Disparities Research in Thyroid Cancer: Challenges and Strategies for Improvement

Chen, Debbie; Haymart, Megan R.

doi:10.1089/thy.2020.0166

Cited by 30 publications

(16 citation statements)

References 30 publications

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“…Women account for more than 75% of thyroid cancer cases. It is most frequently found in adults between the ages of 20 and 55 years (4)(5)(6). The frequency of this malignancy is believed to be between 1.2 and 2.4 per 100 000 individuals in Iran, and it is three times more common in women than in men (7).…”

Section: Introductionmentioning

confidence: 99%

Survival rates and prognostic factors of thyroid cancer: A retrospective cohort study

2022

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Introduction: The most prevalent endocrine malignancy is thyroid carcinoma. Thyroid cancer is much more common than it was previously. The prognosis of people with this condition can be impacted by a number of factors. Objectives: The purpose of this study was to assess the prognosis and survival rates of thyroid cancer patients in western Iran. Patients and Methods: This retrospective cohort study was performed on all patients (n = 312) with diagnosing thyroid cancer based on pathology results between 2011 and 2021. Demographic and clinical information and disease staging of patients based on TNM (tumor, node, and metastasis) system were extracted from patients’ medical records. Kaplan-Meier method, log-rank test, and Cox regression were used for the analysis of the data. The obtained data were analyzed in SPSS version 22. Results: Our findings showed that the mean survival time for all participants in the study was 39.9 months. Additional analysis revealed that the mean survival time is significantly lower in people who residence in urban areas. Furthermore, men, people aged 50-80 years old, and those who were in the TNM stage I had the highest mean survival time. Based on the univariate analysis age, TNM stage are associated with risk of death in patient with thyroid cancer. Conclusion: Death from thyroid cancer is correlated with patients’ age, gender, and disease stage. Age is important risk of death. Additionally, overall survival of the patients decreases with increasing time.

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Section: Introductionmentioning

confidence: 99%

Survival rates and prognostic factors of thyroid cancer: A retrospective cohort study

2022

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“…The recent advances in medical technology have led to the introduction of new devices that may potentially improve thyroid surgery outcomes patient safety. 15,16 Despite research conducted evaluating these devices compared with the conventional technique in thyroid surgery, there is still no consensus. The main reason for this is the conflicting results of the earlier research conducted in the same area.…”

Section: Discussionmentioning

confidence: 99%

Is an Energy-Based Vessel Sealing Device more Effective Than the Conventional Clamping and Knot Tying Technique in Thyroid Surgery? A Quasi-Experimental Study

Malik

Ibrahim²,

Morgan³

et al. 2022

PAFMJ

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Objective: To evaluate the effectiveness of the energy-based vessel-sealing device versus the conventional clamping and knot tying technique in thyroid surgery by comparing postoperative complications, operative time and hospital stay. Study Design: Quasi-experimental study. Place and Duration of Study: Pak Emirates Military Hospital Rawalpindi, Royal Free Hospital London and South mead Hospital Bristol between Jan 2016 to Jan 2020. Methodology: A total of 100 patients that underwent total thyroidectomy were included in the study. Half of these patients having thyroid surgery with energy-based vessel sealing devices were allotted into group-1. While, the other half with conventional clamping and knot tying technique were included in group-2. The demographical characteristics and surgical outcomes of both the groups were compared using statistical analysis. Results: There were 93 females and 7 male patients. The mean age was 44.6 ± 17.33 years. The mean duration of surgery was significantly shorter in group-1 than group-2 (p-value = 0.001). There was no statistical difference in clinical hypo calcemia, recurrent laryngeal nerve injury, and hospital stay. However, more patients 27 (54%) in group-1 had laboratory hypo calcemia, compared to 19 (38%) group-2, (p-value = 0.02). Conclusion: Thyroid surgery by an energy-based vessel-sealing device is an effective technique as it reduces the operative time; however, higher laboratory hypo calcemia levels were observed.

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“…Health disparities are present in thyroid conditions because of multiple systemic and patient factors [25]. The social and demographic traits of individuals, groups, and their communities have a great influence on the overall health of populations [26].…”

Section: Introductionmentioning

confidence: 99%

“…Previous studies have shown that Black and Hispanic patients have lower diagnoses of thyroid disorders, higher complication and mortality rates, and increased hospital costs compared to white patients [28,31,32]. Racial and ethnic minorities are also more likely to be diagnosed with more advanced diseases, due to delayed presentation to a physician, and receive suboptimal treatment compared to non-Hispanic White patients [25].…”

Section: Introductionmentioning

confidence: 99%

Economic and Cardiometabolic Risk Factors Are Predictors of Lower Thyroid Stimulating Hormone (TSH) Levels in Hispanic/Latinx Adults with Euthyroidism—A Community-Based Study

Martínez

Gutierrez

Delgado‐Enciso

et al. 2022

IJERPH

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Thyroid hormone abnormalities are among the most common endocrine disorders comorbidly suffered alongside metabolic syndrome and type 2 diabetes mellitus (T2DM), and within the euthyroid range they may also impact other outcomes, such as mood disorders. This study aimed to observationally examine the relationship between TSH and social determinants of health and clinical measures in a euthyroid Hispanic/Latinx patient sample with a diagnosis of anxiety and/or depression disorders from a community health clinic. A needs assessment was completed using a random sample of 100 de-identified medical records of individuals who received free medical care, including mental health, at a community-based clinic. Those with low normal TSH (<2 mIU/L) compared with high normal TSH (≥2 mIU/L) had a greater odds of food insecurity (p = 0.016) and being at 100% of the federal poverty level (p = 0.015). The low normal TSH group had significantly higher fasting glucose (p = 0.046), hemoglobin A1c (p = 0.018), and total cholesterol (p = 0.034) compared with the high normal TSH group. In those with T2DM, individuals with low normal TSH had six-times greater odds of having high fasting glucose (p = 0.022) and high hemoglobin A1c (p = 0.029). These relationships warrant further study, to inform future public health policies and follow-up care for underserved and vulnerable communities.

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Disparities Research in Thyroid Cancer: Challenges and Strategies for Improvement

Cited by 30 publications

References 30 publications

Survival rates and prognostic factors of thyroid cancer: A retrospective cohort study

Survival rates and prognostic factors of thyroid cancer: A retrospective cohort study

Is an Energy-Based Vessel Sealing Device more Effective Than the Conventional Clamping and Knot Tying Technique in Thyroid Surgery? A Quasi-Experimental Study

Economic and Cardiometabolic Risk Factors Are Predictors of Lower Thyroid Stimulating Hormone (TSH) Levels in Hispanic/Latinx Adults with Euthyroidism—A Community-Based Study

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