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Socioeconomic disparities in a population of patients undergoing total thyroidectomy for benign disease
Author(s) -
Wu Tara J.,
Ha Patrick K.,
ElSayed Ivan H.,
George Jonathan R.,
Heaton Chase M.,
Ryan William R.,
Russell Marika D.
Publication year - 2019
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/hed.25421
Subject(s) - underinsured , medicine , thyroidectomy , socioeconomic status , body mass index , univariate analysis , thyroid , logistic regression , graves' disease , population , multivariate analysis , health insurance , environmental health , health care , economics , economic growth
Background This study examines the effect of insurance status (as a measure of socioeconomic status) on patient with benign thyroid disease. Methods A retrospective review was performed among 60 patients undergoing total thyroidectomy for benign thyroid disease. Univariate and multivariable analyses examined the relationship between insurance status and thyroid volume (sum of the left and right lobe volumes). Results Twenty‐eight (47%) patients were considered of underinsured/uninsured status, and 32 (53%) patients were considered of private/government/military insurance status. Median pathologic whole thyroid volume was 66 mL (range, 2‐855). After multivariable linear regression, underinsured/uninsured status was the only significant predictor of larger volume (correlation coefficient [ r ] = 118; 95% CI, 42 to 194; P = .003), after adjusting for age, sex, body mass index, and presence of concomitant thyroid disease and compressive symptoms. Conclusion Patients of underinsured/uninsured status suffered more severe disease presentations at time of thyroidectomy, as measured by larger thyroid volumes.