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Idiopathic Subglottic Stenosis in Non-Caucasian Women.
Suk, Amber; Dehom, Salem; Punjabi, Nihal; Young, VyVy N; Krishna, Priya D; Reder, Lindsay; O'Dell, Karla; Gochman, Grant E; Simmons, Ethan; Verma, Sunil P; Harmon, Matthew; Weissbrod, Philip A; Yang, Jin; Tamares, Shanalee; Crawley, Brianna K.
Afiliación
  • Suk A; School of Medicine Loma Linda University Loma Linda California USA.
  • Dehom S; School of Nursing Loma Linda University Loma Linda California USA.
  • Punjabi N; Department of Otolaryngology-Head and Neck Surgery Loma Linda University Loma Linda California USA.
  • Young VN; Department of Otolaryngology-Head and Neck Surgery University of California San Francisco California USA.
  • Krishna PD; Department of Otolaryngology-Head and Neck Surgery Loma Linda University Loma Linda California USA.
  • Reder L; Department of Otolaryngology-Head and Neck Surgery Kaiser Permanente Baldwin Park Los Angeles California USA.
  • O'Dell K; Department of Otolaryngology-Head and Neck Surgery University of Southern California Los Angeles California USA.
  • Gochman GE; Department of Otolaryngology-Head and Neck Surgery University of California San Francisco California USA.
  • Simmons E; School of Medicine Loma Linda University Loma Linda California USA.
  • Verma SP; Department of Otolaryngology-Head and Neck Surgery University of California Irvine Orange California USA.
  • Harmon M; Department of Surgery, Division of Otolaryngology-Head and Neck Surgery University of California San Diego San Diego California USA.
  • Weissbrod PA; Department of Surgery, Division of Otolaryngology-Head and Neck Surgery University of California San Diego San Diego California USA.
  • Yang J; Department of Otolaryngology-Head and Neck Surgery Loma Linda University Loma Linda California USA.
  • Tamares S; University Libraries, Loma Linda University Loma Linda California USA.
  • Crawley BK; Department of Otolaryngology-Head and Neck Surgery Loma Linda University Loma Linda California USA.
OTO Open ; 8(3): e180, 2024.
Article en En | MEDLINE | ID: mdl-39157741
ABSTRACT

Objective:

To characterize presentation, disease course, and treatment of idiopathic subglottic stenosis (iSGS) in non-Caucasian women and compare this cohort to the predominantly female, Caucasian patient cohorts identified in the literature. Study

Design:

Retrospective review. Results are compared to systematic review of demographics.

Setting:

Multiple California institutions from 2008 to 2021.

Methods:

Patients with intubation within 2 years of disease or who met exclusion criteria listed in prior publications were excluded. A systematic review of iSGS patient demographics was also completed for comparison.

Results:

Of 421 patients with iSGS, 58 self-identified as non-Caucasian women, with 50 ultimately included. Mean age of onset was 45.1 years old (95% confidence interval [CI], 41.5-48.8), and mean age at diagnosis was 47.2 years (95% CI, 43.6-50.7). Mean Charlson comorbidity index was 1.06 (n = 49, 95% CI, 0.69-1.44). At diagnosis, Cotton-Meyer severity scores (documented in n = 45) were Cotton-Myer (CM) I (28.9%), CM II (40%), and CM III (31.1%). Mean age at first endoscopic surgery was 47.7 (95% CI, 44.2-51.3) years. 64% experienced disease recurrence with a median of 11 months between their first and second surgery. Our systematic review identified 60 studies that reported demographic features in patients with iSGS. 95% of pooled patients were Caucasian, while other demographic features were similar to the current cohort.

Conclusion:

The non-Caucasian population, almost 14% of this Californian cohort, does not differ from the majority Caucasian population detailed in contemporary literature. This cohort supports the presence of some racial and ethnic heterogeneity in this disease population.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: OTO Open Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: OTO Open Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos