title: Effect of race on thyroid cancer care in an equal access healthcare system.
abstract: BACKGROUND
  Thyroid cancer is more likely to present at an advanced age with larger tumor size in black patients. The aim of this study was to assess the influence of race on the presentation, treatment, and survival in an equal access healthcare system.
  
  
  METHODS
  This retrospective study included all black and white patients with thyroid cancer who were treated at a Department of Defense facility from 1986 to 2008. Patients' age, tumor size, lymph node status, treatment, and survival were compared.
  
  
  RESULTS
  A total of 4,625 patients were identified. There was no difference between black and white patients in regards to age at presentation, tumor size, use of surgical and/or radiation therapy, and overall 5-year survival rate. Black patients had a lower rate of lymph node involvement.
  
  
  CONCLUSIONS
  In an equal access healthcare system, black patients have similar disease presentation, undergo similar treatment, and have the same survival as white patients.
authors.affiliation: Department of Surgery, William Beaumont Army Medical Center, El Paso, TX, USA.
authors.forename: Shaun R
authors.initials: SR
authors.lastname: Brown
authors.forename: Sukhyung
authors.initials: S
authors.lastname: Lee
authors.forename: Tommy A
authors.initials: TA
authors.lastname: Brown
authors.forename: Brad E
authors.initials: BE
authors.lastname: Waddell
mesh_terms: D000328:Adult; D001741:Black or African American / Q000706:statistics & numerical data*; D001707:Biopsy, Needle; D015331:Cohort Studies; D005260:Female; D006297:Health Services Accessibility / Q000458:organization & administration / Q000706:statistics & numerical data*; D006801:Humans; D007150:Immunohistochemistry; D053208:Kaplan-Meier Estimate; D008207:Lymphatic Metastasis; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D011336:Probability; D011379:Prognosis; D016016:Proportional Hazards Models; D012189:Retrospective Studies; D018570:Risk Assessment; D015996:Survival Rate; D013781:Texas; D013964:Thyroid Neoplasms / Q000208:ethnology* / Q000401:mortality* / Q000473:pathology / Q000601:surgery; D013965:Thyroidectomy / Q000379:methods*; D016896:Treatment Outcome; D044465:White People / Q000706:statistics & numerical data