The prevalence of human papillomavirus in oropharyngeal cancer is increasing regardless of sex or race, and the influence of sex and race on survival is modified by human papillomavirus tumor status
Cancer Dec 13, 2018
Faraji F, et al. - Researchers investigated how sex and race/ethnicity influence prevalence trends of human papillomavirus (HPV) in oropharyngeal cancer (OPC) and survival after OPC. In this cohort study, they analyzed 20,886 HPV-positive and 10,364 HPV-negative OPC patients from the United States National Cancer Database. Men (70.6%) displayed a higher prevalence of HPV-positive tumors than women (56.3%). Over time, these tumors have increased significantly at a rate of 3.5% and 3.2% per year among men and women, respectively. The highest prevalence of HPV-positive tumors was noted among whites (70.2%), followed by Hispanics (61.3%), Asians (55.8%), and blacks (46.3%). Prevalence of HPV-positive tumors increased significantly more rapidly among Blacks and Hispanics than whites (6.5% vs 5.6% vs 3.2% per year, respectively). Neither sex nor race/ethnicity was associated with survival among patients with HPV-positive OPC in HPV-positive OPC. However, significantly higher risk of death was observed for women vs men and blacks vs whites for HPV-negative OPC.
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