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Cancer Investigation Volume 40, 2022 - Issue 8
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Articles

Outcomes of Oral and Oropharyngeal Squamous Cell Carcinoma Related to Healthcare Coverage: A Retrospective Cohort Study in Brazil

Thinali Sousa Dantasa Division of Oral Pathology, Faculty of Pharmacy, Dentistry and Nursing, Federal University of Ceará, Fortaleza, Brazil;b Department of Dentistry, Unichristus, Fortaleza, BrazilORCID Iconhttps://orcid.org/0000-0003-2543-3315
ORCID Icon,
Aline Samara Araújo de Sousab Department of Dentistry, Unichristus, Fortaleza, BrazilORCID Iconhttps://orcid.org/0000-0002-8379-1551
ORCID Icon,
Thiago Oliveira Pinheiro Salesb Department of Dentistry, Unichristus, Fortaleza, BrazilORCID Iconhttps://orcid.org/0000-0001-8278-6294
ORCID Icon,
Osias Vieira deOliveira Filhoa Division of Oral Pathology, Faculty of Pharmacy, Dentistry and Nursing, Federal University of Ceará, Fortaleza, BrazilORCID Iconhttps://orcid.org/0000-0002-9046-3783
ORCID Icon,
Paulo Goberlânio de Barros Silvaa Division of Oral Pathology, Faculty of Pharmacy, Dentistry and Nursing, Federal University of Ceará, Fortaleza, Brazil;b Department of Dentistry, Unichristus, Fortaleza, BrazilCorrespondence[email protected]
ORCID Iconhttps://orcid.org/0000-0002-1513-9027
ORCID Icon,
Ana Paula Negreiros Nunes Alvesa Division of Oral Pathology, Faculty of Pharmacy, Dentistry and Nursing, Federal University of Ceará, Fortaleza, BrazilORCID Iconhttps://orcid.org/0000-0002-5090-6877
ORCID Icon,
Mário Rogério Lima Motaa Division of Oral Pathology, Faculty of Pharmacy, Dentistry and Nursing, Federal University of Ceará, Fortaleza, BrazilORCID Iconhttps://orcid.org/0000-0003-3778-0584
ORCID Icon &
Fabrício Bitu Sousaa Division of Oral Pathology, Faculty of Pharmacy, Dentistry and Nursing, Federal University of Ceará, Fortaleza, Brazil;b Department of Dentistry, Unichristus, Fortaleza, BrazilORCID Iconhttps://orcid.org/0000-0002-6430-9475
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Pages 680-692 | Received 16 Sep 2020, Accepted 17 Jun 2022, Published online: 26 Jun 2022
 
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Abstract

We investigated the differences in prognosis according to the type of healthcare coverage of patients with oral and oropharyngeal squamous cell carcinoma (OOSCC). This study included 875 medical records. Patients covered by the publicly funded Unified Health System (SUS) had a low educational level, with advanced T stage and delayed treatment initiation. Multivariate analyses revealed an association between T stage (p = .035) and poor prognosis in oral squamous cell carcinoma, and age (p = .029) in oropharyngeal squamous cell carcinoma. Surgical treatment (p = .036) and marital status (p = .015) were considered predictors of better prognosis in OOSCC. Exclusive SUS-dependency can be considered an indirect prognostic factor for OOSCC.

Declaration of Interest

The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the article.

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