Our website uses cookies to improve your on-site experience. By using the website, cookies are being used as described in our Policy Document
Warning: To log in you will need to enable cookies and reload the page (Policy Document)
My ePortfolio Register   
 

Abstract | Full HTML Article | PDF ecancer 12 855 / https://doi.org/10.3332/ecancer.2018.855

Research

Survival probabilities and trends for lip, oral cavity and oropharynx cancers in the Northern Region of Portugal in the period 2000–2009

Background: Oral cancer represents a serious public health problem worldwide. Our aim was to analyse the survival probabilities and trends of patients presenting with lip, oral cavity and oropharynx cancers, who were residents in the north of Portugal.

Methods: Using cancer-registry data, we conducted a population-based study of lip, oral cavity and oropharynx cancers diagnosed in the period 2000–2009, among residents in the north of Portugal. Net survival was estimated using the Pohar-Perme estimator. Excess hazard ratios (for gender, age group, tumour location, stage, residence area and period of diagnosis) were estimated using flexible parametric models.

Results: A total of 2,947 cases (79.5% males) were included of which 18.5% were located on the lip, 56.2% in the oral cavity and 25.3% in the oropharynx. A large proportion of patients were diagnosed in stages III and IV (18.6% and 48.7%, respectively). The 5-year net survival (5yr-NS) for all three cancer sites together was 46% (95%CI 44–48), being 88% (95%CI 83–94), 41% (95%CI 38–43) and 27% (95%CI 23–30) for lip, oral cavity and oropharynx cancer, respectively. The 5yr-NS stratified by tumour stage was 84% (95%CI 78–90) for stage I, 69% (95%CI 63–76) for stage II, 42% (95%CI 37–47) for stage III and 19% (95%CI 16–21) for stage IV. When comparing the periods 2000–4 and 2005–9, no overall improvements in survival were observed. However, when analysed by stage, a significant reduction in the adjusted excess mortality was observed for stages II (p = 0.021) and III (p < 0.001).

Conclusion: More than half of the oral cavity and oropharynx cancers were diagnosed in advanced stages of the disease, having a low survival probability. Improvements in survival in the first decade of this century were limited to stages II and III, which were the result of changes in hospital cancer care practices.

Keywords: oral cancer, lip cancer, oropharyngeal cancer, net survival, Portugal, trends

Loading Article Metrics ... Please wait

Related articles

Case Report: Recurrent dermatofibrosarcoma protuberans: challenging a surgeon’s dexterity for the ‘tricky’ margins

Abstract | Full Article | PDF Published: 13 Aug 2018 / https://doi.org/10.3332/ecancer.2018.858

Policy: The understanding of healthcare workers on the content of palliative care policy in Shesilweni Swaziland: a qualitative study

Abstract | Full Article | PDF Published: 10 Aug 2018 / https://doi.org/10.3332/ecancer.2018.857

Case Report: Two cases of white globe appearance in non-cancerous stomach

Abstract | Full Article | PDF Published: 07 Aug 2018 / https://doi.org/10.3332/ecancer.2018.856

Short Communication: Nurse-led active surveillance for prostate cancer is safe, effective and associated with high rates of patient satisfaction—results of an audit in the East of England

Abstract | Full Article | PDF Published: 25 Jul 2018 / https://doi.org/10.3332/ecancer.2018.854

Special Issue: mHealth and telemedicine apps: in search of a common regulation

Abstract | Full Article | PDF Published: 11 Jul 2018 / https://doi.org/10.3332/ecancer.2018.853



Founding partners

European Cancer Organisation European Institute of Oncology

Founding Charities

Foundazione Umberto Veronesi Fondazione IEO Swiss Bridge

Published by

ecancer Global Foundation