Racial implications of time to surgery in disparities in thyroid cancer survival - 02/07/24
, Polina Zmijewski a, M. Chandler Mcleod a, Brenessa Lindeman a, Jessica Fazendin a, Herbert Chen a, S. Bhatia bAbstract |
Introduction |
The influence of time to surgery on racial/ethnic disparities in papillary thyroid carcinoma (PTC) survival remains unstudied.
Materials and methods |
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 < 0.001). In multivariable analysis, longer time to surgery (>90 days vs < 30 days) and Black race vs NHW, were associated with worse survival (HR: 1.56, (95%CI, 1.43–1.70), p < 0.001 and HR: 1.21, (1.08–1.36), p = 0.001), 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.
Le texte complet de cet article est disponible en PDF.Highlights |
• | The influence of time to surgery on outcomes are unclear regarding thyroid cancer. |
• | We explored the National Cancer Data Base (NCDB) (2004–2018) for localized PTC. |
• | On multivariable analysis longer time to surgery and Black race predicted lower survival. |
• | In <30 days to surgery group, black patients persistently has worse survival. |
Keywords : Thyroid cancer, Papillary thyroid cancer, Race, Health services research, Racial disparities, Health outcomes disparities
Plan
Vol 234
P. 85-91 - août 2024 Retour au numéro
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