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Thyroid diseases in black patients

E B Chung, N Rogers, J E White

    Journal of the National Medical Association
    |August 1, 1977
    PubMed
    Summary
    This summary is machine-generated.

    This study analyzed 680 thyroidectomies performed between 1950-1975 at Howard University Hospital. Nodular goiter was the most common diagnosis, followed by diffuse hyperplasia, in a predominantly female Black patient population.

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    Area of Science:

    • Endocrinology
    • Surgical Pathology
    • Public Health

    Background:

    • Thyroid disease management requires understanding demographic and etiological factors.
    • Howard University Hospital served a specific patient population during the study period.
    • Thyroidectomies are surgical procedures to remove all or part of the thyroid gland.

    Purpose of the Study:

    • To analyze the incidence and characteristics of primary thyroid diseases requiring thyroidectomy.
    • To present a statistical overview of thyroidectomy cases at Howard University Hospital.
    • To correlate findings with existing literature on thyroid pathologies.

    Main Methods:

    • Retrospective review of 680 thyroidectomy cases from January 1, 1950, to December 31, 1975.
    • Inclusion criteria: clinical evidence of primary thyroid disease.

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  • Data collected included patient demographics, surgical indications, and pathological diagnoses.

    • Main Results:

    • A total of 680 thyroidectomies were performed (0.6% of routine surgicals).
    • The patient cohort was exclusively Black, with a 7:1 female-to-male ratio (595 females, 85 males).
    • Diagnoses included: nodular goiter (51.9%), diffuse hyperplasia (21.3%), adenoma (11.3%), carcinoma (4.6%), thyroiditis (7.1%), and miscellaneous (3.8%).

    Conclusions:

    • Nodular goiter was the most frequent indication for thyroidectomy in this cohort.
    • The study highlights the demographic profile of patients undergoing thyroidectomy at the institution.
    • Findings provide insights into the epidemiology of thyroid diseases within a specific Black population during the mid-20th century.