ArticleEuropean thyroid journal2020
The Impact of Regional Variation in Clinical Practice on Thyroid Cancer Diagnosis: A National Population-Based Study.
Article in European thyroid journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 12 citations in OpenAlex.
- Does a Restrictive Diagnostic Work-up for Thyroid Nodules Lead to a Different Papillary Thyroid Cancer Patient Population? A Comparison Between Dutch and U.S. T1-T3 Patient Population.World journal of surgery · 2025Article
- Differential Ultrasound Rates Mirror Sex Disparities in Thyroid Cancer.Thyroid : official journal of the American Thyroid Association · 2024Article
- Evolution in the management of thyroid surgery over a period of 15 years in a Belgian center.BMC surgery · 2024Article
- Thyroid Lobectomy for Low-Risk 1-4 CM Papillary Thyroid Cancer is not Associated with Increased Recurrence Rates in the Dutch Population with a Restricted Diagnostic Work-Up.World journal of surgery · 2023Article
- Characteristics of specialists treating hypothyroid patients: the "THESIS" collaborative.Frontiers in endocrinology · 2023Article
- Combining data to perform population-based observational studies: know your sources. The case of thyroid cancer in Belgium.Archives of public health = Archives belges de sante publique · 2022Article
- A multicenter, prospective study to observe the initial management of patients with differentiated thyroid cancer in China (DTCC study).BMC endocrine disorders · 2021Article
- Differentiated Thyroid Cancer: A Health Economic Review.Cancers · 2021Review
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveRegional variation in thyroid cancer incidence in Belgium, most pronounced for low risk cancer, was previously shown to be related to variation in clinical practice, with higher thyroid surgery rates and lower proportions of preoperative fine-needle aspiration (FNA) in regions with high thyroid cancer incidence (period 2004-2006). The objective of this study was to investigate regional thyroid cancer incidence variation in relation with variation in thyroid surgery threshold in a more recent Belgian thyroid cancer cohort.
methodsA population-based cohort of thyroid cancer patients that underwent a (near) total thyroidectomy in the period 2009-2011 (
resultsAlthough a lower proportion of FNA in the high thyroid cancer incidence region persisted in the period 2009-2011 (41.2% [31.9-50.9] vs. 72.9% [64.9-79.7] in the low-incidence region (LIR),
conclusionInterregional differences in use of FNA and surgical thyroid specimen weight are consistent with an inverse relation between thyroid cancer incidence and thyroid surgery threshold, carrying risk for overdiagnosis.
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