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3 results on '"Golusinski W"'

1. Challenges in organizing effective oncology service: inter-European variability in the example of head and neck cancers.

Author

Malicki J and Golusinski W

Subjects
Cancer Care Facilities standards, Ethnicity, Europe, European Union, Humans, Neoplasms prevention & control, Poland, Socioeconomic Factors, Squamous Cell Carcinoma of Head and Neck, Cancer Care Facilities organization & administration, Carcinoma, Squamous Cell, Head and Neck Neoplasms, Medical Oncology organization & administration
Abstract

The increasing worldwide burden of cancer makes it imperative that every country develop a comprehensive cancer control programme. In the past, cancer control in Central and Eastern Europe was inadequate, particularly when compared to many wealthier Western European countries. We analyse interregional differences in Europe to the approach to comprehensive cancer care, with a focus on head and neck squamous cell carcinoma using the case of Poland as a representative example. Due to national plans major improvements have been achieved in the field of prevention and in radiotherapy delivery having a measurable and positive impact on treatment outcomes. In head and neck cancers a notable move towards multidisciplinary approach has been made, combining surgery, radiotherapy and chemotherapy accompanied by rehabilitation and social support. In Poland and several other Eastern and Central European countries a shortage of physicians in the field of oncology was noted. The main conclusion is that the special plans are needed in Central and Eastern Europe or those existing must be extended for another decade to fulfil the EU requirement of providing all European citizens with equal access to quality cancer care.

Published
2014
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2. [Tobacco and head and neck tumors].

Author

Mocarska D, Golusinski W, and Pawlaczyk B

Subjects
Adult, Aged, Female, Humans, Laryngeal Neoplasms epidemiology, Male, Middle Aged, Poland epidemiology, Surveys and Questionnaires, Head and Neck Neoplasms epidemiology, Tobacco Use Disorder epidemiology
Abstract

Poland is the country in which the steady increase of falling ill and deaths of head and neck tumours has been observed in last 30 years. Larynx tumour occurs the most often among smoking people (inhaling the tobacco smoke) and the ones drinking alcohol habitually. As far as non-smokers and abstinent are concerned this illness is a very rare phenomenon. In connection with these facts, actions in favour of the illness decrease--especially the primary prevention like promoting the non-smoking fashion as well as trends for the limitation of the danger by the treatment of the addicted to tobacco should be among the important tasks of every doctor, not only laryngologist. The aim of the thesis is gaining the information concerning the influence of smoking on head and neck tumours' occurrence and simultaneously taking the age of the ill into consideration. The subject of the research was a group of 120 men suffering from tumours within the limits of head and neck, who were treated in the Clinic of Otolaryngology and Laryngologic Oncology of Poznan University of Medical Sciences since April 2002 until November 2002. All the numerical data characterising the examined patients was treated under epidemiological analysis on the basis of the previously prepared questionnaire. The results of the research indicate the necessity of conducting the vast prophylactic actions.

Published
2005

3. [Patients under 45 years of age "young adults" with head and neck squamous cell carcinoma. Retrospective, multivariable analysis--preliminary report ].

Author

Golusinski W, Waśniewska E, Kaczmarek J, Kedzia D, Wróbel M, and Malinowska B

Subjects
Adolescent, Adult, Age Factors, Alcohol Drinking adverse effects, Carcinoma, Squamous Cell complications, Carcinoma, Squamous Cell surgery, Disease Progression, Environmental Exposure adverse effects, Female, Head and Neck Neoplasms complications, Head and Neck Neoplasms surgery, Humans, Male, Multivariate Analysis, Neoplasm Staging, Poland epidemiology, Prognosis, Retrospective Studies, Risk Factors, Smoking adverse effects, Socioeconomic Factors, Time Factors, Carcinoma, Squamous Cell physiopathology, Carcinoma, Squamous Cell secondary, Head and Neck Neoplasms pathology, Head and Neck Neoplasms physiopathology
Abstract

There is a clear tendency to diagnose squamous cell carcinoma of the head and neck more frequently in patients below 45 years of age. These neoplasms in "young adults" seem to be more aggressive with rapid progression, frequent reappearance after treatment and worse prognosis than is observed in older patient population. This preliminary report presents results of retrospective, multivariable analysis of patients below 45 years of age with squamous cell carcinoma of the head and neck. The special focus of the study were: disease progression (T), regional node and distant metastases (N,M), tobacco and alcohol consumption, environmental factors, concomitant diseases, kind of surgical technique and tumour histology.

Published
2003

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