The Effects of Race and Ethnicity on Thyroid Cancer Incidence

Magreni, Angelina; Bann, Darrin V.; Schubart, Jane R.; Goldenberg, David

doi:10.1001/jamaoto.2014.3740

Cited by 57 publications

(56 citation statements)

References 27 publications

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“…In Sweden, immigrants from the middle east, Asia, and South America have an increased incidence of well‐differentiated thyroid cancer, and in New Zealand, women from Pacific regions have a higher incidence in comparison with women of European descent . However, other authors did not find differences associated with race in the US population . As some ethnic populations have a higher incidence of well‐differentiated thyroid cancer, the specific geographic locations of these populations in some countries and states could also be associated with an increase in incidence.…”

Section: Introductionmentioning

confidence: 96%

Growing incidence of thyroid carcinoma in recent years: Factors underlying overdiagnosis

et al. 2017

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There is an increasing incidence of well-differentiated thyroid cancer worldwide. Much of the increase is secondary to increased detection of small, low-risk tumors, with questionable clinical significance. This review addresses the factors that contribute to the increasing incidence and considers environmental, and patient-based and clinician-led influences. Articles addressing the causes of the increased incidence were critically reviewed. A complex interplay of environmental, medical, and social pressures has resulted in increased awareness of the thyroid disease risk, increased screening of thyroid cancers, and increased diagnosis of thyroid cancers. Although there is evidence to suggest that the true disease incidence may be changing slightly, most of the increase is related to factors that promote early diagnosis of low-risk lesions, which is resulting in a significant phenomenon of overdiagnosis. An improved understanding of these pressures at a global level will enable healthcare policymakers to react appropriately to this challenge in the future.

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Section: Introductionmentioning

confidence: 96%

Growing incidence of thyroid carcinoma in recent years: Factors underlying overdiagnosis

et al. 2017

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“…Thyroid cancer incidence varies by race/ethnicity . According to the National Cancer Institute's Surveillance, Epidemiology, and End Results 18 Program database (SEER 18), from 2000‐2014, whites had the highest estimated thyroid cancer incidence rate, followed by Hispanics, Asians, Native Americans, and African Americans .…”

Section: Introductionmentioning

confidence: 99%

“…According to the National Cancer Institute's Surveillance, Epidemiology, and End Results 18 Program database (SEER 18), from 2000‐2014, whites had the highest estimated thyroid cancer incidence rate, followed by Hispanics, Asians, Native Americans, and African Americans . In contrast, many other cancers (eg, colorectal, gastric, head and neck, lung, and prostate) have racial/ethnic disparities that show the highest incidence rates in African Americans . Descriptive reports have suggested that these racial/ethnic differences could have arisen from dissimilar access to US‐guided FNA and CT, a manifestation of variances in socio‐economic status and insurance coverage .…”

Section: Introductionmentioning

confidence: 99%

Racial/ethnic differences in thyroid cancer incidence in the United States, 2007‐2014

Weeks

Kahl

Lynch

et al. 2018

Cancer

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The diagnosis of small tumors is occurring at greater rates in whites (vs non-whites) and insured (vs Medicaid and uninsured) patients; consequently, these groups may be vulnerable to unnecessary tests and treatments or potentially aided by early detection. Guidelines that define postdetection interventions may be needed to limit the overtreatment of indolent and small papillary carcinomas. Cancer 2018;124:1483-91. © 2018 American Cancer Society.

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“…When stratifying by ethnicity, thyroid cancer incidence is slightly higher in non‐Hispanic men and women than in Hispanic men and women. In a study of the SEER database population from 1992‐2010, Magreni et al looked at the average annual percentage change for thyroid cancer in all races and ethnicities and stratified the population by race and ethnicity . Their results demonstrated that whites experienced the largest increase in age‐adjusted thyroid cancer incidence during the study period (5.6% per year), followed by blacks (4.8% per year), American Indian/Alaskan natives (3.2% per year), and Asians/Pacific Islanders (2.3% per year).…”

Section: Discussionmentioning

confidence: 99%

Significant racial differences in the incidence and behavior of the follicular variant of papillary thyroid carcinoma

Mehta

Kim³

et al. 2019

Head & Neck

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Background Increased detection of papillary thyroid cancer (PTC) has led to overtreatment of the largely indolent follicular variant (fvPTC). To guide management of non‐aggressive lesions, we investigated whether race predicts PTC variant and tumor behavior. Methods Analysis of 258 973 patients from the National Cancer Database diagnosed with PTC in 2004‐2014. Clinical and tumor information was compared by race. Multivariate logistic regression was used to predict fvPTC, extrathyroidal extension (ETE), and lymph node metastasis (LNM) of fvPTC. Results Blacks had the highest fvPTC rate (40% vs white 30%, Hispanic 26%, Asian 25%, P < .001). Blacks had higher odds of fvPTC (aOR = 1.33, 95% CI: 1.28‐1.37) and lower odds of ETE than whites (aOR = 0.90, 95% CI: 0.82‐0.99) (P < .001). Hispanics and Asians had lower odds of fvPTC (aOR = 0.89, 95% CI: 0.86‐0.92 and aOR = 0.81, 95% CI: 0.79‐0.84) and higher odds of LNM and ETE than whites (P < .001). Conclusions Racial disparities in fvPTC incidence and behavior should be considered to optimize diagnosis and treatment planning.

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The Effects of Race and Ethnicity on Thyroid Cancer Incidence

Cited by 57 publications

References 27 publications

Growing incidence of thyroid carcinoma in recent years: Factors underlying overdiagnosis

Growing incidence of thyroid carcinoma in recent years: Factors underlying overdiagnosis

Racial/ethnic differences in thyroid cancer incidence in the United States, 2007‐2014

Significant racial differences in the incidence and behavior of the follicular variant of papillary thyroid carcinoma

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