TITLE

Is There a Racial Difference in Presentation of Primary Hyperparathyroidism?

AUTHOR(S)
Barker, Holly; Caldwell, Lauren; Lovato, James; Woods, Kristy F.; Perrier, Nancy D.
PUB. DATE
June 2004
SOURCE
American Surgeon;Jun2004, Vol. 70 Issue 6, p504
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Nearly 50,000 new cases of primary hyperparathyroidism (PHPT) are diagnosed annually in the United States. Most information about the disease focuses on the white population. We evaluated African American (AA) and white patients at our tertiary care university medical center to determine whether there was a racial difference in presentation of PHPT. A retrospective chart review of patients treated surgically for PHPT between 1997 and 2002 was performed. Demographic data, laboratory values, objective symptoms, surgical procedure, and histologic findings were recorded. The AA participants were matched to whites by age and gender. The effect of race was adjusted for the matching variables by including them in regression models. ANOVA χ² tests were performed on the race effects. Thirty-six (14.4%) of the 286 patients treated for PHPT at Wake Forest University Baptist Medical Center during this 5-year period were AA. There was no difference in serum calcium or presence of objective symptoms, but PTH levels were significantly higher for blacks (207.5 vs 143.5 pg/mL; P = 0.02). In our study, AA patients had significantly higher parathyroid hormone levels at time of surgical intervention but did not present with a difference in symptoms or more advanced disease. Further research is recommended to characterize ethnic differences in patients with PHPT.
ACCESSION #
13324792

 

Related Articles

  • University of Colorado Led Study Finds Physican Racial Bias Does Not Impact Treatment Filed in Research & Studies on March 14, 2014.  // Journal of Blacks in Higher Education (BruCon Publishing Co.);3/20/2014, p4 

    The article reports on a study by a research team at the University of Colorado at Boulder, which reveals that physician racial bias did not affect treatments for hypertension for African Americans and other minority patients.

  • New Study Shows African-American Senior Citizens Receive Fewer Life-Saving Surgeries Than Whites.  // Diverse: Issues in Higher Education;10/6/2005, Vol. 22 Issue 17, p12 

    Reports that majority of African American senior citizens received fewer surgeries according to the results of a study of health care disparities in the U.S. from 1990s to 2001 published in the "New England Journal of Medicine." Quality of health care received by African Americans; Impact of...

  • "My Most Humiliating Jim Crow Experience": Afro-Modernist Critiques of Eugenics and Medical Segregation. Waggoner, Jess // Modernism/Modernity;Sep2017, Vol. 24 Issue 3, p507 

    The article examines the discrimination of African Americans in medical care and situates it as a component of subjugation during the Jim Crow laws era. Topics include the factors that contributed to the exclusionary nature of medical care, the modernism of African American medical protest, and...

  • Racial and Ethnic Disparities in Quality of Health Care Among Children with Autism and Other Developmental Disabilities. Magaña, Sandra; Parish, Susan L.; Rose, Roderick A.; Timberlake, Maria; Swaine, Jamie G. // Intellectual & Developmental Disabilities;Aug2012, Vol. 50 Issue 4, p287 

    We examined racial and ethnic disparities in quality of care for children with autism and other developmental disabilities and whether disparities varied for children with autism compared to children with other developmental disabilities. Analyzing data from the National Survey of Children with...

  • Racially Rationed Health.  // Time;4/6/1970, Vol. 95 Issue 14, p92 

    The article discusses the racial discrimination in the medical care in the U.S. According to Roger O. Egeberg, Assistant Secretary for Health and Scientific Affairs in the Department of Health, Education and Welfare, it is the black Americans and other minorities for whom the system works least...

  • Do Racial Differences Suggest that the Health Care System is Criminogenic? Bing, Robert; Ferguson, Florence; Coston, Charisse // Journal of African American Studies;Winter2007, Vol. 11 Issue 3/4, p173 

    This study examines the empirical literature on the disparate treatment of African Americans. A review of the literature is offered from a historical standpoint. The utility of thematic content analysis and the use of coding frames is described in the methodology. The next section describes the...

  • Differences in Disability Among Black and White Stroke Survivors -- United States, 2000-2001. McGruder, H. F.; Greenlund, K. J.; Croft, J. B.; Zheng, Z. J. // MMWR: Morbidity & Mortality Weekly Report;1/14/2005, Vol. 54 Issue 1, p3 

    Compares the racial/ethic inequality between black and white stroke survivors in the U.S. according to the 2000-2001 National Health Interview Survey conducted by the Centers for Disease Control; Costs accounted for stroke survivors during 2004; Number of African Americans stroke survivors;...

  • Reporting on America's Widening Racial Health Gap. Davis, Dave // Nieman Reports;Spring2003, Vol. 57 Issue 1, p18 

    Presents information on a series published at 'The Plain Dealer' in the U.S. in March 2000 concerning racial health disparity. Comparison on the health services offered to Afro-American and white patients; Details of the stories told by the newspaper; Response of health care workers on the series.

  • Pathways to Health. Henderson, Wade // Crisis (15591573);Jan/Feb2007, Vol. 114 Issue 1, Special section p8 

    The article discusses the factors that contribute to racial health disparity in the U.S. Regardless of suffering from treatable illnesses at higher rates than whites, the author claims that African Americans do not seek or receive the same medical care. He states that many African Americans...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics