Thyroid Cancer 101: No Thyroid Ultrasound Without an Indication.

Thyroid Cancer 101: No Thyroid Ultrasound Without an Indication.

Thyroid Cancer 101: No Thyroid Ultrasound Without an Indication.

Thyroid Cancer 101: No Thyroid Ultrasound Without an Indication.

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Low-risk thyroid cancer diagnoses increasing as ultrasound use rises

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Haymart MR, et al. J Clin Endocrinol Metab. 2018;doi:10.1210/jc.2018-01933.

  1. Thyroid ultrasound use by physicians  increased 21% in 11 years.
  2. Increased rate of low-risk thyroid cancer diagnoses during the same period.
  3. High US use = more low risk cancer.
  4. Less thyroid US testing= reduced the harms associated with over-diagnosing thyroid cancer.
  5.  Reduce unnecessary thyroid ultrasound and fine-needle aspiration in subgroups of patients at low likelihood of benefit, eg, older adults with multiple comorbidities.
  6.  More than 7000 adults aged 65 years were diagnosed with thyroid cancer from 2003 to 2013 as a result of an increase in the use of thyroid ultrasounds as initial imaging.

Low-risk thyroid cancer diagnoses increasing as ultrasound use rises.

 

Megan R. Haymart, MD, can be reached at the University of Michigan Health System, North Campus Research Complex, 2800 Plymouth Road, Building 16, Room 408E, Ann Arbor, MI 48109; email: meganhay@med.umich.edu.

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