Large-data contextualizations of social determinant associations in pediatric head and neck cancers

Author:

Fei-Zhang David J.1,Chelius Daniel C.2,Sheyn Anthony M.345,Rastatter Jeff C.67

Affiliation:

1. Northwestern University Feinberg School of Medicine

2. Department of Otolaryngology-Head and Neck Surgery, Pediatric Thyroid Tumor Program and Pediatric Head and Neck Tumor Program, Baylor College of Medicine, Texas Children's Hospital, Houston, Texas, USA

3. Department of Pediatric Otolaryngology, Le Bonheur Children's Hospital

4. Department of Otolaryngology-Head and Neck Surgery, University of Tennessee Health Science Center

5. Department of Pediatric Otolaryngology, St. Jude Children's Research Hospital, 262 Danny Thomas Place, Memphis, Tennessee

6. Department of Otolaryngology-Head and Neck Surgery, Northwestern University Feinberg School of Medicine

7. Division of Pediatric Otolaryngology, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois

Abstract

Purpose of review Prior investigations in social determinants of health (SDoH) and their impact on pediatric head and neck cancers are limited by the narrow scope of cancer types and SDoH being studied while lacking inquiry on the interrelational contribution of varied SDoH in real-world contexts. The purpose of this review is to discuss the current research tackling these shortcomings of SDoH-based studies in head and neck cancer and to discuss means of applying these findings in prospective initiatives and implementations. Recent findings Through leveraging contemporary, large-data analyses measuring diverse social vulnerabilities, several studies have identified comprehensive delineations of which social disparities contribute the largest quantifiable impact on the care of head and neck cancer patients. Progressing from prior SDoH-based research of the decade, these studies contextualize the effect of social vulnerabilities and have laid the foundations to begin addressing these issues in the complex, modern-day environment of interrelated social factors. Summary Social determinants of health markedly affect pediatric head and neck cancer care and prognosis in complex and surprising ways. Modern-day tools and analyses derived from large-data techniques have unveiled the quantifiable underpinnings of how SDoH impact these pathologies.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Otorhinolaryngology,Surgery

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