2. Ethnic Disparities of Oral Cancer Mortality Rates and Cost of Care in the Hispanic Population

3. Oral Cancer: Sobering Statistics According to the National Institutes of Health… Over 45,000 people will be diagnosed in the US this year. More than 8,000 people in the US will die.

4. Oral Cancer: Statistical Disparity Oral cancer is the sixth leading cancer in the general US population. Limited data is available for 5 year survival in Hispanics, but the mortality for US Hispanics with oral cancer appears to be disproportionately high relative to disease incidence.

5. Oral Cancer: Sobering Statistics One person in the general US population dies of oral cancer every hour of every day. Available data suggest that mortality in Hispanics diagnosed with oral cancer is more than 10% higher than expected.

6. Overall Reduced Incidence in Hispanic Population Creates a False Sense of Security

7. Our Dirty Secret A survey conducted by the ADA found that only 50% of patients recall being screened for oral cancer. Add to this the ethnic disparities that exist in access to cancer screening programs among Hispanic populations. The result: Later diagnosis and higher mortality for Hispanic Americans in general.

8. Disturbing First Generation Stats Among several Hispanic subgroups, oral cancer rates are markedly lower in their countries of origin. The increased risk for oral cancer among first generation Cuban, Mexican and Puerto Rican immigrants should be further studied.

9. An Oral Cancer Hot Spot? Incidence rates for oral and pharyngeal cancer (OPC) in Puerto Rico are among the highest in the Western Hemisphere. Further, ethno-regional differences have been reported in which OPC incidence and mortality rates are much higher among Hispanic men living in New York State.

10. SEER 2008-2012 Relationship of Survival to Stage: The Importance of Early Detection

11. For Hispanics, More Advanced Disease at Diagnosis Increased Distant and Regional Spread

12. Oral Cancer Treatment Costs: General Population Statistics Average Treatment Cost: $92,491: One of the costliest cancers to treat - Twice the cost of most other cancers 52% of people treated are unable to return to work (disabled and disfigured) However if caught early, treatment costs are reduced and the patient is more likely to return to work

13. A Very Costly Cancer: Increasing Projected Cost of Care to 2020

14. Cost-of-Care Based on Disease Stage

15. Medicare Costs for Patients with Oral Cavity Cancers Ethnic GroupExcess Costs WhiteNA (Reference Population) Black$11,450 Asian$4,025 Hispanic $4,032 Other$9,650

16. Reduced Mortality Rates Start Here! Conducting a thorough oral cancer exam is job #1 for the dental team Sooner or later you will find a suspicious lesion or abnormality Then what?

17. Benign or Malignant? Are You Sure? A tissue biopsy is the gold standard for determining malignancy, but… Biopsies can be frightening, painful and expensive for the patient. Plus, more than 90% of biopsies are negative.

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