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The role of race in thyroid cancer: systematic review

Published online by Cambridge University Press:  03 April 2017

E Keane*
Affiliation:
Department of Otolaryngology/Head and Neck Surgery, Royal College of Surgeons in Ireland, Dublin, Ireland
E C Francis
Affiliation:
Department of Otolaryngology/Head and Neck Surgery, Royal College of Surgeons in Ireland, Dublin, Ireland
É Ó Catháin
Affiliation:
Department of Otolaryngology/Head and Neck Surgery, Royal College of Surgeons in Ireland, Dublin, Ireland
H Rowley
Affiliation:
Department of Otolaryngology/Head and Neck Surgery, Royal College of Surgeons in Ireland, Dublin, Ireland
*
Address for correspondence: Ms Emma Keane, Department of ENT/Head and Neck Surgery, University Hospital Waterford, Dunmore Road, Waterford X91 ER8E, Ireland Fax: 00 353 51 848 847 E-mail: emmakeane@rcsi.ie

Abstract

Background:

The incidence of thyroid cancer is increasing. There is conflicting evidence as to why. However, studies suggest that it is not an apparent increase resulting from enhanced diagnostic practices, but a true increase with more affected patients. This study aimed to assess racial variation in thyroid cancer.

Method:

A narrative systematic review of the literature was conducted.

Results:

Eight retrospective cohort studies were identified, comprising 611 777 adult patients. Variations exist between racial groups, which are also dependent on gender; white patients have a slightly higher male population when compared to their counterparts. Black and white patients have a higher proportion of follicular cancer. Hispanics were younger at the age of diagnosis. Outcomes are greatly affected by socioeconomic status.

Conclusion:

This study identified many gaps in the way that these types of data are presented. A more concise manner of reporting, with individual-level risk factors, is recommended.

Type
Review Articles
Copyright
Copyright © JLO (1984) Limited 2017 

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