Journal article
Racial disparities in comorbid conditions among patients undergoing thyroidectomy for Graves' disease: An ACS-NSQIP analysis
The American journal of surgery, Vol.221(1), pp.106-110
01/01/2021
DOI: 10.1016/j.amjsurg.2020.05.023
PMID: 32553518
Abstract
Background: Studies indicate that racial disparities exist in the presentation and outcomes of patients undergoing thyroidectomy for cancer and benign disease. We examined the relationship between race, pre-operative characteristics and outcomes in patients undergoing thyroidectomy for GD.
Methods: Patients were identified from the 2013-2016 American College of Surgeons NSQIP database using ICD-9/10 codes consistent with diffuse toxic goiter.
Results: AA patients were more likely to have an ASA classification of >= 3 (41% vs 30%, p < 0.001), a higher rate of CHF (2.1% vs 0.5%, p = 0.01), hypertension (46% vs 32%, p < 0.001) and dyspnea (10% vs 5%, p < 0.001) compared to Non-Hispanic Caucasians (NH-C) patients. Complications were higher in patients with ASA >= 3 and CHF but not affected by race.
Conclusions: Analysis of a national database of thyroidectomy for GD revealed a higher burden of preoperative comorbidities in AA patients compared to other races, although race was not an independent predictor of outcomes. (C) 2020 Elsevier Inc. All rights reserved.
Details
- Title: Subtitle
- Racial disparities in comorbid conditions among patients undergoing thyroidectomy for Graves' disease: An ACS-NSQIP analysis
- Creators
- Anna C. Beck - Roy J. and Lucille A. Carver College of MedicineSonia L. Sugg - Roy J. and Lucille A. Carver College of MedicineRonald J. Weigel - Roy J. and Lucille A. Carver College of MedicineMary Belding-Schmitt - Roy J. and Lucille A. Carver College of MedicineJames R. Howe - Roy J. and Lucille A. Carver College of MedicineGeeta Lal - Roy J. and Lucille A. Carver College of Medicine
- Resource Type
- Journal article
- Publication Details
- The American journal of surgery, Vol.221(1), pp.106-110
- DOI
- 10.1016/j.amjsurg.2020.05.023
- PMID
- 32553518
- NLM abbreviation
- Am J Surg
- ISSN
- 0002-9610
- eISSN
- 1879-1883
- Publisher
- Elsevier
- Number of pages
- 5
- Grant note
- T32CA148062 / National Institutes of Health; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA
- Language
- English
- Date published
- 01/01/2021
- Academic Unit
- Molecular Physiology and Biophysics; Anatomy and Cell Biology; Stead Family Department of Pediatrics; Surgery; Biochemistry and Molecular Biology
- Record Identifier
- 9984284333702771
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