作者
Luc GT Morris, Andrew G Sikora, Tor D Tosteson, Louise Davies
发表日期
2013/7/1
期刊
Thyroid
卷号
23
期号
7
页码范围
885-891
出版商
Mary Ann Liebert, Inc.
简介
Background: The rapidly rising incidence of papillary thyroid cancer may be due to overdiagnosis of a reservoir of subclinical disease. To conclude that overdiagnosis is occurring, evidence for an association between access to health care and the incidence of cancer is necessary.
Methods: We used Surveillance, Epidemiology, and End Results (SEER) data to examine U.S. papillary thyroid cancer incidence trends in Medicare-age and non–Medicare-age cohorts over three decades. We performed an ecologic analysis across 497 U.S. counties, examining the association of nine county-level socioeconomic markers of health care access and the incidence of papillary thyroid cancer.
Results: Papillary thyroid cancer incidence is rising most rapidly in Americans over age 65 years (annual percentage change, 8.8%), who have broad health insurance coverage through Medicare. Among those under 65, in whom …
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LGT Morris, AG Sikora, TD Tosteson, L Davies - Thyroid, 2013