Epidemiological and Demographic Characteristics of Patients with Head and Neck Tumours in the Northern Portugal: Impact on Survival
Autor(a) principal: | |
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Data de Publicação: | 2016 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7003 |
Resumo: | Introduction: In Portugal there are still no epidemiological and demographic studies conducted in patients with of the head and neck tumors. The objectives of this analysis are to describe the epidemiological and demographics of patients with malignant tumors of the head and neck referred to an Ear, Nose and Throat department of an oncology center in the North of Portugal and also assess the impact of these characteristics on survival.Material and Methods: Retrospective study of patients referred between January 2011 and December 2013 to the Ear, Nose and Throat Department of an oncology center (Instituto Português de Oncologia do Porto),. Five hundred sixty six patients were included. The analyzed variables were the anatomical location of the tumor, staging, gender and age of patients, the district of origin, the alcohol and tobacco consumption, educational level, occupation, marital status and family structure.Results: The 566 patients studied (498 men and 68 women) presented a mean age of 58.1 ± 12.2 years. The majority (80.5%) were referenced in advanced stage of disease (III and IV). Seventy eight per cent of patients had moderate or excessive alcohol consumption and 69% were smokers. The vast majority of patients (82.3%) had only basic education. Patients with tumors of the hypopharynx and excessive drinking habits were referenced in more advanced stages and had a poorer survival (p < 0.001). Married patients were referred at earlier stages (p = 0.020) and patients without family support had poorer survival (p = 0.030).Discussion: Epidemiological data are in agreement with the international literature. The high rate of patients referred with advanced stage of disease can be attributed to the patient´s delay in seeking medical care or by factors inherent to the referral system. Surveillance and family support play a key role in early referral and survival of these patients.Conclusion: This study features a population profile that can benefit from a higher degree of surveillance, awareness campaigns and/ or screenings. Some of the variables can significantly influence the tumor stage and survival. |
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Epidemiological and Demographic Characteristics of Patients with Head and Neck Tumours in the Northern Portugal: Impact on SurvivalCaracterísticas Epidemiológicas e Demográficas dos Doentes Portadores de Tumores da Cabeça e Pescoço no Norte de Portugal: Impacto na SobrevivênciaHead and Neck Neoplasms/epidemiologyPortugalRisk FactorsSocioeconomic Factors.Factores de RiscoFactores SocioeconómicosNeoplasias de Cabeça e Pescoço/epidemiologiaPortugal.Introduction: In Portugal there are still no epidemiological and demographic studies conducted in patients with of the head and neck tumors. The objectives of this analysis are to describe the epidemiological and demographics of patients with malignant tumors of the head and neck referred to an Ear, Nose and Throat department of an oncology center in the North of Portugal and also assess the impact of these characteristics on survival.Material and Methods: Retrospective study of patients referred between January 2011 and December 2013 to the Ear, Nose and Throat Department of an oncology center (Instituto Português de Oncologia do Porto),. Five hundred sixty six patients were included. The analyzed variables were the anatomical location of the tumor, staging, gender and age of patients, the district of origin, the alcohol and tobacco consumption, educational level, occupation, marital status and family structure.Results: The 566 patients studied (498 men and 68 women) presented a mean age of 58.1 ± 12.2 years. The majority (80.5%) were referenced in advanced stage of disease (III and IV). Seventy eight per cent of patients had moderate or excessive alcohol consumption and 69% were smokers. The vast majority of patients (82.3%) had only basic education. Patients with tumors of the hypopharynx and excessive drinking habits were referenced in more advanced stages and had a poorer survival (p < 0.001). Married patients were referred at earlier stages (p = 0.020) and patients without family support had poorer survival (p = 0.030).Discussion: Epidemiological data are in agreement with the international literature. The high rate of patients referred with advanced stage of disease can be attributed to the patient´s delay in seeking medical care or by factors inherent to the referral system. Surveillance and family support play a key role in early referral and survival of these patients.Conclusion: This study features a population profile that can benefit from a higher degree of surveillance, awareness campaigns and/ or screenings. Some of the variables can significantly influence the tumor stage and survival.Introdução: Em Portugal não existem, ainda, estudos epidemiológicos e demográficos realizados em doentes portadores de tumores da cabeça e pescoço. Os objectivos desta análise são descrever os aspectos epidemiológicos e demográficos dos doentes portadores de tumores malignos da cabeça e do pescoço, referenciados ao serviço de Otorrinolaringologia de um centro oncológico do norte de Portugal e avaliar o impacto destas características na sobrevivência.Material e Métodos: Estudo retrospectivo descritivo, dos doentes referenciados entre janeiro de 2011 e dezembro de 2013 ao Serviço de Otorrinolaringologia do Instituto Português de Oncologia do Porto. Foram incluídos 566 doentes. As variáveis analisadas foram a localização anatómica dos tumores, o estadiamento, o género e a idade dos doentes, o distrito de proveniência, os hábitos etílicos e tabágicos, o nível educacional, a profissão, o estado civil e a estrutura familiar.Resultados: Os 566 doentes estudados correspondem a 498 homens e 68 mulheres, com idade média de 58,1 ± 12,2 anos. A maioria (80,5%) foi referenciada com doença em estadio avançado (III e IV). Verificamos hábitos etílicos moderados a excessivos em 78% dos doentes e 69% eram fumadores. A grande maioria dos doentes (82,3%) tinha apenas o ensino básico. Os doentes com tumores da hipofaringe e com hábitos etílicos excessivos foram referenciados em estadios mais avançados e apresentaram pior sobrevivência (p < 0,001). Os doentes casados foram referenciados em estadios mais precoces (p = 0,020) e os doentes sem apoio familiar apresentaram pior sobrevivência (p = 0,030).Discussão: Os dados epidemiológicos encontrados estão de acordo com a literatura internacional. A elevada taxa de doentes referenciados em estádio avançado pode ser atribuída ao atraso na procura de cuidados médicos ou a factores inerentes ao sistema de referenciação. A vigilância e o suporte familiar têm um papel fundamental na referenciação precoce e sobrevivência destes doentes.Conclusão: Este estudo caracteriza um perfil populacional que pode beneficiar de maior grau de vigilância, de campanhas de consciencialização e/ou rastreios. Algumas das variáveis estudadas podem influenciar significativamente o estadio dos tumores e a sobrevivência.Ordem dos Médicos2016-10-31info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfimage/tiffimage/tiffimage/tiffimage/tiffimage/tiffapplication/mswordapplication/pdfhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7003oai:ojs.www.actamedicaportuguesa.com:article/7003Acta Médica Portuguesa; Vol. 29 No. 10 (2016): October; 597-604Acta Médica Portuguesa; Vol. 29 N.º 10 (2016): Outubro; 597-6041646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7003https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7003/4782https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7003/7896https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7003/7897https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7003/7898https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7003/7899https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7003/7900https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7003/8091https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7003/8426Direitos de Autor (c) 2016 Acta Médica Portuguesainfo:eu-repo/semantics/openAccessEstêvão, RobertoSantos, TiagoFerreira, AnaMachado, AnabelaFernandes, JoãoMonteiro, Eurico2022-12-20T11:05:03Zoai:ojs.www.actamedicaportuguesa.com:article/7003Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:19:23.846013Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Epidemiological and Demographic Characteristics of Patients with Head and Neck Tumours in the Northern Portugal: Impact on Survival Características Epidemiológicas e Demográficas dos Doentes Portadores de Tumores da Cabeça e Pescoço no Norte de Portugal: Impacto na Sobrevivência |
title |
Epidemiological and Demographic Characteristics of Patients with Head and Neck Tumours in the Northern Portugal: Impact on Survival |
spellingShingle |
Epidemiological and Demographic Characteristics of Patients with Head and Neck Tumours in the Northern Portugal: Impact on Survival Estêvão, Roberto Head and Neck Neoplasms/epidemiology Portugal Risk Factors Socioeconomic Factors. Factores de Risco Factores Socioeconómicos Neoplasias de Cabeça e Pescoço/epidemiologia Portugal. |
title_short |
Epidemiological and Demographic Characteristics of Patients with Head and Neck Tumours in the Northern Portugal: Impact on Survival |
title_full |
Epidemiological and Demographic Characteristics of Patients with Head and Neck Tumours in the Northern Portugal: Impact on Survival |
title_fullStr |
Epidemiological and Demographic Characteristics of Patients with Head and Neck Tumours in the Northern Portugal: Impact on Survival |
title_full_unstemmed |
Epidemiological and Demographic Characteristics of Patients with Head and Neck Tumours in the Northern Portugal: Impact on Survival |
title_sort |
Epidemiological and Demographic Characteristics of Patients with Head and Neck Tumours in the Northern Portugal: Impact on Survival |
author |
Estêvão, Roberto |
author_facet |
Estêvão, Roberto Santos, Tiago Ferreira, Ana Machado, Anabela Fernandes, João Monteiro, Eurico |
author_role |
author |
author2 |
Santos, Tiago Ferreira, Ana Machado, Anabela Fernandes, João Monteiro, Eurico |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Estêvão, Roberto Santos, Tiago Ferreira, Ana Machado, Anabela Fernandes, João Monteiro, Eurico |
dc.subject.por.fl_str_mv |
Head and Neck Neoplasms/epidemiology Portugal Risk Factors Socioeconomic Factors. Factores de Risco Factores Socioeconómicos Neoplasias de Cabeça e Pescoço/epidemiologia Portugal. |
topic |
Head and Neck Neoplasms/epidemiology Portugal Risk Factors Socioeconomic Factors. Factores de Risco Factores Socioeconómicos Neoplasias de Cabeça e Pescoço/epidemiologia Portugal. |
description |
Introduction: In Portugal there are still no epidemiological and demographic studies conducted in patients with of the head and neck tumors. The objectives of this analysis are to describe the epidemiological and demographics of patients with malignant tumors of the head and neck referred to an Ear, Nose and Throat department of an oncology center in the North of Portugal and also assess the impact of these characteristics on survival.Material and Methods: Retrospective study of patients referred between January 2011 and December 2013 to the Ear, Nose and Throat Department of an oncology center (Instituto Português de Oncologia do Porto),. Five hundred sixty six patients were included. The analyzed variables were the anatomical location of the tumor, staging, gender and age of patients, the district of origin, the alcohol and tobacco consumption, educational level, occupation, marital status and family structure.Results: The 566 patients studied (498 men and 68 women) presented a mean age of 58.1 ± 12.2 years. The majority (80.5%) were referenced in advanced stage of disease (III and IV). Seventy eight per cent of patients had moderate or excessive alcohol consumption and 69% were smokers. The vast majority of patients (82.3%) had only basic education. Patients with tumors of the hypopharynx and excessive drinking habits were referenced in more advanced stages and had a poorer survival (p < 0.001). Married patients were referred at earlier stages (p = 0.020) and patients without family support had poorer survival (p = 0.030).Discussion: Epidemiological data are in agreement with the international literature. The high rate of patients referred with advanced stage of disease can be attributed to the patient´s delay in seeking medical care or by factors inherent to the referral system. Surveillance and family support play a key role in early referral and survival of these patients.Conclusion: This study features a population profile that can benefit from a higher degree of surveillance, awareness campaigns and/ or screenings. Some of the variables can significantly influence the tumor stage and survival. |
publishDate |
2016 |
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2016-10-31 |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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article |
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publishedVersion |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7003 oai:ojs.www.actamedicaportuguesa.com:article/7003 |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7003 |
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oai:ojs.www.actamedicaportuguesa.com:article/7003 |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7003 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7003/4782 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7003/7896 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7003/7897 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7003/7898 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7003/7899 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7003/7900 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7003/8091 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7003/8426 |
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Direitos de Autor (c) 2016 Acta Médica Portuguesa info:eu-repo/semantics/openAccess |
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Direitos de Autor (c) 2016 Acta Médica Portuguesa |
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Ordem dos Médicos |
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Ordem dos Médicos |
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Acta Médica Portuguesa; Vol. 29 No. 10 (2016): October; 597-604 Acta Médica Portuguesa; Vol. 29 N.º 10 (2016): Outubro; 597-604 1646-0758 0870-399X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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