Improved survival of head and neck cancer patients in Greenland
Previously, head and neck cancer (HNC) patients in Greenland have had significant diagnostic delay and poor survival rates. From 2005-2009 several initiatives have been made to ensure faster diagnosis and better survival. The aim of this study was to compare the prognosis before and after these init...
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2018
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Online Access: | https://doi.org/10.1080/22423982.2018.1536252 https://doaj.org/article/8f8dfc15c0954fb7a88f41aedcafc59c |
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ftdoajarticles:oai:doaj.org/article:8f8dfc15c0954fb7a88f41aedcafc59c 2023-05-15T15:07:44+02:00 Improved survival of head and neck cancer patients in Greenland Mads Lawaetz Ramon Jensen Jeppe Friborg Louise Herlow Susanne Brofeldt Jens G. Fleischer Preben Homøe 2018-01-01T00:00:00Z https://doi.org/10.1080/22423982.2018.1536252 https://doaj.org/article/8f8dfc15c0954fb7a88f41aedcafc59c EN eng Taylor & Francis Group http://dx.doi.org/10.1080/22423982.2018.1536252 https://doaj.org/toc/2242-3982 2242-3982 doi:10.1080/22423982.2018.1536252 https://doaj.org/article/8f8dfc15c0954fb7a88f41aedcafc59c International Journal of Circumpolar Health, Vol 77, Iss 1 (2018) Head and neck cancer Inuit survival delay Arctic medicine. Tropical medicine RC955-962 article 2018 ftdoajarticles https://doi.org/10.1080/22423982.2018.1536252 2022-12-31T13:31:16Z Previously, head and neck cancer (HNC) patients in Greenland have had significant diagnostic delay and poor survival rates. From 2005-2009 several initiatives have been made to ensure faster diagnosis and better survival. The aim of this study was to compare the prognosis before and after these initiatives were introduced. All Greenlandic patients diagnosed with HNC between 2005 and 2012 were included. Data were retrieved from medical records and national databases and compared with the period 1994-2003. A total of 98 patients were identified. Diagnostic delay was significantly lower compared to the period 1994–2004 (p=0.048). The 3-year overall survival was 56% for all HNC and 47% for nasopharyngeal carcinomas. We found that patients with HNC between 1994 and 2003 had a higher risk of death from all reasons compared with the period 2005–2012 (HR 2.17; CI 1.46–3.23) after adjustments for stage and diagnostic delay. Patients with head HNC in Greenland from 2005-2012 were diagnosed earlier and had a better overall survival compared to the period 1994–2003. The change in survival is more likely to be due to improvement in treatment rather than the initiated interventions. Although survival has improved in Greenland, demographic problems and lack of specialists remain a challenge. Article in Journal/Newspaper Arctic Circumpolar Health Greenland greenlandic International Journal of Circumpolar Health inuit Directory of Open Access Journals: DOAJ Articles Arctic Greenland International Journal of Circumpolar Health 77 1 1536252 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Head and neck cancer Inuit survival delay Arctic medicine. Tropical medicine RC955-962 |
spellingShingle |
Head and neck cancer Inuit survival delay Arctic medicine. Tropical medicine RC955-962 Mads Lawaetz Ramon Jensen Jeppe Friborg Louise Herlow Susanne Brofeldt Jens G. Fleischer Preben Homøe Improved survival of head and neck cancer patients in Greenland |
topic_facet |
Head and neck cancer Inuit survival delay Arctic medicine. Tropical medicine RC955-962 |
description |
Previously, head and neck cancer (HNC) patients in Greenland have had significant diagnostic delay and poor survival rates. From 2005-2009 several initiatives have been made to ensure faster diagnosis and better survival. The aim of this study was to compare the prognosis before and after these initiatives were introduced. All Greenlandic patients diagnosed with HNC between 2005 and 2012 were included. Data were retrieved from medical records and national databases and compared with the period 1994-2003. A total of 98 patients were identified. Diagnostic delay was significantly lower compared to the period 1994–2004 (p=0.048). The 3-year overall survival was 56% for all HNC and 47% for nasopharyngeal carcinomas. We found that patients with HNC between 1994 and 2003 had a higher risk of death from all reasons compared with the period 2005–2012 (HR 2.17; CI 1.46–3.23) after adjustments for stage and diagnostic delay. Patients with head HNC in Greenland from 2005-2012 were diagnosed earlier and had a better overall survival compared to the period 1994–2003. The change in survival is more likely to be due to improvement in treatment rather than the initiated interventions. Although survival has improved in Greenland, demographic problems and lack of specialists remain a challenge. |
format |
Article in Journal/Newspaper |
author |
Mads Lawaetz Ramon Jensen Jeppe Friborg Louise Herlow Susanne Brofeldt Jens G. Fleischer Preben Homøe |
author_facet |
Mads Lawaetz Ramon Jensen Jeppe Friborg Louise Herlow Susanne Brofeldt Jens G. Fleischer Preben Homøe |
author_sort |
Mads Lawaetz |
title |
Improved survival of head and neck cancer patients in Greenland |
title_short |
Improved survival of head and neck cancer patients in Greenland |
title_full |
Improved survival of head and neck cancer patients in Greenland |
title_fullStr |
Improved survival of head and neck cancer patients in Greenland |
title_full_unstemmed |
Improved survival of head and neck cancer patients in Greenland |
title_sort |
improved survival of head and neck cancer patients in greenland |
publisher |
Taylor & Francis Group |
publishDate |
2018 |
url |
https://doi.org/10.1080/22423982.2018.1536252 https://doaj.org/article/8f8dfc15c0954fb7a88f41aedcafc59c |
geographic |
Arctic Greenland |
geographic_facet |
Arctic Greenland |
genre |
Arctic Circumpolar Health Greenland greenlandic International Journal of Circumpolar Health inuit |
genre_facet |
Arctic Circumpolar Health Greenland greenlandic International Journal of Circumpolar Health inuit |
op_source |
International Journal of Circumpolar Health, Vol 77, Iss 1 (2018) |
op_relation |
http://dx.doi.org/10.1080/22423982.2018.1536252 https://doaj.org/toc/2242-3982 2242-3982 doi:10.1080/22423982.2018.1536252 https://doaj.org/article/8f8dfc15c0954fb7a88f41aedcafc59c |
op_doi |
https://doi.org/10.1080/22423982.2018.1536252 |
container_title |
International Journal of Circumpolar Health |
container_volume |
77 |
container_issue |
1 |
container_start_page |
1536252 |
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1766339175336902656 |