Evidence map›Paper›PMID 39775484›Full record

ArticleCancer causes & control : CCC2025

Oral cavity and oropharyngeal cancers in Texas: examining incidence rates in dental health professional shortage areas.

Stacey B Griner, Biai Digbeu, Alexandra N Farris, Blair Williams, Malinee Neelamegam, Erika L Thompson, Yong-Fang Kuo

Abstract read
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In one paragraph

Article in Cancer causes & control : CCC, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Stacey B GrinerSchool of Public Health, University of North Texas Health Science Center, Fort Worth, TX, 76107, USA. Stacey.Griner@unthsc.edu.ORCID http://orcid.org/0000-0002-2774-5841
Biai DigbeuOffice of Biostatistics & Data Science, University of Texas Medical Branch, Galveston, TX, 77555, USA.ORCID http://orcid.org/0000-0001-8741-9506
Alexandra N FarrisSchool of Public Health, University of North Texas Health Science Center, Fort Worth, TX, 76107, USA.ORCID http://orcid.org/0000-0002-5607-0927
Blair WilliamsHealth Equity Research and Innovation, Texas Health Institute, Austin, TX, 78758, USA.ORCID http://orcid.org/0009-0008-5765-2276
Malinee NeelamegamSchool of Public Health, University of North Texas Health Science Center, Fort Worth, TX, 76107, USA.ORCID http://orcid.org/0000-0002-4027-7544
Erika L ThompsonThe University of Texas Health Science Center at San Antonio, The University of Texas School of Public Health San Antonio, San Antonio, TX, 78229, USA.ORCID http://orcid.org/0000-0002-7115-0001
Yong-Fang KuoOffice of Biostatistics & Data Science, University of Texas Medical Branch, Galveston, TX, 77555, USA.ORCID http://orcid.org/0000-0003-1927-0927

Funding

Cancer Prevention and Research Institute of Texas (CPRIT) DMAC - RP210130
6 · The paper itself

Abstract

purposeOral cavity (OC) and oropharyngeal (OP) cancer rates have increased annually rising in the U.S. and Texas. Dental providers could play a key role in lowering OC/OP cancer rates through prevention and screening, but Texas faces a significant shortage of dental health professionals, affecting access to dental care, including OC/OP cancer prevention and early detection. This study aims to explore the link between OC/OP cancer rates and these dental shortage areas in Texas.

methodsWe analyzed OC/OP cancer incidence in Texas using SEER-Medicare data for patients aged 65 and over from 2012 to 2017. Rates per 100,000 were stratified by age, gender, and dental health provider shortage area (DHPSA) status (yes/no). Zero-Inflated Poisson Regression models were used to adjust for patient characteristics in studying cancer incidence, Late-stage diagnoses were assessed using logistic regression.

resultsThe incidence rate was 27.3 per 100,000 people in Texas. DHPSA counties had lower incidence rates (24.3 per 100,000) compared to non-DHPSA counties (29.8 per 100,000; p = 0.0423). Among patients with OC/OP diagnoses, those living in a DHPSA county had lower odds of advanced stage diagnoses (aOR: 0.79; CI: 0.64-0.96) than those in non-DHPSA counties.

conclusionThe findings highlight the complex link between dental providers and OC/OP cancer diagnoses, noting differences in indicators of need based on DHPSA location. Limited local dental services may lead to underreported cancer cases. Further research on dental service usage could improve OC/OP outcomes by prioritizing interventions from dental professionals.

Indexed as

DentistsMouth NeoplasmsOropharyngeal NeoplasmsAgedAged, 80 and overFemaleHumansIncidenceMaleSEER ProgramTexasUnited StatesDentalHealth disparitiesOral cavity cancerOral healthOropharyngeal cancer

Identifiers

PMID39775484

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.