Racial disparities in surgical outcomes for benign thyroid disease

Maduka, Richard C.; Gibson, Courtney; Chiu, Alexander S.; Jean, Raymond; Wills-Johnson, Noel; Azar, Sara Abou; Oliveira, Kristin; Ahuja, Vanita

doi:10.1016/j.amjsurg.2020.06.054

Cited by 15 publications

(14 citation statements)

References 31 publications

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“…There have been several studies on the subject in the area of thyroid disease ( Table 1). The data of Maduka et al (6) are consistent with prior studies that included thyroidectomy for malignant disease, showing that Black patients have worse outcomes (4,5,15). As discussed by Maduka et al, the causes of the observed disparities are numerous (6), including disease severity at presentation, access to care, health literacy, surgeon experience and volume of cases, and patient mistrust of the health care system.…”

Section: Commentarysupporting

confidence: 79%

“…The lack of data on these social determinants of health in the NSQIP database is a limitation of the study by Maduka et al (6). Another limitation is the lack of information on referral patterns, which, as stated above in the case of surgical experience, are likely to influence outcomes.…”

Section: Disease Carementioning

confidence: 99%

“…Our health care delivery systems need to be integrated with social care so that the adverse effects of social risk factors, including discrimination and lack of access to stable housing, nutritious food, reliable transportation, and education, can be mitigated (21). Hopefully, studies like the one by Maduka et al (6) will force us to confront and challenge the status quo.…”

Section: Disease Carementioning

confidence: 99%

“…Disparities in the care of patients with thyroid disease have also been reported, including increased risks of surgical complications in minorities with malignant thyroid disease (4,5). In the current study, Maduka et al sought to examine the issue of racial inequity in patients with benign thyroid disease (6). Given the frequent use of surgery to manage benign thyroid conditions, including multinodular goiter, benign nontoxic or toxic adenoma, and Graves' disease, this is an important concern.…”

mentioning

confidence: 99%

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Racial Disparities in Thyroid Disease Care

Gavigan

Cooper

2020

Clinical Thyroidology

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Background Recent protests over police brutality as well as the COVID-19 pandemic have brought to light the systemic racism that pervades all sectors of our society, including the practice of medicine (1,2). Not unexpectedly, racial inequity is found in many areas of endocrinology (3), most notably in diabetes. A PubMed search, completed on October 2, 2020, of "racial disparities in diabetes" found over 1000 papers on this subject published since 2015.

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Section: Commentarysupporting

confidence: 79%

Section: Disease Carementioning

confidence: 99%

Section: Disease Carementioning

confidence: 99%

mentioning

confidence: 99%

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Racial Disparities in Thyroid Disease Care

Gavigan

Cooper

2020

Clinical Thyroidology

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“…In clinical practice when finding patients with benign thyroid lesions, it is necessary to do regular observation and monitoring through targeted follow-up in order to reduce morbidity and mortality due to disease and reduce the incidence of thyroid carcinoma from benign lesions due to cellular differentiation. [1,2] The incidence of benign thyroid lesions in the world reported 44,670 new cases with a death rate of up to 1,690 people, data compiled from the World Health Organization. Data in Asia shows that 50% of the population has thyroid lesions, either tumor or goiter type.…”

Section: Introductionmentioning

confidence: 99%

Unilateral Benign Thyroid Lesion Management with Histopathology Results Following Surgery Was a Malignancy

Fadhlia¹,

Susana²

2021

Advances in Health Sciences Research

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Benign thyroid lesions are cellular differentiation into enormous sizes that can be seen from the outside without interfering with thyroid hormone. The FNAB and USG were used to diagnose thyroid lesions. Unilateral benign lesions may be treated with lobectomy or ithsmus lobectomy. Case report: A 40-year-old female patient presented with a lump in front of her neck that was enlarging to the left since seven years ago. Physical examination showed a firm lump in the front of the neck enlarging to the left. Multiple isohyphoechoic lesions with internal calcification and inhomogeneous nodules on the isthmus were seen on left thyroid ultrasound. A CT scan revealed left thyroid enlargement with several solid masses, one of which was cystic, and calcification. Impression of a benign lesion from FNAB. Ithsmus lobectomy was performed on the left lobe. Thyroid papillary adenocarcinoma was discovered as histopathology result. Methods: Evidence search was carried out through medline, pubmed and manual searches. Result: Ithsmus lobectomy is a safe and effective treatment for benign thyroid lesions. Conclusion: A case with an initial diagnosis of benign thyroid lesions who underwent a left isthmus lobectomy and postoperative histopathological findings of papillary adenocarcinoma will be evaluated for re-assessment for thyroid malignancies.

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The Reporting of Race and Ethnicity in Surgery Literature

et al. 2021

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nequities affecting underserved racial and ethnic groups continue to be identified across the spectrum of medical research. [1][2][3][4] From the disproportionate number of Black and Hispanic persons who have been hospitalized or died because of COVID-19 in 2020 [5][6][7][8] to discrimination against Asian American persons 9 and the comparatively poor perioperative outcomes even among low-risk racial and ethnic minority patients, 10,11 attentiveness to race and ethnicity has illuminated inequities and disparities throughout our health care systems. Recognition of health disparities through research has led to recent significant victories, such as the Henrietta Lacks Enhancing Cancer Research Act of 2019, 12 which became public law in January 2021, requiring officials to examine barriers to government-funded clinical trials for traditionally underrepresented groups. Unfortunately, race and ethnicity continue to be infrequently reported in the medical literature to describe study participants, and when race is described, the quality of the reporting is variable. [1][2][3][4][13][14][15][16] In 1978 (updated in 2019), the International Committee of Medical Journal Editors (ICMJE) developed recommendations for uniformity in manuscript submissions and promoting increased frequency and quality reporting of race. Current recommendations are that "[a]uthors should define how they determined race or ethnicity and justify their relevance," 17 and that a study "should aim for inclusion of representative populations into all study types and at a minimum provide descriptive data for these and other relevant demographic variables." [17][18][19] Despite these recommendations, studies examining the reporting of race continue to show infrequent use of race to desc ribe study partic ipants in sc ientific publications. [13][14][15][16] A 2020 article by Moore 14 revealed that in the ophthalmology literature, most articles (88%) reported baseline demographic information on study participants; however, only 43% of articles included data on race and ethnicity, and an even smaller fraction described how the information was determined. IMPORTANCEThe reporting of race provides transparency to the representativeness of data and helps inform health care disparities. The International Committee of Medical Journal Editors (ICMJE) developed recommendations to promote quality reporting of race; however, the frequency of reporting continues to be low among most medical journals.OBJECTIVE To assess the frequency as well as quality of race reporting among publications from high-ranking broad-focused surgical research journals. DESIGN, SETTING, AND PARTICIPANTSA literature review and bibliometric analysis was performed examining all human-based primary research articles

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Racial disparities in surgical outcomes for benign thyroid disease

Cited by 15 publications

References 31 publications

Racial Disparities in Thyroid Disease Care

Racial Disparities in Thyroid Disease Care

Unilateral Benign Thyroid Lesion Management with Histopathology Results Following Surgery Was a Malignancy

The Reporting of Race and Ethnicity in Surgery Literature

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