To evaluate the association between neighborhood socioeconomic disadvantage and head and neck cancer-specific quality-of-life (QOL) scores in patients prior to treatment.
Approach:
Key Findings:
Patients in the most disadvantaged ADI quintile had lower head and neck cancer-specific well-being scores compared to those in the least disadvantaged quintile (adjusted difference of -3.62 points; 95% CI, -6.23 to -1.01).
Greater neighborhood disadvantage was associated with lower reported ability to eat preferred foods and swallow easily.
No clinically meaningful adjusted associations were observed between ADI quintile and overall well-being scores (β = -7.40; 95% CI, -14.81 to 0.01).
Interpretation:
Quality-of-life differences among head and neck cancer patients may begin prior to treatment, but causation cannot be established due to the cross-sectional design.
Limitations:
Results may not be generalizable due to the single-institution study design.
Missing data for chemotherapy recommendation and education level may affect results.
Reliance on neighborhood-level socioeconomic data rather than patient-level data.
Conclusion:
The findings highlight the potential impact of neighborhood deprivation on QOL in head and neck cancer patients.
