Racial implications of time to surgery in disparities in thyroid cancer survival.
Am J Surg
; 234: 85-91, 2024 Aug.
Article
in En
| MEDLINE
| ID: mdl-38519403
ABSTRACT
INTRODUCTION:
The influence of time to surgery on racial/ethnic disparities in papillary thyroid carcinoma (PTC) survival remains unstudied. MATERIALS ANDMETHODS:
The National Cancer Database (2004-2017) was queried for patients with localized PTC. Survival data was compared by time to surgery, patient demographics, and multivariable Cox regression was performed.RESULTS:
Of 126,708 patients included, 5% were Black, 10% Hispanic. Of all patients, 85% had no comorbidities. Non-Hispanic White (NHW) patients had a shorter median time to surgery than Black and Hispanic patients (36 vs. 43 vs. 42 days, respectively p â< â0.001). In multivariable analysis, longer time to surgery (>90 days vs â< â30 days) and Black race vs NHW, were associated with worse survival (HR 1.56, (95%CI, 1.43-1.70), p â< â0.001 and HR 1.21, (1.08-1.36), p â= â0.001), respectively.CONCLUSION:
Delaying surgery for thyroid cancer is associated with worse survival. However, independent of time to surgery and other confounders, there remains a disparity as black patients have poorer outcomes.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Thyroid Neoplasms
/
Healthcare Disparities
/
Time-to-Treatment
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Thyroid Cancer, Papillary
Limits:
Adult
/
Aged
/
Female
/
Humans
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Male
/
Middle aged
Country/Region as subject:
America do norte
Language:
En
Journal:
Am J Surg
Year:
2024
Document type:
Article