Reviewing the epidemiology of head and neck cancer: definitions, trends and risk factors



Gormley, Mark, Creaney, Grant, Schache, Andrew ORCID: 0000-0001-9466-6038, Ingarfield, Kate and Conway, David I
(2022) Reviewing the epidemiology of head and neck cancer: definitions, trends and risk factors. BRITISH DENTAL JOURNAL, 233 (9). pp. 780-786.

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Abstract

Introduction Head and neck cancer appears to be increasing in incidence, with potential changes in aetiology proposed. This paper aims to provide a narrative overview of the epidemiological literature to describe the disease burden and trends in terms of incidence and mortality both in the UK and globally and to review the evidence on current risk factors.Methods A search was performed on multiple databases (PubMed and Epistemonikos), applying filters to identify systematic reviews and meta-analyses which investigated head and neck cancer incidence, mortality and risk factors. International and UK cancer registries and sources were searched for incidence and mortality data.Results Multiple definitions of head and neck cancer are employed in epidemiology. Globally, incidence rates have increased in recent decades, largely driven by oropharyngeal cancer. Mortality rates over the last decade have also started to rise, reflecting the disease incidence and static survival rates. Major risk factors include tobacco smoking alone and in combination with alcohol consumption, betel chewing (particularly in Southeast Asian populations) and the human papillomavirus in oropharyngeal cancer.Conclusions These epidemiological data can inform clinical and preventive service planning for head and neck cancer.

Item Type: Article
Uncontrolled Keywords: Humans, Papillomaviridae, Papillomavirus Infections, Head and Neck Neoplasms, Oropharyngeal Neoplasms, Incidence, Risk Factors
Divisions: Faculty of Health and Life Sciences
Faculty of Health and Life Sciences > Institute of Systems, Molecular and Integrative Biology
Depositing User: Symplectic Admin
Date Deposited: 21 Mar 2023 11:38
Last Modified: 21 Mar 2023 11:38
DOI: 10.1038/s41415-022-5166-x
Related URLs:
URI: https://livrepository.liverpool.ac.uk/id/eprint/3169190