Debbie Chen|David Reyes?Gastelum|Lauren P. Wallner|Maria Papaleontiou|Ann S. Hamilton|Kevin C. Ward|Sarah T. Hawley|Brian J. Zikmund?Fisher|Megan R. Haymart
Disparities in risk perception of thyroid cancer recurrence and death
University of Michigan–Ann Arbor|University of Michigan–Ann Arbor|University of Michigan–Ann Arbor|University of Michigan–Ann Arbor|University of Southern California|Emory University|University of Michigan–Ann Arbor|University of Michigan–Ann Arbor|University of Michigan–Ann Arbor
background authors knowledge studies regarding risk perception among survivors thyroid cancer scarce methods authors surveyed patients diagnosed differentiated thyroid cancer surveillance epidemiology end results registries georgia los angeles county 2632 patients 63 response rate analytic cohort defined 5 risk disease recurrence mortality 1597 patients patients estimated recurrence mortality risks separately increments 10 endpoints 5 95 outcomes dichotomized reasonably accurate estimates risk perception 5 10 versus overestimation risk perception 20 multivariable logistic regression used identify factors associated risk overestimation relationships overestimation worry quality life evaluated results current study sample 247 patients overestimated recurrence risk 125 overestimated mortality risk lower educational level associated overestimating disease recurrence high school diploma odds ratio 164 95 ci 116231 college 136 95 ci 102181 mortality high school diploma 186 95 ci 118293 risk compared attaining least college degree hispanic ethnicity found associated overestimating recurrence risk 144 95 ci 102203 compared white counterparts worry recurrence death found greater among patients overestimated versus reasonably accurate estimate risk disease recurrence mortality respectively p lt 001 patients overestimated mortality risk also reported decreased physical quality life mean score 431 95 ci 416447 compared general population conclusions less educated patients hispanic patients likely report inaccurate risk perceptions associated worry decreased quality life