Survival and prognostic factors in patients with oral squamous cell carcinoma

This study aimed to evaluate sociodemographic and clinical factors influencing overall survival (OS) in patients with oral squamous cell carcinoma (OSCC). Medical charts of 547 patients with OSCC from a public hospital in northeastern Brazil seen between 1999 and 2013 were evaluated. Survival analys...

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Veröffentlicht in:Medicina oral, patología oral y cirugía bucal patología oral y cirugía bucal, 2021-05, Vol.26 (3), p.e387-e392
Hauptverfasser: Ferreira, A-K, Carvalho, S-H, Granville-Garcia, A-F, Sarmento, D-J, Agripino, G-G, Abreu, M-H, Melo, M-C, Caldas, Jr, A-D, Godoy, G-P
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container_title Medicina oral, patología oral y cirugía bucal
container_volume 26
creator Ferreira, A-K
Carvalho, S-H
Granville-Garcia, A-F
Sarmento, D-J
Agripino, G-G
Abreu, M-H
Melo, M-C
Caldas, Jr, A-D
Godoy, G-P
description This study aimed to evaluate sociodemographic and clinical factors influencing overall survival (OS) in patients with oral squamous cell carcinoma (OSCC). Medical charts of 547 patients with OSCC from a public hospital in northeastern Brazil seen between 1999 and 2013 were evaluated. Survival analysis was performed using the Kaplan-Meier method. The influence of age, sex, ethnicity, clinical stage, anatomical location, type of treatment, and comorbidities on the patients' prognosis was evaluated. Cox proportional hazards regression model was used to identify independent prognostic factors. The 5-year OS was 39%. Multivariate analysis showed that age < 40 years (HR = 2.20; 95%CI: 1.02-4.72) and a single treatment modality (HR = 1.91; 95%CI: 1.37-2.67) were associated with a poor prognosis, while early clinical stage resulted in better outcomes (HR = 0.38; 95%CI: 0.25-0.58). OSCC patients in advanced clinical stages, diagnosed at a younger age, and submitted to a single therapeutic modality have a poorer prognosis.
doi_str_mv 10.4317/medoral.24242
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subjects Adult
Brazil
Carcinoma, Squamous Cell - therapy
Dentistry
Head and Neck Neoplasms
Humans
Mouth Neoplasms - therapy
Prognosis
Retrospective Studies
Squamous Cell Carcinoma of Head and Neck
title Survival and prognostic factors in patients with oral squamous cell carcinoma
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