Volume 30, Issue 2 pp. 492-503
ORIGINAL ARTICLE

Prognostic effects of previous cancer history on patients with major salivary gland cancer

Junhong Li

Junhong Li

Department of Oto-Rhino-Laryngology, West China Hospital, Sichuan University, Chengdu, China

Contribution: Conceptualization, ​Investigation, Data curation, Formal analysis, Visualization, Writing - review & editing, Writing - original draft

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Yufang Rao

Yufang Rao

Department of Oto-Rhino-Laryngology, West China Hospital, Sichuan University, Chengdu, China

Contribution: Conceptualization, Writing - review & editing, Validation

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Xiaoyu Wang

Xiaoyu Wang

Department of Oto-Rhino-Laryngology, West China Hospital, Sichuan University, Chengdu, China

Contribution: Conceptualization, ​Investigation, Visualization, Writing - review & editing, Data curation, Writing - original draft

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Libo Yu

Libo Yu

Department of Oto-Rhino-Laryngology, West China Hospital, Sichuan University, Chengdu, China

Contribution: Conceptualization, ​Investigation, Writing - original draft, Writing - review & editing, Data curation, Software, Formal analysis, Validation

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Ke Qiu

Ke Qiu

Department of Oto-Rhino-Laryngology, West China Hospital, Sichuan University, Chengdu, China

Contribution: Conceptualization, Writing - review & editing, Validation

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Minzi Mao

Minzi Mao

Department of Oto-Rhino-Laryngology, West China Hospital, Sichuan University, Chengdu, China

Contribution: Conceptualization, Validation, Writing - review & editing

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Yao Song

Yao Song

Department of Oto-Rhino-Laryngology, West China Hospital, Sichuan University, Chengdu, China

Contribution: Conceptualization, Validation, Writing - review & editing

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Wendu Pang

Wendu Pang

Department of Oto-Rhino-Laryngology, West China Hospital, Sichuan University, Chengdu, China

Contribution: Conceptualization, Validation, Writing - review & editing

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Danni Cheng

Danni Cheng

Department of Oto-Rhino-Laryngology, West China Hospital, Sichuan University, Chengdu, China

Contribution: Conceptualization, ​Investigation, Writing - original draft, Visualization, Writing - review & editing, Data curation

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Yuyang Zhang

Yuyang Zhang

Department of Oto-Rhino-Laryngology, West China Hospital, Sichuan University, Chengdu, China

Contribution: Conceptualization, Validation, Writing - review & editing

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Lan Feng

Lan Feng

Department of Oto-Rhino-Laryngology, West China Hospital, Sichuan University, Chengdu, China

Contribution: Conceptualization, Validation, Writing - review & editing

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Xinyi Wang

Xinyi Wang

Department of Oto-Rhino-Laryngology, West China Hospital, Sichuan University, Chengdu, China

Contribution: Conceptualization, Validation, Writing - review & editing

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Xiuli Shao

Xiuli Shao

Department of Oto-Rhino-Laryngology, West China Hospital, Sichuan University, Chengdu, China

Contribution: Conceptualization, Writing - review & editing, Formal analysis, Software, Visualization

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Yaxin Luo

Yaxin Luo

Department of Epidemiology and Biostatistics, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, China

Contribution: Conceptualization, Writing - review & editing, Formal analysis, Visualization, Software

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Yongbo Zheng

Yongbo Zheng

Department of Oto-Rhino-Laryngology, West China Hospital, Sichuan University, Chengdu, China

Contribution: Conceptualization, Writing - review & editing, Funding acquisition, Validation

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Xiaohong Li

Xiaohong Li

Yaan People's Hospital, Yaan, China

Contribution: Conceptualization, Writing - review & editing, Validation

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Yanhong Xu

Yanhong Xu

Yaan People's Hospital, Yaan, China

Contribution: Conceptualization, Validation, Writing - review & editing

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Wei Xu

Corresponding Author

Wei Xu

Department of Biostatistics, Princess Margaret Cancer Centre and Dalla Lana School of Public Health, Toronto, Ontario, Canada

Correspondence

Jianjun Ren and Yu Zhao, Department of Oto-Rhino-Laryngology, and West China Biomedical Big Data Center, West China Hospital, Sichuan University, Chengdu, China.

Email: [email protected] and [email protected]

Wei Xu, Department of Biostatistics, Princess Margaret Cancer Centre, 10-511, 610 University Avenue Toronto, Toronto, Ontario, Canada.

Email: [email protected]

Contribution: Conceptualization, Writing - review & editing, Project administration, Resources, Supervision, Methodology, Writing - original draft

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Yu Zhao

Corresponding Author

Yu Zhao

Department of Oto-Rhino-Laryngology, West China Hospital, Sichuan University, Chengdu, China

West China Biomedical Big Data Center, West China Hospital, Sichuan University, Chengdu, China

Correspondence

Jianjun Ren and Yu Zhao, Department of Oto-Rhino-Laryngology, and West China Biomedical Big Data Center, West China Hospital, Sichuan University, Chengdu, China.

Email: [email protected] and [email protected]

Wei Xu, Department of Biostatistics, Princess Margaret Cancer Centre, 10-511, 610 University Avenue Toronto, Toronto, Ontario, Canada.

Email: [email protected]

Contribution: Conceptualization, Methodology, Writing - review & editing, Project administration, Supervision, Resources, Funding acquisition, Writing - original draft

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Jianjun Ren

Corresponding Author

Jianjun Ren

Department of Oto-Rhino-Laryngology, West China Hospital, Sichuan University, Chengdu, China

West China Biomedical Big Data Center, West China Hospital, Sichuan University, Chengdu, China

Department of Oto-Rhino-Laryngology, Langzhong People's Hospital, Langzhong, China

Correspondence

Jianjun Ren and Yu Zhao, Department of Oto-Rhino-Laryngology, and West China Biomedical Big Data Center, West China Hospital, Sichuan University, Chengdu, China.

Email: [email protected] and [email protected]

Wei Xu, Department of Biostatistics, Princess Margaret Cancer Centre, 10-511, 610 University Avenue Toronto, Toronto, Ontario, Canada.

Email: [email protected]

Contribution: Conceptualization, Funding acquisition, Writing - review & editing, Project administration, Supervision, Resources, Methodology, Writing - original draft

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First published: 05 February 2023

Junhong Li, Yufang Rao, Xiaoyu Wang and Libo Yu contributed equally to this work.

Abstract

Objectives

To explore the prognostic effects of previous cancer history on patients with major salivary gland cancer (SGC).

Subjects and Methods

SGC patients with (sec-SGC) and without (one-SGC) a previous cancer from the SEER database were identified. Cox proportional hazards regression (CoxPH) models were used to compare the prognosis between sec-SGC and one-SGC patients. Subgroup analyses for sec-SGC patients by gender, previous cancer types, previous cancer histology, and cancer diagnosis interval (CDI) were performed. Two CoxPH models were constructed to distinguish sec-SGC patients with different prognostic risks.

Results

9098 SGC patients were enrolled. Overall, sec-SGC patients (adjusted HR [aHR] = 1.26, p < 0.001), especially those with a CDI ≤ 5 years (aHR = 1.47, p < 0.001), had worse overall survival (OS) than one-SGC patients. In subgroup analysis, only sec-SGC patients with a previous head and neck cancer who were female (aHR = 2.38, p = 0.005), with a CDI ≤ 5 years (aHR = 1.65, p = 0.007) or with a previous squamous cell carcinoma (aHR = 6.52, p < 0.001) had worse OS. Our models successfully differentiated all sec-SGC patients into high-, intermediate- and low-risk groups with different prognosis.

Conclusions

Sec-SGC patients with different previous cancer types, gender, CDI and previous cancer histology had varied prognosis. The models we constructed could help differentiate the prognosis of sec-SGC patients with different risks.

CONFLICT OF INTEREST STATEMENT

The Author(s) declare(s) that there is no conflict of interest.

DATA AVAILABILITY STATEMENT

This study acquired SEER data (https://seer.cancer.gov/) under accession number 18515-Nov2019. No additional data are available.

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