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- W2078684141 abstract "Up to 70% of patients with head and neck cancer will experience pain at some point during the disease trajectory, highest among all cancer types. However, presence of pain at diagnosis of head and neck cancer in an underserved population remains an understudied issue. The objectives of this study were to: 1) characterize the frequency of pain, and 2) identify predictors of pain in a newly diagnosed underserved head and neck cancer population. To conduct this exploratory hypothesis generating study, we extracted presenting symptoms from the electronic health records (EHR) of 149 patients receiving care in public hospitals in the northeastern United States. Study inclusion/exclusion criteria were diagnosis with squamous cell carcinoma of the head and neck (HNSCC) between January 1, 2007 and December 31, 2010. Analyses included descriptive statistics and logistic regression to analyze the relationship between pain, age, gender, cancer stage and site, race/ethnicity, care site, and function limitations such as difficulty swallowing. We found the mean population age was 59 (SD=22, min 22, max 100). The population was primarily male (79%), racially diverse (white 11%, black 47%, Hispanic 19%, Other race/ethnicity 23%), and presented with advanced stage or undocumented stage disease (75%). Fifty – seven percent of patients presented with pain. Descriptors of patients’ pain in the EHR included odynophagia, tongue soreness, neck pain, and otalgia. Using logistic regression, we identified predictors of pain at diagnosis as advanced stage cancer (OR 2.6, p=0.02), oral cavity/pharyngeal cancer site (OR 3.3, p=0.02), and function limitations (OR 3.42, p=.005). The study findings suggest that pain is a prevalent symptom at HNSCC diagnosis among the underserved, particularly in those with oral cavity/pharyngeal cancer, advanced stage cancer, and function limitations. Study implications include the need for early palliative care interventions for the underserved HNSCC population." @default.
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- W2078684141 date "2015-04-01" @default.
- W2078684141 modified "2023-10-16" @default.
- W2078684141 title "(101) Characterizing pain at diagnosis of head and neck cancer in an underserved population" @default.
- W2078684141 doi "https://doi.org/10.1016/j.jpain.2015.01.015" @default.
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