Trends for In- and Outpatient Thyroid Cancer Surgery in Older Adults in New York State, 2007-2017

2022 ◽  
Vol 273 ◽  
pp. 64-70
Author(s):  
Maaike van Gerwen ◽  
Mathilda Alsen ◽  
Naomi Alpert ◽  
Catherine Sinclair ◽  
Emanuela Taioli
Keyword(s):  
Older Adults ◽  
New York ◽  
Thyroid Cancer ◽  
New York State ◽  
Cancer Surgery ◽  
York State

Differences in 30-day preventable readmission rates after index cancer surgery in New York State hospitals.

2013 ◽  
Vol 31 (15_suppl) ◽  
pp. 6640-6640
Author(s):  
Umut Sarpel ◽  
Natalia Egorova ◽  
Eugene Sosunov ◽  
Rebeca Franco ◽  
Yohana Taveras ◽  
...  
Keyword(s):  
New York ◽  
Readmission Rate ◽  
New York State ◽  
Cancer Surgery ◽  
Teaching Hospitals ◽  
Readmission Rates ◽  
York State ◽  
Black Patients ◽  
Teaching Status ◽  
Preventable Readmission

6640 Background: 30-day readmission rates are currently being used as a measure of performance quality. Among surgical patients, readmissions may be reducible for certain complications such as deep venous thrombosis or wound infection. We report 30-day readmission rates for potentially preventable readmissions following surgical treatment of the most common malignancies in the US. Methods: The most common cancer hospitalizations were identified from the Healthcare Cost and Utilization Project. Previously reported ICD-9 codes of preventable readmissions from cancer surgery were used to assess 30-day readmissions in New York State in 2009. We measured comorbidity using CMS hierarchical condition categories. Hospital teaching status was based on the American Hospital Association designation. Random effect hierarchical logistic regression models were run to account for clustering within hospitals. Results: 21,945 index admissions for cancer surgery occurred in 2009 at 169 teaching and 73 non-teaching hospitals. The most common operations were for prostate, breast, colon, lung, and renal cancer. 51% of patients were male and 12% were black. The overall readmission rate was 9.3% with readmissions being higher in non-teaching hospitals (11.2%) vs. teaching hospitals (8.6%) (p<0.0001). There was a significant interaction between hospital teaching status and patient race. In teaching hospitals, there was no racial difference in readmission. However, in non-teaching hospitals, black patients were more likely to be readmitted (15.1% vs 10.9%; p=0.02). Multivariate models found that being male (OR=1.17; 95% CI: 1.04; 1.31; p=0.007), undergoing surgery at a non-teaching hospital (OR=1.16; 95% CI: 1.00; 1.35; p=0.048), black race (OR=1.47; 95% CI: 1.04; 2.08; p=0.029), and certain comorbidities increased a patient’s risk of 30-day readmission for a preventable cause. Conclusions: The 30-day preventable readmission rate after index hospitalizations for cancer surgery is higher in non-teaching hospitals, and this difference is more pronounced for black patients. Clinical protocols in teaching hospitals may play a role in this phenomenon. Efforts to address remediable causes of this disparity are warranted.

Postoperative complications and survivorship trends following ovarian cancer surgery in New York state

2017 ◽  
Vol 145 ◽  
pp. 168
Author(s):  
Z. Xu ◽  
A.Z. Becerra ◽  
F.J. Fleming ◽  
F.P. Boscoe ◽  
M.J. Schymura ◽  
...  
Keyword(s):  
Ovarian Cancer ◽  
New York ◽  
Postoperative Complications ◽  
New York State ◽  
Cancer Surgery ◽  
York State

Incidence of Head and Neck Cancers before and after 9/11 in New York City and New York State

ORL ◽  
2021 ◽  
pp. 1-12
Author(s):  
Rosalie Machado ◽  
Tristan Tham ◽  
Daniel Zhu ◽  
Amanda Wong ◽  
David Hiltzik ◽  
...  
Keyword(s):  
New York ◽  
Thyroid Cancer ◽  
Oral Cavity ◽  
Nasal Cavity ◽  
Head And Neck ◽  
New York State ◽  
Head And Neck Cancers ◽  
York State ◽  
Subset Analysis ◽  
Before And After

<b><i>Introduction:</i></b> The incidence of cancers in New York State (NYS) before and after 9/11 including lung, colorectal, and renal cancers has been previously described. To date, the incidence of head and neck cancers (HNCs) before and after 9/11 has not been described. <b><i>Methods:</i></b> Cancers involving the oral cavity and oropharynx; the nose, nasal cavity, nasopharynx, and middle ear; larynx; and thyroid were identified using the New York State Cancer Registry (NYSCR). Age-adjusted incidence and rates per 100,000 residents from 1987 to 2015 were analyzed using joinpoint regression. Trends in incidence using annual percent changes are presented. <b><i>Results:</i></b> The overall rate of HNC increased slightly by 0.7% (<i>p</i> &#x3c; 0.001) from 1987 to 2003 in NYS. From 2003 to 2008, the rate increased by 5.73% (<i>p</i> &#x3c; 0.001), and from 2008 to 2015, the rate increased by 1.68% (<i>p</i> &#x3c; 0.001). The rate of thyroid cancer increased by 6.79% (<i>p</i> &#x3c; 0.001) from 1987 to 2003, by 9.99% (<i>p</i> &#x3c; 0.001) from 2003 to 2009, and by 2.41% (<i>p</i> = 0.001) from 2009 to 2015. The rate of thyroid cancer was higher in women at all time points. In a subset analysis of HNCs excluding thyroid cancer, the rate decreased by 2.02% (<i>p</i> &#x3c; 0.001) from 1991 to 2001, followed by a nonsignificant increase of 0.1% (<i>p</i> = 0.515) from 2001 to 2015. The rate of oropharyngeal (OP) cancer significantly increased from 1999 to 2015 (2.65%; <i>p</i> &#x3c; 0.001). The rate of oral cavity cancer significantly decreased from 1987 to 2003 (1.97%; <i>p</i> &#x3c; 0.001), with no significant change after 2003. The rate of laryngeal cancer decreased significantly by 2.43% (<i>p</i> &#x3c; 0.001) from 1987 to 2015, as did the rate of nasal cavity/nasopharyngeal cancer (0.33%; <i>p</i> = 0.03). <b><i>Conclusions:</i></b> In NYS, OP cancer and thyroid cancer rates increased significantly during the study period. The rate of thyroid cancer was higher in women. The rate of combined HNC increased significantly after 9/11 compared to before 9/11; however, in a subset analysis of all HNC patients excluding thyroid cancer, the rate decreased significantly prior to 9/11 and then nonsignificantly increased afterward. This suggests that the increase in thyroid cancer accounts for the increase in combined HNC in NYS. The impact of 9/11 on rates of HNC requires further research.

scholarly journals Impact of Extremely Hot Days on Emergency Department Visits for Cardiovascular Disease among Older Adults in New York State

2019 ◽  
Vol 16 (12) ◽  
pp. 2119 ◽  
Author(s):  
Mengxuan Li ◽  
Benjamin A. Shaw ◽  
Wangjian Zhang ◽  
Elizabeth Vásquez ◽  
Shao Lin
Keyword(s):  
Older Adults ◽  
Emergency Department ◽  
New York ◽  
New York State ◽  
Emergency Department Visits ◽  
York State ◽  
Mean Temperature ◽  
Increased Risk ◽  
Hot Days ◽  
Ed Visits

Prior studies have reported the impact of ambient heat exposure on heat-related illnesses and mortality in summer, but few have assessed its effect on cardiovascular diseases (CVD) morbidity, and the association difference by demographics and season. This study examined how extremely hot days affected CVD-related emergency department (ED) visits among older adults from 2005–2013 in New York State. A time-stratified case-crossover design was used to assess the heat–CVD association in summer and transitional months (April–May and September–October). Daily mean temperature >95th percentile of regional monthly mean temperature was defined as an extremely hot day. Extremely hot days were found to be significantly associated with increased risk of CVD-related ED visits at lag day 5 (OR: 1.02, 95% CI: 1.01–1.04) and lag day 6 (OR: 1.01, 95% CI: 1.00–1.03) among older adults in summer after controlling for PM2.5 concentration, relative humidity, and barometric pressure. Specifically, there was a 7% increased risk of ischemic heart disease on the day of extreme heat, and increased risks of hypertension (4%) and cardiac dysrhythmias (6%) occurred on lag days 5 and 6, respectively. We also observed large geographic variations in the heat–CVD associations.

scholarly journals High Thyroid Cancer Incidence Rate in a Community near a Landfill: A Descriptive Epidemiological Assessment

Toxics ◽  
2021 ◽  
Vol 9 (12) ◽  
pp. 325
Author(s):  
Maaike van Gerwen ◽  
Brandon Gold ◽  
Mathilda Alsen ◽  
Mohemmed N. Khan ◽  
Lauren Petrick ◽  
...  
Keyword(s):  
New York ◽  
Thyroid Cancer ◽  
Incidence Rate ◽  
Cancer Incidence ◽  
New York State ◽  
Screening Methods ◽  
Cancer Incidence Rate ◽  
Staten Island ◽  
York State ◽  
Thyroid Cancer Incidence

Background: to investigate the high thyroid cancer incidence rate of Staten Island and to disentangle the effects of potential environmental exposure from a landfill from screening. Methods: age-adjusted thyroid cancer incidence rates obtained from the New York State Public Access Cancer Epidemiology Data for New York State (NYS) excluding New York City (NYC) and the five NYC boroughs, including Staten Island, were mapped over time (1995–2018), investigated per age group and by percentage of localized thyroid cancer. Changes in trends were assessed using joinpoint. Contaminants of concern on Staten Island were assessed for carcinogenic and endocrine disruptive properties. Results: a more pronounced thyroid cancer incidence rate increase, without a difference in age distribution and similar percentages of localized thyroid cancer, was found in Staten Island compared to its demographic equivalent (NYS excluding NYC). Multiple contaminants of concern with carcinogenic and endocrine disrupting properties (e.g., cadmium, lead) were identified in air, water and sediment samples. Conclusion: investigations into the effects of increased/sustained environmental exposures are needed in chronically exposed populations to identify potential mechanisms of action of certain pollutants.

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