Socioeconomic disparities in a population of patients undergoing total thyroidectomy for benign disease

Wu, Tara J; Ha, Patrick K.; El‐Sayed, Ivan H.; George, Julia D.; Heaton, Chase M.; Ryan, William R.; Russell, Marika D.

doi:10.1002/hed.25421

Cited by 3 publications

(3 citation statements)

References 37 publications

(85 reference statements)

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“…Individuals with underinsured or uninsured status tend to bear a greater burden of benign thyroid diseases during thyroidectomy, as evidenced by larger pathologic thyroid volumes. 38 In our study, the most common presentation of thyroid cancer was thyromegaly. In the malignant group, mass lesions were found to be the predominant clinical manifestation; however, the development of this symptom was not significantly associated with the incidence of thyroid cancer.…”

Section: Resultsmentioning

confidence: 52%

“…Although we did not examine the socioeconomic status of the patients in our study, previous research has emphasized the persistent challenges of socioeconomic disparities in healthcare access and health beliefs. Individuals with underinsured or uninsured status tend to bear a greater burden of benign thyroid diseases during thyroidectomy, as evidenced by larger pathologic thyroid volumes 38 …”

Section: Discussionmentioning

confidence: 99%

“…Individuals with underinsured or uninsured status tend to bear a greater burden of benign thyroid diseases during thyroidectomy, as evidenced by larger pathologic thyroid volumes. 38 …”

Section: Discussionmentioning

confidence: 99%

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Demographic, clinical, and surgical features of patients undergoing thyroidectomy due to thyroid lesions in Southern Iran: A cross‐sectional study

Mardani,

Koulaian,

Fouladi

et al. 2024

Health Science Reports

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Background and AimsThe incidence of thyroid cancer has witnessed a significant global increase and stands as one of the most prevalent cancers in Iran. This surge is primarily attributed to the escalating incidence of papillary thyroid cancer (PTC), with overdiagnosis emerging as an equally noteworthy factor. Consequently, this study aims to ascertain the incidence of thyroid cancer, along with its clinical presentation, demographic characteristics, and surgical features in patients undergoing thyroid surgery.MethodsThis cross‐sectional study involved the evaluation of patient files from referral centers in Shiraz spanning the years 2015−2020. Demographic and clinical information pertaining to thyroid cancer was extracted and subsequently analyzed using SPSS software.ResultsA total of 533 documented cases of thyroid cancer undergoing surgery revealed an annual rate of 89 cases in our location. The average age of the patients was 43.9 ± 13.4 years (ranging from 13 to 92), with females constituting 429 (83.5%) of the cases, and 278 (54.1%) being malignant. Conventional PTC emerged as the most prevalent pathology, accounting for 239 (45.0%) of the cases. Patients with thyromegaly exhibited significantly higher incidences of nonmalignant tumors (p = 0.01), while those with malignant tumors were notably younger than those with nonmalignant tumors (p = 0.001).ConclusionOur study revealed a progressive rise in the number of patients undergoing thyroidectomy over the years, with PTC constituting the majority of cases. Malignant cases were more frequently observed in younger patients, and in smaller lesion sizes, highlighting the importance of early screening and optimizing detection methods, especially in high‐risk populations.

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Section: Resultsmentioning

confidence: 52%

Section: Discussionmentioning

confidence: 99%

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Demographic, clinical, and surgical features of patients undergoing thyroidectomy due to thyroid lesions in Southern Iran: A cross‐sectional study

Mardani,

Koulaian,

Fouladi

et al. 2024

Health Science Reports

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Racial disparities in surgical outcomes for benign thyroid disease

Maduka

Gibson

Chiu

et al. 2020

The American Journal of Surgery

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Benign Thyroid Enlargement Across Racial and Ethnic Groups

Young

Lin

et al. 2022

J Endocr Surg

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The objective of this study is to determine if there is a signi cant correlation between race/ethnicity and total thyroid volume among patients with benign thyroid disease. Our hypothesis is that patients of racial and ethnic minorities may present with enlarged, non-cancerous thyroids more frequently than white patients. MethodsThis is a retrospective cohort study of 457 patients (N = 457) diagnosed with benign thyroid disease between 2008 and 2020 at Monte ore Medical Center. Data were taken from an existing database and the electronic health record. The primary outcome was total thyroid volume (cm 3 /mL) calculated from ultrasound measurements. The secondary outcome was the maximum dimension (cm) of the largest thyroid nodule. ResultsBlack patients had a mean thyroid volume (± SD) of 142.7 (± 131.1) and a mean maximum nodule dimension of 4.3 (± 1.9). White patients had a mean thyroid volume of 74.7 (± 128.0) and a mean maximum nodule size of 3.0 (± 1.5). Race was signi cantly correlated with total thyroid volume (p = .0007). Black race speci cally was signi cantly correlated with total thyroid volume (p = .0008, 95% CI [.209, .794]) and maximum nodule dimension (p = .05, 95% CI [.006, 1.278]). ConclusionBlack patients had signi cantly larger total thyroid volumes and nodules compared to white patients.Thyroid volume was not associated with measures of socioeconomic status such as insurance type or estimated income. Although these ndings illustrate an important relationship between race and thyroid volume, further research is required to determine the etiology of this discrepancy.

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Socioeconomic disparities in a population of patients undergoing total thyroidectomy for benign disease

Cited by 3 publications

References 37 publications

Demographic, clinical, and surgical features of patients undergoing thyroidectomy due to thyroid lesions in Southern Iran: A cross‐sectional study

Demographic, clinical, and surgical features of patients undergoing thyroidectomy due to thyroid lesions in Southern Iran: A cross‐sectional study

Racial disparities in surgical outcomes for benign thyroid disease

Benign Thyroid Enlargement Across Racial and Ethnic Groups

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