Racial Disparities in Initial Presentation of Benign Thyroid Disease for Resection

被引:18
|
作者
Kuo, Lindsay E. [1 ]
Simmons, Kristina D. [1 ]
Wachtel, Heather [1 ]
Zaheer, Salman [1 ]
Karakousis, Giorgos C. [1 ]
Fraker, Douglas L. [1 ]
Kelz, Rachel R. [1 ]
机构
[1] Univ Penn, Dept Surg, Philadelphia, PA 19104 USA
关键词
HIGH-VOLUME HOSPITALS; ECONOMIC OUTCOMES; SURGICAL VOLUME; UNITED-STATES; RISK-FACTORS; CANCER; IMPACT;
D O I
10.1245/s10434-016-5199-y
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Racial disparities exist in thyroidectomy outcomes. One contributing factor may be the disease state upon presentation to a surgeon. Minorities with thyroid cancer present at a later disease stage and with larger tumors. This relationship has not been examined for benign thyroid disease. We sought to examine the association between race, referral patterns, and disease severity for benign thyroid conditions. We analyzed all patients receiving a thyroidectomy for benign disease in our institutional endocrine surgery registry. Patient demographics, disease history, disease severity, and postoperative outcomes were investigated. Univariate analysis compared black and white patients. Multivariable linear regression examined the relationship between race and time to surgical referral. Of the 1189 patients studied, the majority (86.0 %) were white. Black and white patients differed in median income and reason for referral. When compared with white patients, black patients more commonly presented with compressive symptoms (black: 45.0 % vs. white: 21.2 %, p < .01) and dysphagia (19.0 % vs. 10.1 %, p < .01), and after a longer disease duration [black: median 0 years (interquartile ratio, IQR, 0-5) vs. white: 0 years (IQR, 0-2)]. Blacks also had larger glands than white [median 71 grams (IQR, 33.5-155.3) vs. 24.3 grams (IQR, 15.0-50.2)]. With the exception of reintubation rate, there were no differences in postoperative outcomes. Black patients with benign thyroid conditions have a longer time to surgical referral and present for surgical evaluation with more severe disease than white patients. Identification of these disparities is the first step in eliminating differences in patient care.
引用
收藏
页码:2571 / 2576
页数:6
相关论文
共 50 条
  • [31] Poverty and Racial Disparities in Kidney Disease: The REGARDS Study
    McClellan, William M.
    Newsome, Britt B.
    McClure, Leslie A.
    Howard, George
    Volkova, Nataliya
    Audhya, Paul
    Warnock, David G.
    AMERICAN JOURNAL OF NEPHROLOGY, 2010, 32 (01) : 38 - 46
  • [32] Racial and Ethnic Disparities in Primary Prevention of Cardiovascular Disease
    Ali, Mohammad R.
    Nacer, Hadjer
    Lawson, Claire A.
    Khunti, Kamlesh
    CANADIAN JOURNAL OF CARDIOLOGY, 2024, 40 (06) : 1016 - 1030
  • [33] Incidental Thyroid Malignancy in Surgical Patients With Benign Thyroid Disease
    Joshi, Priyashma
    Chang, Jonathan
    Scola, William H.
    Shah, Hana
    Remer, Lindsay F.
    Lew, John L.
    JOURNAL OF SURGICAL RESEARCH, 2024, 302 : 778 - 783
  • [34] Disparities in Management of Patients with Benign Colorectal Disease: Impact of Urbanization and Specialized Care
    Pandit, Viraj
    Khalil, Mazhar
    Joseph, Bellal
    Jandova, Jana
    Jokar, Tahereh Orouji
    Haider, Ansab Abbas
    Zangbar, Bardiya
    Asim, Asad
    Hassan, Ahmed
    Nfonsam, Valentine
    AMERICAN SURGEON, 2016, 82 (11) : 1046 - 1051
  • [35] Demographic, presentation, and treatment factors and racial disparities in ovarian cancer hospitalization outcomes
    Akinyemiju, Tomi F.
    Naik, Gurudatta
    Ogunsina, Kemi
    Dibaba, Daniel T.
    Vin-Raviv, Neomi
    CANCER CAUSES & CONTROL, 2018, 29 (03) : 333 - 342
  • [36] Racial Disparities in Survival Outcomes of Colorectal Cancer Patients After Surgical Resection
    Shively, Dana
    Makhani, Sarah S.
    Bouz, Antoun
    Hernandez, Elizabeth
    Chung-Bridges, Katherine
    CUREUS JOURNAL OF MEDICAL SCIENCE, 2022, 14 (02)
  • [37] Racial Disparities in Hysterectomy Route for Benign Disease: Examining Trends and Perioperative Complications from 2007 to 2018 Using the NSQIP Database
    Carey, Erin T.
    Moore, Kristin J.
    Mcclurg, Asha B.
    Degaia, Ayana
    Tyan, Paul
    Schiff, Lauren
    Dieter, Alexis A.
    JOURNAL OF MINIMALLY INVASIVE GYNECOLOGY, 2023, 30 (08) : 627 - 634
  • [38] Trends in Multiple Myeloma Presentation, Management, Cost of Care, and Outcomes in the Medicare Population: A Comprehensive Look at Racial Disparities
    Ailawadhi, Sikander
    Frank, Ryan D.
    Sharma, Mayank
    Menghani, Richa
    Temkit, M'hamed
    Paulus, Shumail
    Khera, Nandita
    Hashmi, Shahrukh
    Advani, Pooja
    Swaika, Abhisek
    Paulus, Aneel
    Aslam, Nabeel
    Sher, Taimur
    Roy, Vivek
    Colon-Otero, Gerardo
    Chanan-Khan, Asher
    CANCER, 2018, 124 (08) : 1710 - 1721
  • [39] Socioeconomic and Racial Disparities of Pediatric Invasive Pneumococcal Disease After the Introduction of the 7-valent Pneumococcal Conjugate Vaccine
    Spicer, Jennifer O.
    Thomas, Stephanie
    Holst, Amy
    Baughman, Wendy
    Farley, Monica M.
    PEDIATRIC INFECTIOUS DISEASE JOURNAL, 2014, 33 (02) : 158 - 164
  • [40] Benign breast disease and risk of thyroid cancer
    Luo, Juhua
    Hendryx, Michael
    Nassir, Rami
    Cheng, Ting-Yuan David
    Lane, Dorothy
    Margolis, Karen L.
    CANCER CAUSES & CONTROL, 2017, 28 (09) : 913 - 920