Evolving variation in the extent of surgery for low-risk papillary thyroid cancer in the United States.

ABSTRACT:

Background

The continued debate over total thyroidectomy versus lobectomy and declining favor for prophylactic central neck dissection for patients with clinically node-negative papillary thyroid cancer ≤4 cm is ongoing after the 2015 guideline updates from the American Thyroid Association. This study aimed to evaluate contemporary trends in the extent of surgery in this low-risk cohort.

Methods

Retrospective data from the National Cancer Database were used to identify adult patients with clinically node-negative papillary thyroid cancer ≤4 cm who underwent resection from 2012 to 2020. The primary outcome was the extent of surgery (lobectomy or total thyroidectomy, with or without prophylactic central neck dissection). Multivariable regression was performed to identify chara

SUBMITTER: Montgomery KB 

PROVIDER: S-EPMC10529036 | biostudies-literature | 2023 Oct

REPOSITORIES: biostudies-literature