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2023
DOI: 10.3390/medicina59030497
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The Prognostic Utilities of Various Risk Factors for Laryngeal Squamous Cell Carcinoma: A Systematic Review and Meta-Analysis

Abstract: Objective: To assess the prognostic utilities of various risk factors for laryngeal squamous cell carcinoma. Methods: Six databases were searched to January 2022. Hazard ratios for overall survival and disease-free survival were collected and study characteristics were recorded. The risk of bias was evaluated using the Newcastle–Ottawa scale. Results: Twenty-eight studies involving 32,128 patients were finally included. In terms of overall survival, older age, a history of alcohol consumption, a high Charlson … Show more

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Cited by 8 publications
(13 citation statements)
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“…The incidence of laryngeal cancer is notably higher in older age groups and males, primarily due to the cumulative effects of these risk factors over time [ 13 ], which is consistent with our findings. The most significant risk factor is smoking and tobacco use, as the carcinogens in tobacco can cause DNA mutations in laryngeal cells, with the risk increasing with prolonged and intense smoking [ 14 , 15 ]. Heavy alcohol use also significantly raises the risk, especially when combined with smoking [ 14 , 15 ].…”
Section: Discussionmentioning
confidence: 99%
“…The incidence of laryngeal cancer is notably higher in older age groups and males, primarily due to the cumulative effects of these risk factors over time [ 13 ], which is consistent with our findings. The most significant risk factor is smoking and tobacco use, as the carcinogens in tobacco can cause DNA mutations in laryngeal cells, with the risk increasing with prolonged and intense smoking [ 14 , 15 ]. Heavy alcohol use also significantly raises the risk, especially when combined with smoking [ 14 , 15 ].…”
Section: Discussionmentioning
confidence: 99%
“…We extracted the study details, including author name, publication year, country, patient demographics (including number, age and sex ratio), the presence of CRS or nasal polyp, and ORs and corresponding 95% CIs. If both multivariate and univariate analyses were conducted to evaluate risk factors, the ORs and 95% CIs derived from the multivariate analysis were used 21 . The Newcastle–Ottawa scale was used to evaluate study quality (range: 0–9), with a score ≥6 indicating high quality.…”
Section: Methodsmentioning
confidence: 99%
“…If both multivariate and univariate analyses were conducted to evaluate risk factors, the ORs and 95% CIs derived from the multivariate analysis were used. 21 The Newcastle-Ottawa scale was used to evaluate study quality (range: 0-9), with a score ≥6 indicating high quality.…”
Section: Data Extraction and Risk Of Bias Assessmentmentioning
confidence: 99%
“…Early detection and treatment are especially crucial for laryngeal cancer because it has an excellent prognosis and quality of life. Advanced laryngeal cancer can be treated with definitive Radiation therapy, combination chemotherapy, or adjuvant radiotherapy and total laryngectomy in addition to surgery, radiotherapy, chemotherapy, and other comprehensive treatments 5 , 6 . Different stages, forms, and treatments of laryngeal cancer have varying chances of survival, and the overall patient's 5-year relative survival rate is 64% 2 .…”
Section: Introductionmentioning
confidence: 99%