Background

There is limited literature regarding potential disparities in nonmelanoma skin cancer for patients with skin of color.

Objective

Use the sizes of Mohs micrographic surgery defects to examine disparities in nonmelanoma skin cancer among Hispanic/Latino patients with a secondary aim to examine the effect of insurance type.

Methods

We conducted a multicenter retrospective study using data from 3 major institutions in Los Angeles County. A total of 3486 Mohs micrographic surgeries of basal cell, squamous cell, and basosquamous cell carcinomas were analyzed.

Results

Mohs micrographic surgery defect sizes were 17% larger among Hispanic/Latino patients compared with non-Hispanic White patients. More notably, when comparing defect sizes of squamous cell carcinomas to those of basal cell carcinomas, defects were 80% larger among Hispanic/Latino patients compared to non-Hispanic White patients who had 25% larger defect sizes. Compared to patients with Medicare, patients with health maintenance organization and Medicaid/health maintenance organization had 22% and 52% larger defect sizes, respectively, whereas patients with preferred provider organization, had 10% smaller defect sizes.

Limitations

The data included were from a single county population.

Conclusion

Disparities regarding nonmelanoma skin cancer exist between patients with skin of color and White patients. Patients and the medical community need to be cognizant that skin cancer can develop in patients regardless of their race and ethnicity.

中文翻译：

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基于莫氏显微手术缺陷大小的西班牙裔/拉丁裔患者非黑色素瘤皮肤癌的差异：一项多中心回顾性研究

背景

关于有色皮肤患者非黑色素瘤皮肤癌的潜在差异的文献有限。

客观的

使用莫氏显微手术缺陷的大小来检查西班牙裔/拉丁裔患者中非黑色素瘤皮肤癌的差异，次要目的是检查保险类型的影响。

方法

我们使用来自洛杉矶县 3 个主要机构的数据进行了一项多中心回顾性研究。共分析了 3486 例基底细胞癌、鳞状细胞癌和基底细胞癌的 Mohs 显微手术。

结果

与非西班牙裔白人患者相比，西班牙裔/拉丁裔患者的莫氏显微手术缺陷大小大 17%。更值得注意的是，当比较鳞状细胞癌与基底细胞癌的缺损大小时，西班牙裔/拉丁裔患者的缺损比非西班牙裔白人患者大 80%，后者的缺损大小大 25%。与 Medicare 患者相比，健康维护组织和 Medicaid/健康维护组织的患者缺陷大小分别大 22% 和 52%，而首选提供者组织的患者缺陷大小小 10%。

限制

包括的数据来自一个县的人口。

结论

有色皮肤患者和白人患者之间存在关于非黑色素瘤皮肤癌的差异。患者和医学界需要认识到，无论种族和民族如何，患者都可能患上皮肤癌。