{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,12]],"date-time":"2025-07-12T22:45:24Z","timestamp":1752360324688,"version":"3.40.5"},"reference-count":50,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2020,9,18]],"date-time":"2020-09-18T00:00:00Z","timestamp":1600387200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:sec><jats:title>Objectives\/Hypothesis<\/jats:title><jats:p>Recent evidence indicates an increased prevalence of intravenous opioid drug abusers (IVDAs) among supraglottic squamous cell carcinoma (SG\u2010SCC) patients. This study investigates whether the clinical course of SG\u2010SCC in IVDA differs from SG\u2010SCC in non\u2010IVDA.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>A retrospective case\u2013control study conducted in a in two tertiary referral centers.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This case\u2013control study compares IVDA with non\u2010IVDA patients diagnosed and treated for SG\u2010SCC in between 2005 and 2018. Disease\u2010free survival (DFS) and overall survival (OS) were calculated using the Kaplan\u2013Meier estimator. Adjusted odds ratios (ORs) for mortality were calculated using multivariant analyses.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 124 patients were included; 21% (26) were IVDA, and 79% (98) were non\u2010IVDA. Age at diagnosis in the IVDA group versus the non\u2010IVDA group was 53 and 66\u2009years, respectively (<jats:italic>P<\/jats:italic> =\u2009.001). Nevertheless, the age hazard ratio for OS was calculated and found to have minimal to no effect, 1.05 (95% Cl: 1.025\u20131.076). Otherwise, the two groups were comparable regarding demographics, other risk factors (i.e., gender, smoking, and alcohol), and comorbidities status, as well as the comparable stage at diagnosis, histologic grading, and treatment modalities. Although the DFS was comparable in both groups, the 5\u2010year OS was 55% in the IVDA group compared with 34% among the non\u2010IVDA patients (<jats:italic>P<\/jats:italic> =\u2009.04). In multivariant analyses for mortality, positive IVDA history was found to be protective, adjusted OR: 0.263 (95% CI: 0.081\u20130.854). Similarly, within the subgroup of 100 patients with advanced\u2010stage disease (III and IV), the adjusted OR was 0.118 (95% CI: 0.028\u20130.495).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>SG\u2010SCC in IVDA patients has a distinct clinical course, presenting at a younger age, and may have improved prognosis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>NA <jats:italic>Laryngoscope<\/jats:italic>, 131:E1190\u2013E1197, 2021<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.29067","type":"journal-article","created":{"date-parts":[[2020,9,18]],"date-time":"2020-09-18T18:33:43Z","timestamp":1600454023000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Supraglottic Carcinoma in Intravenous Opioid Drug Abusers: A Distinct Disease with Improved Survival"],"prefix":"10.1002","volume":"131","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0654-1161","authenticated-orcid":false,"given":"Dan","family":"Yaniv","sequence":"first","affiliation":[{"name":"Sackler School of Medicine Tel Aviv University  Tel Aviv Israel"},{"name":"Department of Otorhinolaryngology and Head and Neck Surgery Rabin Medical Center  Petah Tikva Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yonatan","family":"Reuven","sequence":"additional","affiliation":[{"name":"Sackler School of Medicine Tel Aviv University  Tel Aviv Israel"},{"name":"Department of Otorhinolaryngology and Head and Neck Surgery Rabin Medical Center  Petah Tikva Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5535-9235","authenticated-orcid":false,"given":"Yonatan","family":"Lahav","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Head and Neck Surgery, Kaplan Medical Center  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