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Characterization of Thyroid Cancer among Hispanics in California, USA, from 2010 to 2020

Previous studies on Hispanic thyroid cancer cases show sex disparities and an increased prevalence of large tumor sizes and nodal involvement. Here, we characterized Hispanic thyroid cancer cases in California. We identified thyroid cancer cases from 2010 to 2020 using the California Cancer Registry...

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Published in:Cancers 2024-03, Vol.16 (6), p.1101
Main Authors: Hsu, Robert C, Tsai, Kai-Ya, Benjamin, David J, Chennapan, Krithika, Wojcik, Katherine Y, Lee, Alice W, Thomas, Jacob S, Nieva, Jorge J, Liu, Lihua
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container_title Cancers
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creator Hsu, Robert C
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Benjamin, David J
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Nieva, Jorge J
Liu, Lihua
description Previous studies on Hispanic thyroid cancer cases show sex disparities and an increased prevalence of large tumor sizes and nodal involvement. Here, we characterized Hispanic thyroid cancer cases in California. We identified thyroid cancer cases from 2010 to 2020 using the California Cancer Registry by sex, race/ethnicity, histology, TNM stage, tumor size, lymph node involvement, and Charlson comorbidity score. The age-adjusted incidence rate (AAIR) and age-adjusted mortality rate (AAMR) for all causes of death were calculated. A Cox proportional hazards regression analysis was performed to evaluate the mortality risk from all causes of death by race. Overall, 56,838 thyroid cancer cases were identified, including 29.75% in Hispanics. Hispanics had the highest female-to-male incidence rate ratio (IRR 3.54) and the highest prevalence of T3/T4 tumor size (28.71%), the highest N1 nodal status (32.69%), and the highest AAMR (0.79 per 100,000 people). After adjusting for demographic and tumor covariates, compared to non-Hispanic White people, Hispanic ethnicity, with an HR of 1.22 (95% CI 1.18-1.25, < 0.0001), remained a significant independent contributor to mortality risk. Hispanics had the greatest female-to-male IRR ratio, a greater prevalence of advanced disease features at diagnosis, along with the highest AAMR and increased mortality risk despite adjustments for demographic and tumor covariates. Further investigation into other risk factors is needed.
doi_str_mv 10.3390/cancers16061101
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subjects Age
Analysis
Cancer
Cancer therapies
Censuses
Codes
Comorbidity
Demographics
Demography
Diagnosis
Ethnicity
Females
Health care access
Hispanic people
Lymph nodes
Lymphatic system
Males
Metastasis
Minority & ethnic groups
Mortality
Oncology, Experimental
Pacific Islander people
Population studies
Prevalence studies (Epidemiology)
Radiation
Risk factors
Socioeconomic factors
Socioeconomic status
Statistical analysis
Thyroid cancer
Thyroidectomy
Thyroxine
Triiodothyronine
Tumors
White people
title Characterization of Thyroid Cancer among Hispanics in California, USA, from 2010 to 2020
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