Journal article
Impact of Rurality on National Trends in Thyroid Cancer Incidence and Long‐Term Survival
The Journal of rural health, Vol.36(3), pp.326-333
2020
DOI: 10.1111/jrh.12374
PMID: 31099945
Abstract
Purpose
Thyroid cancer incidence is rising, possibly secondary to increased imaging and surveillance. Based on rural access to care disparities, we hypothesized that incidence would be greater in urban compared to rural counties with no significant difference in long‐term survival.
Methods
An observational study was performed on thyroid cancer patients using Surveillance Epidemiology and End Results data (2000‐2012). Age‐adjusted incidence rates, incidence rate ratios, and survival rates were calculated across rural‐urban designations.
Findings
Incidence rates were 11.2, 9.8, and 10.1 per 100,000 for urban, rural‐adjacent, and rural‐nonadjacent counties, respectively. Statistically significantly lower incidence was noted in rural‐adjacent and rural‐nonadjacent compared to urban areas. Five‐year and 10‐year survival was significantly lower in rural‐nonadjacent counties compared to urban counties.
Conclusions
Higher incidence and increased long‐term survival for thyroid cancer were noted in urban areas compared to rural areas. It is uncertain if rural‐urban differences in long‐term survival reflect health care disparities, differences in therapy, or other origins.
Details
- Title: Subtitle
- Impact of Rurality on National Trends in Thyroid Cancer Incidence and Long‐Term Survival
- Creators
- Alexandria D McDow - Indiana University School of MedicineWhitney E Zahnd - University of South CarolinaPeter Angelos - University of Chicago Pritzker School of MedicineJohn D Mellinger - Southern Illinois University School of MedicineSabha Ganai - Southern Illinois University School of Medicine
- Resource Type
- Journal article
- Publication Details
- The Journal of rural health, Vol.36(3), pp.326-333
- DOI
- 10.1111/jrh.12374
- PMID
- 31099945
- ISSN
- 0890-765X
- eISSN
- 1748-0361
- Number of pages
- 8
- Language
- English
- Date published
- 2020
- Academic Unit
- Health Management and Policy
- Record Identifier
- 9984214708202771
Metrics
12 Record Views