ArticleThe Journal of clinical endocrinology and metabolism2014
Racial and socioeconomic disparities in presentation and outcomes of well-differentiated thyroid cancer.
Article in The Journal of clinical endocrinology and metabolism, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers.
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Who cites it
61 citing papers in PubMed.
- The Diagnostic Performance of Afirma Genomic Sequencing Classifier in Black and Hispanic Patients With Indeterminate Thyroid Nodules.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2026Article
- Disparities in Active Surveillance of Papillary Thyroid Microcarcinomas.Annals of surgical oncology · 2026Article
- Effect of social determinants of health care on outcomes for well-differentiated thyroid cancer at an urban safety-net hospital.Thyroid research · 2026Article
- Examining Recruitment and Retention Strategies for Underserved Populations in Thyroid Cancer Clinical Trials: A Cross-Sectional Analysis.Laryngoscope investigative otolaryngology · 2026Article
- Medicaid expansion and thyroid cancer stage at presentation: A comparative study of two US states.American journal of surgery · 2025Article
- Marital status, race/ethnicity, and outcomes in well-differentiated thyroid cancer in the elderly.Gland surgery · 2025Article
- Neighborhood deprivation and iodine levels influence air pollution effects on maternal thyroid function in early pregnancy.Environmental research · 2025Article
- A Cuproptosis-Related gene Signature as a Prognostic Biomarker in Thyroid Cancer Based on Transcriptomics.Biochemical genetics · 2025Article
- Disparities in Thyroid Cancer Mortality Across Racial and Ethnic Groups: Assessing the Impact of Socioeconomic, Clinicopathologic, and Treatment Variations.Annals of surgical oncology · 2025Article
- Racial-Ethnic Comparison of Treatment for Papillary Thyroid Cancer in the Military Health System.Annals of surgical oncology · 2024Article
- Sex differences and racial/ethnic disparities in the presentation and treatment of medullary thyroid cancer.American journal of surgery · 2024Article
- Racial implications of time to surgery in disparities in thyroid cancer survival.American journal of surgery · 2024Article
- Correlation between socioeconomic indices and epidemiological indices of thyroid cancer from 1990 to 2019 year: a global ecologic study.BMC cancer · 2024Article
- Racial and Ethnic Disparities in the Diagnosis and Treatment of Thyroid Disease.The Journal of clinical endocrinology and metabolism · 2024Review
- Characterization of Thyroid Cancer among Hispanics in California, USA, from 2010 to 2020.Cancers · 2024Article
- Socioeconomic status and delayed surgery: impact on non-metastatic papillary thyroid carcinoma outcomes.Frontiers in public health · 2024Article
- Socioeconomic disparities and regional environment are associated with cervical lymph node metastases in children and adolescents with differentiated thyroid cancer: developing a web-based predictive model.Frontiers in endocrinology · 2024Article
- Disparities in Presentation, Treatment, and Survival in Anaplastic Thyroid Cancer.Annals of surgical oncology · 2023Article
- ASO Author Reflections: Applying the Lens of Equity to Anaplastic Thyroid Cancer Care.Annals of surgical oncology · 2023Article
- Insurance-Based Disparities in Guideline-Concordant Thyroid Cancer Care in the Era of De-escalation.The Journal of surgical research · 2023Article
1 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
contextRacial/ethnic minorities suffer disproportionate morbidity and mortality from chronic diseases.
objectiveOur objective was to assess racial and socioeconomic status (SES) disparities in well-differentiated thyroid cancer (WDTC) patients. DESIGN AND
participantsWe conducted a retrospective cohort study on 25 945 patients with WDTC (1999-2008) from the California Cancer Registry (57% white, 4% black, 24% Hispanic, and 15% Asian-Pacific Islander [API]). MAIN OUTCOMES: We evaluated effect of race and SES variables on stage of cancer presentation and overall/disease-specific survival.
resultsSignificant differences in stage of presentation between all racial groups were found (P<.001), with minority groups presenting with a higher percentage of metastatic disease as compared with white patients (black, odds ratio [OR]=1.36 with confidence interval [CI] 1.01-1.84; Hispanic, OR=1.89 [CI, 1.62-2.21], API, OR=1.82 [CI, 1.54-2.15]). Hispanic (OR=1.59, [CI, 1.48-1.72]) and API (OR=1.32 [1.22-1.44]) patients also presented with higher odds of regional disease. Patients with the lowest SES presented with metastatic disease more often than those with the highest SES (OR=1.45 [CI, 1.16-1.82]). Those that were poor/uninsured and/or with Medicaid insurance had higher odds of presenting with metastatic disease as compared with those with private insurance (OR=2.41, [CI, 2.10-2.77]). Unadjusted overall survival rates were higher among API and Hispanic patients and lower among black patients (P<.001 vs white patients). Adjusted overall survival also showed a survival disadvantage for black patients (hazard ratio=1.4, [CI, 1.10-1.73]) and survival advantage for API patients (hazard ratio=0.83, [CI, 0.71-0.97]). In disease-specific survival analyses, when only those patients with metastatic disease were analyzed separately, black patients again had the lowest survival rates, and Hispanic/API patients had the highest survival rates (P<.04).
conclusionBlack patients and those with low SES have worse outcomes for thyroid cancer. API and Hispanic patients may have a protective effect on survival despite presenting with more advanced disease.
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