Survival Outcomes and Disparities in Surgery Refusal for Papillary Thyroid Cancer

Jade C. Bowers, Bansi P. Savaliya, Swathi R. Raikot, Syeda Hoorulain Ahmed, Ramin Shekouhi, Reed Popp, Kyle Popp, Kulkaew B. Sukniam, Gabrielle Kowkabany, Paola Berrios Jimenez, Fatima Mubarak, Esinam P. Ekpeh, Shivam Bansal, Seema Sharan, Harsheen K. Manaise, Emmanuel M. Gabriel

Research output: Contribution to journalArticlepeer-review

Abstract

Background/Aim: Surgery is the cornerstone of treatment for papillary thyroid cancer (PTC), yet some patients refuse surgery, which may impact their survival outcomes. Understanding factors associated with surgery refusal could inform interventions to improve acceptance of recommended care. Patients and Methods: This retrospective cohort study evaluated the impact of surgery refusal on overall survival (OS) and identified associated demographic and clinical factors using data on patients with PTC from the National Cancer Database from 2004 to 2019. OS was analyzed using the Kaplan–Meier method, with survival curves compared using the log-rank test. Patient characteristics were analyzed using Pearson Chi-square tests or Wilcoxon Rank Sum tests.

Original languageEnglish
Pages (from-to)5455-5461
Number of pages7
JournalAnticancer Research
Volume44
Issue number12
DOIs
Publication statusPublished - Dec 2024

Keywords

  • Thyroid cancer
  • cancer disparities
  • cancer survival
  • papillary thyroid cancer (PTC)
  • refusal
  • thyroid surgery
  • thyroidectomy

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