The thyroid cancer epidemic: Is it the dark side of the CT revolution?

Baker, Stephen R.; Bhatti, Waseem

doi:10.1016/j.ejrad.2006.04.022

Cited by 66 publications

(42 citation statements)

References 7 publications

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“…Baker and Bhatti [45] have voiced concern with the rapid adoption of computed tomography (CT) for a wide array of diagnostic purposes in the United States. Due to the many two-dimensional X-ray slices (up to 128) used to create a three-dimensional image, CT scans impart higher levels of radiation compared to earlier imaging technologies.…”

Section: Discussionmentioning

confidence: 99%

Thyroid cancer incidence and socioeconomic indicators of health care access

Sprague

Andersen

Trentham‐Dietz

2008

Cancer Causes Control

100

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Section: Discussionmentioning

confidence: 99%

Thyroid cancer incidence and socioeconomic indicators of health care access

Sprague

Andersen

Trentham‐Dietz

2008

Cancer Causes Control

100

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“…It is estimated that 33,500 new cases of thyroid cancer and 1530 deaths from this disease occur annually in the United States (3), and this carcinoma has risen over 50% in the past 25 years (2)(3)(4). Thyroid cancer represents 2.3% of all new cancers reported annually and accounts for 57% of all deaths caused by endocrine malignancies (5).…”

Section: Introductionmentioning

confidence: 98%

Expression of Opioid Growth Factor (OGF)–OGF Receptor (OGFr) Axis in Human Nonmedullary Thyroid Cancer

Goldenberg

Zagon

Fedok

et al. 2008

Thyroid

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“…A number of factors have been cited for these increases (7)(8)(9), most prominently, improvements in diagnostic practices (e.g., the use of ultrasound with fine needle aspiration biopsies) resulting in an increased ability to detect smaller tumors (1,10,11). Several studies have suggested that diagnostic improvements cannot wholly account for observed incidence trends, indicating a potential role for other factors such as increased environmental or hormonal exposures (8,(12)(13)(14)(15)(16).…”

Section: Introductionmentioning

confidence: 99%

Trends in Thyroid Cancer Incidence in Texas from 1995 to 2008 by Socioeconomic Status and Race/Ethnicity

Reitzel

Nguyen

et al. 2014

Thyroid

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Background: Thyroid cancer incidence is increasing, potentially due to enhanced diagnostic practices. However, access to healthcare may be dependent on socioeconomic status (SES) and race/ethnicity. Consequently, certain segments of the population may experience thyroid cancer overdiagnosis as a result of greater access to and use of enhanced diagnostic technology. The current study examined trends by SES in thyroid cancer incidence at the census tract level from 1995 to 2008 for the population of Texas, as well as by racial/ethnic subgroup. Methods: Joinpoint regressions were used to examine incidence trends over time by SES for the study population, and for the non-Hispanic white, non-Hispanic black, and Hispanic subgroups separately. Other race/ ethnicities were not adequately represented for subgroup analyses. Results: There were 22,390 incident thyroid cancer cases (65.0% white, 6.7% black, 24.3% Hispanic, 4.1% Asian/ other races; 85.9% papillary histology). The low SES group experienced a steady increase in incidence since 1995 (6.7% per year, p < 0.05), whereas incidence among the high SES group has increased at a rate of 8.6% per year since 1999 ( p < 0.05). The joinpoint projected incidence trends for the low and high SES groups were significantly different ( p = 0.047). Whites experienced a steady increase in incidence over time among both high and low SES groups (7.6% per year p < 0.05), whereas blacks and Hispanics of higher SES had a much more pronounced increase in incidence over time relative to their lower SES counterparts (blacks = 12.8% vs. 4.1%; Hispanics = 11.2% vs. 8.3%, p < 0.05). For blacks and Hispanics, joinpoint projected incidence trends for the low and high SES groups were significantly different from one another ( p < 0.001-0.004). Conclusions: These results identify groups experiencing the greatest problem of increasing thyroid cancer incidence, and raise concern that greater access to healthcare may be accompanied by thyroid cancer overdiagnosis. A dual focus on delineating and preventing disease-related causal factors and focusing clinical attention on avoiding overdiagnosis among certain populations (e.g., high SES) may be advisable to address thyroid cancer in Texas. Clinicians are encouraged to adhere to ATA/NCCN guidelines when choosing patients for thyroid ultrasound, selecting which nodules to examine, and deciding which patients should proceed to biopsy.

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The thyroid cancer epidemic: Is it the dark side of the CT revolution?

Cited by 66 publications

References 7 publications

Thyroid cancer incidence and socioeconomic indicators of health care access

Thyroid cancer incidence and socioeconomic indicators of health care access

Expression of Opioid Growth Factor (OGF)–OGF Receptor (OGFr) Axis in Human Nonmedullary Thyroid Cancer

Trends in Thyroid Cancer Incidence in Texas from 1995 to 2008 by Socioeconomic Status and Race/Ethnicity

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