Disparities in nonmelanoma skin cancer in Hispanic/Latino patients based on Mohs micrographic surgery defect size: A multicenter retrospective study

Blumenthal, Laura; Arzeno, Julia; Syder, Nicole; Rabi, Sina; Huang, Margaret Y.; Castellanos, Erick R.; Tran, Patrick; Pickering, Trevor A.; Dantus, Emily J.; In, Gino K; Soriano, Teresa; Hu, Jenny

doi:10.1016/j.jaad.2021.08.052

Cited by 16 publications

(27 citation statements)

References 18 publications

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“…In this cohort study, larger preoperative tumor and postoperative defect sizes were associated with being uninsured or underinsured compared with privately insured. Our results support those of others 15 suggesting that there are differences in tumor diameters for uninsured and underinsured patients compared with patients with private insurance.Further research is…”

Section: Discussionsupporting

confidence: 91%

“…Intuitively, this difference may lead to more complex reconstructions and suboptimal outcomes, particularly in cosmetically sensitive areas; however, we did not find a difference in the number of MMS stages or reconstruction type based on insurance, and we were unable to specifically analyze cosmetically sensitive areas, such as the nose, ear, and eyelid. Another recent study found that patients with Medicaid had 52% larger MMS defect sizes compared with patients with Medicare …”

Section: Discussionmentioning

confidence: 98%

“…Another recent study found that patients with Medicaid had 52% larger MMS defect sizes compared with patients with Medicare. 15…”

Section: Key Pointsmentioning

confidence: 99%

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Association of Tumor Characteristics With Insurance Type Among Patients Undergoing Mohs Micrographic Surgery for Nonmelanoma Skin Cancer

et al. 2022

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ohs micrographic surgery (MMS) is considered a standard of care treatment modality for nonmelanoma skin cancer (NMSC) of the head and neck. However, access to dermatologic care and MMS may be limited by wait times, cost, and the relative shortage of dermatologists in rural areas. 1 Insurance type is associated with increased stage at presentation, differences in treatment, and delays in care for patients with melanoma 2-4 and other noncutaneous cancers, including lung, prostate, breast, and colon cancer. [5][6][7][8][9][10] The objective of this study was to assess whether tumor and treatment characteristics differ based on insurance type among patients undergoing MMS for NMSC because there has been little research investigating this association.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 98%

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Association of Tumor Characteristics With Insurance Type Among Patients Undergoing Mohs Micrographic Surgery for Nonmelanoma Skin Cancer

et al. 2022

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“…A total of 1,528/2,546 (60%) Hispanic patients were male and 1,018/2,546 (40%) were female (Table 2). Gender data for Hispanic patients undergoing MMS for NMSC were not available for one study 13 . Mean age of Hispanic patients ranged from 62.1 to 71 years old 14–16 .…”

Section: Resultsmentioning

confidence: 99%

“…Data for preoperative and postoperative size were reported in three studies 13–15 . Data from two articles demonstrated similar preoperative size and postoperative size, including greatest length and width, between Hispanic and non‐Hispanic white patients 14,15 .…”

Section: Resultsmentioning

confidence: 99%

Characteristics of Hispanic patients with nonmelanoma skin cancer undergoing Mohs micrographic surgery: a review of the literature

Camacho,

Biro,

Stevenson

et al. 2023

Int J Dermatology

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BackgroundNonmelanoma skin cancer (NMSC) is the most common cancer worldwide and is frequently treated with Mohs micrographic surgery (MMS); however, data regarding characteristics of Hispanic patients undergoing MMS for NMSC are limited.ObjectiveTo review the characteristics of Hispanic patients undergoing MMS for NMSC in the United States.MethodsA systematic review of PubMed articles from inception through September 2022 providing data for Hispanic patients undergoing MMS for NMSC was completed.ResultsOverall, six publications met inclusion criteria and provided data for 2,856 Hispanic patients that underwent MMS for 2,955 NMSCs. Results demonstrate 60% of Hispanic patients were male, and the majority of NMSCs were basal cell carcinoma (BCC) (71%), followed by squamous cell carcinoma (SCC) (21%). Additionally, a larger percentage of pigmented BCC was found in the Hispanic population. While there is conflicting data in the literature, Hispanic patients may also have larger MMS defects when controlled for additional variables. Finally, over 64% of NMSCs in Hispanic patients were in high‐risk locations.ConclusionLiterature regarding the characteristics of Hispanic patients undergoing MMS for NMSC demonstrates most patients were male, BCC was the most common tumor subtype, and the majority of NMSCs were in high‐risk locations.

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Clinicopathologic comparison of basal cell carcinoma among a diverse patient population in Los Angeles County

Choi,

Oberg,

Hijazi

et al. 2024

Skin Health and Disease

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IntroductionBasal cell carcinoma (BCC) is the most common malignancy in the United States. The majority of cases are identified in Non‐Hispanic Whites (NHW) and are far less demonstrated in patients of colour (POC). However, the Hispanic population represents a large and growing proportion of the US population, and skin cancer diagnoses in Hispanics are rising. Thus, the goal of this study is to examine clinicopathologic differences between BCC in Hispanics versus NHW.MethodsA retrospective chart review of Hispanic and NHW patients with BCC at Los Angeles County + USC Medical Center from January 2018 to March 2020 was performed. In total, 101 BCC samples from the first 100 patients identified of Hispanic ancestry, as well as 50 BCC samples identified from the first 50 patients identifying as NHW, were included for analysis. Patient characteristics (age, sex, medical history, and ethnicity), as well as tumour characteristics (location, subtype, tumour depth, and perineural invasion), were collected. We used between subjects t‐tests for continuous variables, and chi‐square tests for categorical variables.ResultsIn total, 151 specimens were collected amongst 122 subjects (79 Hispanics and 43 NHW patients). Among NHW, the majority of patients (74.4%) were men, but among the Hispanic population, the majority (68.4%) were female (p < 0.001). Prior history of other skin cancer was more common among NHW (67.4%) than Hispanics (31.6%) (p=<0.001). The Hispanic population had a significantly higher proportion of head and neck tumours (p = 0.0004) but a lower proportion of extremity tumours (p = 0.001) compared to NHW. Pigmented BCC was significantly more common among Hispanic patients (p < 0.01). Finally, within the Hispanic group, there was a significant association between sex and histology (p = 0.004), with Hispanic men demonstrating more aggressive mix histology compared to Hispanic women.DiscussionOur study supports the notion that BCC disparities occur among POC compared to NHW. This includes variations in epidemiologic factors such as sex and past medical history, primary tumour location, and pathologic characteristics. Further research should be conducted to identify additional differences in skin cancer presentation in POC to reduce the gaps in skin cancer knowledge and care.

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Disparities in nonmelanoma skin cancer in Hispanic/Latino patients based on Mohs micrographic surgery defect size: A multicenter retrospective study

Cited by 16 publications

References 18 publications

Association of Tumor Characteristics With Insurance Type Among Patients Undergoing Mohs Micrographic Surgery for Nonmelanoma Skin Cancer

Association of Tumor Characteristics With Insurance Type Among Patients Undergoing Mohs Micrographic Surgery for Nonmelanoma Skin Cancer

Characteristics of Hispanic patients with nonmelanoma skin cancer undergoing Mohs micrographic surgery: a review of the literature

Clinicopathologic comparison of basal cell carcinoma among a diverse patient population in Los Angeles County

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