head and neck cancer (HNC) is increasing, and research is needed to identify and treat populations at higher risk.</div></div><div><h3>Methods</h3><div>The Surveillance, Epidemiology, and End Result (SEER), Area Health Resource File (AHRF), and American Community Survey (ACS) databases were queried for incidence of HNC, provider demographics, and county demographics, respectively. The primary outcome was county-level incidence rate. Multivariate analysis of county variables identified risk factors associated with higher incidence.</div></div><div><h3>Results</h3><div>The geographic incidence of HNC is unequally distributed with higher incidence in counties with older age (3.68 % increase, CI: 3.46–3.89 %), white (1.71 %, CI: 1.08–2.35 %) and black (1.20 %, CI: 0.40–2.00 %) race, and higher percentage of smokers (1.36 %, CI: 1.17–1.55 %). The otolaryngology workforce was inversely related to the county-level incidence. Compared to counties with no Otolaryngologist, those with 11+ had 41.5 % (39.7–43.4 %) lower incidence.</div></div><div><h3>Conclusion</h3><div>The otolaryngology workforce is not optimally distributed to address geospatial variation in HNC incidence.</div></div>","PeriodicalId":7591,"journal":{"name":"American Journal of Otolaryngology","volume":"46 3","pages":"Article 104625"},"PeriodicalIF":1.8000,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"American Journal of Otolaryngology","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0196070925000286","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"OTORHINOLARYNGOLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Objective

The incidence of head and neck cancer (HNC) is increasing, and research is needed to identify and treat populations at higher risk.

Methods

The Surveillance, Epidemiology, and End Result (SEER), Area Health Resource File (AHRF), and American Community Survey (ACS) databases were queried for incidence of HNC, provider demographics, and county demographics, respectively. The primary outcome was county-level incidence rate. Multivariate analysis of county variables identified risk factors associated with higher incidence.

Results

The geographic incidence of HNC is unequally distributed with higher incidence in counties with older age (3.68 % increase, CI: 3.46–3.89 %), white (1.71 %, CI: 1.08–2.35 %) and black (1.20 %, CI: 0.40–2.00 %) race, and higher percentage of smokers (1.36 %, CI: 1.17–1.55 %). The otolaryngology workforce was inversely related to the county-level incidence. Compared to counties with no Otolaryngologist, those with 11+ had 41.5 % (39.7–43.4 %) lower incidence.

Conclusion

The otolaryngology workforce is not optimally distributed to address geospatial variation in HNC incidence.

查看原文本刊更多论文

头颈癌发病率与耳鼻喉科医生分布的地域比较

目的头颈癌（HNC）的发病率呈上升趋势，需要对高危人群进行识别和治疗。方法分别查询监测、流行病学和最终结果（SEER）、地区卫生资源档案（AHRF）和美国社区调查（ACS）数据库的HNC发病率、提供者人口统计数据和县人口统计数据。主要结局指标为县级发病率。县变量的多变量分析确定了与高发病率相关的危险因素。结果HNC的地理发病率分布不均匀，年龄较大的县（3.68%,CI: 3.46 ~ 3.89%）、白人（1.71%,CI: 1.08 ~ 2.35%）和黑人（1.20%,CI: 0.40 ~ 2.00 %）的县发病率较高，吸烟者比例较高（1.36%,CI: 1.17 ~ 1.55%）。耳鼻喉科劳动力与县级发病率呈负相关。与没有耳鼻喉科医师的县相比，11+的发病率降低了41.5%（39.7 - 43.4%）。结论耳鼻喉科工作人员分布不合理，无法解决HNC发病率的地理空间差异。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

American Journal of Otolaryngology 医学-耳鼻喉科学

CiteScore

4.40

自引率

4.00%

发文量

378

审稿时长

41 days

期刊介绍： Be fully informed about developments in otology, neurotology, audiology, rhinology, allergy, laryngology, speech science, bronchoesophagology, facial plastic surgery, and head and neck surgery. Featured sections include original contributions, grand rounds, current reviews, case reports and socioeconomics.