Highlights
- •Socioeconomic factors predispose certain populations to undergo surgery for goiter.
- •Surgery for simple goiter is more likely in the elderly, Blacks, men, and uninsured.
- •Surgery for thyroid cancer is more likely in Whites and in the Northeast.
Abstract
Introduction
We identified disparities and at-risk populations among patients with goiters undergoing
thyroidectomy.
Materials and methods
The National Inpatient Sample (NIS) database was queried for patients with goiter
who underwent thyroidectomy between 2009 and 2013. Multivariable logistic regression
was used to determine factors associated with goiters undergoing thyroidectomy.
Results
The study consisted of 103,678 patients with thyroidectomy and a goiter diagnosis,
which included: simple goiter (n = 7,692, 7.42%), nodular goiter (n = 73,524, 70.92%),
thyrotoxicosis (n = 14,043, 13.54%), thyroiditis (n = 1,248, 1.20%), and thyroid cancer
(n = 7,169, 6.92%). Factors associated with operation for simple goiter included age
>65 years (AOR 1.43 [1.15–1.79]), black race (AOR 1.35 [1.14–1.58]), and being uninsured
(AOR 2.13 [1.52–2.98]). Patients with cancerous goiters undergoing thyroidectomy were
less likely to be Black (AOR 0.38 [0.31–0.48]) or uninsured (AOR 0.25 [0.07–0.89]).
Discussion
Understanding disparities within populations undergoing thyroidectomy for goiter may
allow for targeted efforts to more effectively treat goiters nationwide.
Keywords
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Article info
Publication history
Published online: January 08, 2020
Accepted:
January 5,
2020
Received in revised form:
December 26,
2019
Received:
July 23,
2019
Footnotes
☆Abstract presented at the 13th Annual Academic Surgical Congress in Jacksonville, FL, January 30 - February 1, 2018.
Identification
Copyright
© 2020 Published by Elsevier Inc.
