{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,7]],"date-time":"2026-02-07T18:23:53Z","timestamp":1770488633124,"version":"3.49.0"},"reference-count":30,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2017,8,16]],"date-time":"2017-08-16T00:00:00Z","timestamp":1502841600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2018,3]]},"abstract":"<jats:sec><jats:title>Objectives\/Hypothesis<\/jats:title><jats:p>To examine sociodemographic, hospital\u2010specific, and disease\u2010related characteristics in relation to outcomes in sinonasal squamous cell carcinoma (SCC).<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>The National Cancer Database was queried for location codes corresponding to the nasal cavity and paranasal sinuses and histology codes representing SCC malignancy. Multivariate analyses were performed against short\u2010 and long\u2010term outcomes (overall survival, days to discharge, 30\u2010day readmission, and 30\u2010 and 90\u2010day mortality).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The database included 5,584 sinonasal SCC patients with an overall median survival of 53.5 months (95% confidence interval [CI]: 49.7\u201057.8). On multivariate analysis, uninsured, Medicaid, and Medicare were independently associated with worse overall survival compared to private insurance (hazard ratio [HR]: 1.49, 95% CI: 1.22\u20101.82, <jats:italic>P<\/jats:italic> &lt; .001; HR: 1.57, 95% CI: 1.34\u20101.85, <jats:italic>P<\/jats:italic> &lt; .001; and HR: 1.14, 95% CI: 1.01\u20101.29, <jats:italic>P<\/jats:italic> = .03, respectively). Both Medicaid and Medicare were also associated with increased 30\u2010day mortality (HR: 1.36, 95% CI: 1.76\u2010143.29, <jats:italic>P<\/jats:italic> = .02; HR: 8.27, 95% CI: 1.66\u201070.88, <jats:italic>P<\/jats:italic> = .02, respectively), and Medicaid patients spent more time in the hospital following surgery (difference in days to discharge: HR: 2.09, 95% CI: 0.57\u20103.61, <jats:italic>P<\/jats:italic> &lt; .01). Compared to white race, other race was associated with improved overall survival (HR: 0.79, 95% CI: 0.63\u20100.99, <jats:italic>P<\/jats:italic> = .04) but increased 30\u2010day readmissions (HR: 3.85, 95% CI: 1.58\u20108.38, <jats:italic>P<\/jats:italic> &lt; .01). Hispanic ethnicity was associated with increased 30\u2010day readmissions (HR: 2.35, 95% CI: 1.08\u20104.75, <jats:italic>P<\/jats:italic> = .02]. The highest income bracket (\u2265$63,000) was associated with fewer hospital readmissions (HR: 0.33, 95% CI: 0.13\u20100.79, <jats:italic>P<\/jats:italic> = .01).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Sociodemographic and economic differences in outcomes of patients with sinonasal SCC cancer exist. An understanding of these differences may help minimize disparities in oncologic treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>2c. <jats:italic>Laryngoscope<\/jats:italic>, 128:560\u2013567, 2018<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.26804","type":"journal-article","created":{"date-parts":[[2017,8,17]],"date-time":"2017-08-17T07:41:25Z","timestamp":1502955685000},"page":"560-567","source":"Crossref","is-referenced-by-count":23,"title":["Disparities in sinonasal squamous cell carcinoma short\u2010 and long\u2010term outcomes: Analysis from the national cancer database"],"prefix":"10.1002","volume":"128","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0186-2265","authenticated-orcid":false,"given":"Ryan M.","family":"Carey","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology\u2013Head and Neck Surgery Philadelphia Pennsylvania U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arjun K.","family":"Parasher","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology\u2013Head and Neck Surgery Philadelphia Pennsylvania U.S.A."},{"name":"Leonard Davis Institute of Health Economics University of Pennsylvania Philadelphia Pennsylvania U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alan D.","family":"Workman","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology\u2013Head and Neck Surgery Philadelphia Pennsylvania U.S.A."},{"name":"Perelman School of Medicine Philadelphia Pennsylvania U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carol H.","family":"Yan","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology\u2013Head and Neck Surgery Philadelphia Pennsylvania U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jordan T.","family":"Glicksman","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology\u2013Head and Neck Surgery Philadelphia Pennsylvania U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jinbo","family":"Chen","sequence":"additional","affiliation":[{"name":"University of Pennsylvania and the Department of Biostatistics and Epidemiology Philadelphia Pennsylvania U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James N.","family":"Palmer","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology\u2013Head and Neck Surgery Philadelphia Pennsylvania U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nithin D.","family":"Adappa","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology\u2013Head and Neck Surgery Philadelphia Pennsylvania U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jason G.","family":"Newman","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology\u2013Head and Neck Surgery Philadelphia Pennsylvania U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jason A","family":"Brant","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology\u2013Head and Neck Surgery Philadelphia Pennsylvania 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