HPV and Head and Neck Cancer in Canada: Trends 1992 to 2008

Abstract

Objective: 1) Learn how the incidence of HPV-related and non-HPV-related Head and Neck Cancers (HNC) in Canada has changed in the time period 1992 to 2008. 2) Learn how the age at diagnosis and overall survival for these cancers in Canada has changed over that period.

Method: We used Canadian Cancer Registry Data (1992-2008), categorizing HNCs into 3 groups: (High (HHPV), ie, oropharynx; Moderate (MHPV), ie, oral cavity; and Low (LHPV), ie, larynx); based on the probability that HPV causes the cancer. We calculated age-adjusted incidence, median age at diagnosis, and survival for each category.

Results: HHPV cancers increased in incidence at an average annual rate (AAR) of 1.02% (P = .010); MHPV and LHPV cancers decreased at an AAR of 2.38% (P = .000) and 3.67% (P = .000) respectively. The median age at diagnosis for HHPV cancers decreased by an average of 0.23 years/year (P = .000). There was no change for MHPV and an increase for LHPV of 0.10 years/year (P = .008). Survival for patients with HHPV cancers increased by 2.1%/year (P = .000), compared with an increase of 1.6% per year for MHPV (P = .003) and a marginal increase in LHPV of 0.6% per year (P = .002).

Conclusion: The prevalence of HPV-related head and neck cancers in Canada is increasing, while the prevalence of non-HPV–related head and neck cancers is decreasing. This has been accompanied by a decrease in both age at diagnosis and mortality in HPV related head and neck cancers.