“…Although previous studies have examined the trends of HNC and subsites in Scotland, they have combined OCC and OPC, which may have masked the differential rates by subsite [13].…”
Section: Discussionmentioning
confidence: 99%
“…The most recent detailed analysis of incidence trends of oral cancer in Scotland examined rates between 1990 and 1999, and found that Scotland had the highest rates of oral cancer in the UK and also exhibited the greatest lifetime risk of developing oral cancer [13]. Overall, rates increased in both males and females between 1990 and 1999.…”
Aim: To examine current incidence trends of oral cavity (OCC), oropharyngeal (OPC) and laryngeal cancer in Scotland by socioeconomic status (SES).
Methods:We included all diagnosed cases of OCC (C00.3-C00.9, C02-C06 excluding C2. rates increased markedly for OPC, decreased for laryn-geal cancer and remained stable for OCC, particularly in the last decade. Males exhibited significantly higher RRs compared to females, and the peak age of incidence of OPC was slightly lower than the other subsites.
Conclusion:Contrary to reports that OPC exhibits an inverse socioeconomic profile, Scotland country-level data show that those from the most deprived areas consistently have the highest rates of head and neck cancers.3
“…Although previous studies have examined the trends of HNC and subsites in Scotland, they have combined OCC and OPC, which may have masked the differential rates by subsite [13].…”
Section: Discussionmentioning
confidence: 99%
“…The most recent detailed analysis of incidence trends of oral cancer in Scotland examined rates between 1990 and 1999, and found that Scotland had the highest rates of oral cancer in the UK and also exhibited the greatest lifetime risk of developing oral cancer [13]. Overall, rates increased in both males and females between 1990 and 1999.…”
Aim: To examine current incidence trends of oral cavity (OCC), oropharyngeal (OPC) and laryngeal cancer in Scotland by socioeconomic status (SES).
Methods:We included all diagnosed cases of OCC (C00.3-C00.9, C02-C06 excluding C2. rates increased markedly for OPC, decreased for laryn-geal cancer and remained stable for OCC, particularly in the last decade. Males exhibited significantly higher RRs compared to females, and the peak age of incidence of OPC was slightly lower than the other subsites.
Conclusion:Contrary to reports that OPC exhibits an inverse socioeconomic profile, Scotland country-level data show that those from the most deprived areas consistently have the highest rates of head and neck cancers.3
“…1 The rising trends in oral cancer in the UK and particularly for Scotland were first described by Macfarlane et al 2 over a decade and half ago and was reviewed recently. 3 Several studies also show an increase in tongue and oropharyngeal cancer, particularly in younger patients. 4,5 For cancer incidence studies young patients are defined as those under the age of 45 years.…”
Objectives: To explore the early responses of young oral cancer patients in Scotland to the symptoms of their emerging condition, to understand the ways they seek help and to inquire into delay caused by not recognising symptoms associated with cancer.
Setting: The survey was carried out in Maggie's Centres or in patients' own homes in Glasgow and Edinburgh among young patients diagnosed with oral cancer in the three years (2004-7) before the study.
Methods: This study employed qualitative methods. Data were collected by interview using a semi-structured interview schedule. The interview transcripts were analysed using a thematic framework and with the aid of NVivo qualitative analysis software (Version 8).
Results: Most of the cohort knew that smoking and alcohol could cause oral cancer. None thought it would happen to them. Descriptions of symptoms varied widely and several had used self-treatment provided from a pharmacy. There were various causes of 'patient delay' and self-treatment was not the only cause. Reinterpretation of symptoms without seeking professional help was not uncommon. Nobody suspected they had oral cancer until it was confirmed by their GP or GDP. All thought that something so small and painless couldn't be a serious problem.
Conclusions: The study further confirms gaps in understanding and awareness of oral cancer. Most had heard of oral cancer but they didn't think their symptoms were indicative of cancer and they self managed the problem. The culture of not bothering the GP/GDP unless it was perceived as serious is a barrier to earlier access. Findings support that further public awareness of oral cancer and its symptoms is required to alert the public that if their symptoms persist beyond three weeks they need a professional opinion
“…1 The incidence in the UK is approximately 3,885 cases per annum, with a mortality rate of just over 50% despite treatment. 2 The detection of oral cancer at an early stage is the most effective means to improve survival and reduce morbidity, with fi ve year survival rates increasing to 80% when lesions are found and treated early. 3 Given these statistics it is important to develop primary and secondary preven tion strategies to reduce the burden of oral cancer.…”
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