Association of social determinants of health with time to diagnosis and treatment outcomes in idiopathic subglottic stenosis
Annals of Otology, Rhinology & Laryngology Mar 04, 2021
Lee J, Huang LC, Berry LD, et al. - This study was undertaken to determine if social determinants of health (SDH) factors are correlated with time to diagnosis, treatment selection, and time to recurrent surgical intervention in patients with idiopathic subglottic stenosis (iSGS). Adult patients with iSGS were selected prospectively (2015-2017) by clinical providers as part of the North American Airway Collaborative (NoAAC) and through an online iSGS support community on Facebook. The 810 participants had a median age of 50 years (IQR, 43-58) and were 98.5% female and 97.2% Caucasian. Time to diagnosis and time to disease recurrence were not related to patient education, income, or social support. This indicates that additional patient, procedure, or disease-specific factors play a role in the observed variations in iSGS surgical outcomes.
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