Dataset Information
Contemporary trends in extent of surgery for differentiated thyroid cancer with extrathyroidal extension.
Ontology highlight
ABSTRACT: Objective
Although lobectomy is acceptable for patients with small, low-risk differentiated thyroid cancer (DTC), gross extrathyroidal extension (ETE) remains an indication for total thyroidectomy (TT). Here we investigate evolving trends in extent of surgery for + ETE DTC.Methods
Patients with +ETE DTC who underwent resection from 2010 to 2020 were identified using the National Cancer Database. The primary outcome was performance of TT versus lobectomy.Results
Among 5851 patients, most were female (79.7%), white (80.0%), and had minimal ETE (91.8%). Ninety-two percent of patients received TT. Year of treatment was influential (p < 0.001), with increasing lobectomy rates in later years. On multivariable analyses, a decreased likelihood of TT was seen in years 2015 through 2020.Conclusions
Most patients with +ETE DTC underwent guideline-concordant TT, but lobectomy rates doubled over the study period. These findings may reflect increased preference for lobectomy in low-risk DTC, but could undertreat patients with high-risk features.
SUBMITTER: Montgomery KB
PROVIDER: S-EPMC10922190 | biostudies-literature | 2024 Feb
REPOSITORIES: biostudies-literature
Publications
Contemporary trends in extent of surgery for differentiated thyroid cancer with extrathyroidal extension.
American journal of surgery 20230915
<h4>Objective</h4>Although lobectomy is acceptable for patients with small, low-risk differentiated thyroid cancer (DTC), gross extrathyroidal extension (ETE) remains an indication for total thyroidectomy (TT). Here we investigate evolving trends in extent of surgery for + ETE DTC.<h4>Methods</h4>Patients with +ETE DTC who underwent resection from 2010 to 2020 were identified using the National Cancer Database. The primary outcome was performance of TT versus lobectomy.<h4>Results</h4>Among 58 ...[more]