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This manuscript looks to explore racial disparities in the surgical management of OPSCC.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A cancer database was queried for patients with OPSCC diagnosed from 2004 to 2017. Univariate and multivariable logistic regressions were used to evaluate associations between patient race\/ethnicity, surgical treatment, and reasons for lack of surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>37\u2009306 (74.3%) patients did not undergo surgery, while 12\u2009901 (25.7%) patients did. Non\u2010Hispanic black (NHB) patients were less likely to undergo surgery than other races (17.9% vs. 26.5%; <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.0001). In clinical discussions, the Asian, Native American, Hawaiian, Pacific Islander (ANAHPI), and unknown race group was more likely to directly refuse surgery when recommended (2.5% vs. 1.5%; <jats:italic>p<\/jats:italic>\u2009=\u20090.015).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Racial differences exist in treatment for OPSCC. NHB patients are less likely to actually undergo surgical management for OPSCC, while other patients are more likely to directly \u201crefuse\u201d surgery outright when offered.<\/jats:p><\/jats:sec>","DOI":"10.1002\/hed.27467","type":"journal-article","created":{"date-parts":[[2023,7,18]],"date-time":"2023-07-18T06:48:12Z","timestamp":1689662892000},"page":"2313-2322","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Racial disparities in surgical treatment of oropharyngeal cancer: A Surveillance, Epidemiology, and End Results review"],"prefix":"10.1002","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4598-7614","authenticated-orcid":false,"given":"Dontre' M.","family":"Douse","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology \u2013 Head and Neck Surgery Mayo Clinic  Rochester Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Linda X.","family":"Yin","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology \u2013 Head and Neck Surgery Mayo Clinic  Rochester Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Felicia O.","family":"Olawuni","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology \u2013 Head and Neck Surgery Mayo Clinic  Rochester Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amy E.","family":"Glasgow","sequence":"additional","affiliation":[{"name":"Division of Health Care Policy and Research and the Robert D. and Patricia E. 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