4.2 Article

Racial/Ethnic Disparities in Use of High-Quality Hospitals Among Thyroid Cancer Patients

期刊

CANCER INVESTIGATION
卷 39, 期 6-7, 页码 482-488

出版社

TAYLOR & FRANCIS INC
DOI: 10.1080/07357907.2021.1938108

关键词

Thyroid cancer; health status disparities; minority health; quality of care; high-volume hospitals

类别

资金

  1. California Department of Public Health [103885]
  2. Centers for Disease Control and Prevention's (CDC) National Program of Cancer Registries [5NU58DP006344]
  3. National Cancer Institute's Surveillance, Epidemiology and End Results Program [HHSN261201800032I, HHSN261201800015I, HHSN261201800009I]

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The study found that black, Hispanic, and Asian/Pacific Islander thyroid cancer patients were less likely to be treated in high-quality hospitals than non-Hispanic White patients, even after adjusting for insurance status and socioeconomic status.
This study examined racial/ethnic differences in the use of high-quality hospitals among thyroid cancer patients. The study included adult patients diagnosed between 2004 and 2015 identified in the California Cancer Registry linked with hospital discharge records. Hospital quality was defined using a composite thyroid cancer-specific hospital quality score. Black (risk ratio [RR] 0.75, 95% CI 0.70-0.80), Hispanic (RR 0.73, 95% CI 0.71-0.75), and Asian/Pacific Islander patients (RR 0.86, 95% CI 0.84-0.89) were less likely to be treated in high-quality hospitals than non-Hispanic White patients. This disparity persisted after adjusting for insurance status and socioeconomic status.

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