Screening for Thyroid Cancer: US Preventive Services Task Force Recommendation Statement

@article{BibbinsDomingo2017ScreeningFT,
  title={Screening for Thyroid Cancer: US Preventive Services Task Force Recommendation Statement},
  author={Kirsten Bibbins-Domingo and David C. Grossman and Susan J Curry and Michael J. Barry and Karina W. Davidson and Chyke A Doubeni and John W Epling and Alex R. Kemper and Alex H. Krist and Ann E. Kurth and C. Seth Landefeld and Carol M. Mangione and Maureen G. Phipps and Michael Silverstein and Melissa A. Simon and Albert L. Siu and Chien-Wen Tseng},
  journal={JAMA},
  year={2017},
  volume={317},
  pages={1882–1887}
}
Importance The incidence of thyroid cancer detection has increased by 4.5% per year over the last 10 years, faster than for any other cancer, but without a corresponding change in the mortality rate. In 2013, the incidence rate of thyroid cancer in the United States was 15.3 cases per 100 000 persons. Most cases of thyroid cancer have a good prognosis; the 5-year survival rate for thyroid cancer overall is 98.1%. Objective To update the US Preventive Services Task Force (USPSTF) recommendation… 

Figures from this paper

The USPSTF Recommendation on Thyroid Cancer Screening: Don't "Check Your Neck".
TLDR
Thyroid cancer screening received a grade of D, meaning that there is moderate or high certainty that a service has no net benefit, or that the harms outweigh the benefits, and clinicians were advised to not screen for thyroid cancer, whether with neck palpation, ultrasonography, or other techniques.
Cost-Effectiveness Analysis of Ultrasound Screening for Thyroid Cancer in Asymptomatic Adults
TLDR
Ultrasound screening for thyroid cancer has no obvious advantage in terms of cost-effectiveness compared with non-screening and the optimized thyroid screening strategy for a specific population is essential.
Parallels Between Low-Risk Prostate Cancer and Thyroid Cancer: A Review
TLDR
The experience forged by prostate cancer trials serves as a model for thyroid cancer management, potentially reshaping the perception of active surveillance into a credible, valuable treatment modality.
Thyroid nodules: diagnostic evaluation based on thyroid cancer risk assessment
TLDR
This review summarizes the clinical importance of adequate evaluation of thyroid nodules, focuses on the clinical evidence for diagnostic tests that can clarify the risk of thyroid cancer, and highlights the importance of considering the patient’s values and preferences when deciding on management strategies in the setting of uncertainty about the riskof thyroid cancer.
Management of Low-Risk Thyroid Cancers: Is Active Surveillance a Valid Option? A Systematic Review of the Literature
TLDR
Active surveillance could be an alternative to immediate surgery for patients with very-low-risk tumors showing no cytologic evidence of aggressive disease, for high-risk surgical candidates, for those with concurrent comorbidities requiring urgent intervention, and for Patients with a relatively short life expectancy.
Overdiagnosis and overtreatment of thyroid cancer: A population-based temporal trend study
TLDR
A large increase in the incidence of thyroid cancer, limited to papillary and early stage tumors, with a three- to four-fold parallel increase in thyroidectomy is observed, suggesting that a substantial and growing part of the detected thyroid cancers are overdiagnosed and overtreated.
Comparative Analysis of the Growth Pattern of Thyroid Cancer in Young Patients Screened by Ultrasonography in Japan After a Nuclear Accident: The Fukushima Health Management Survey
TLDR
Ulasonography screening could reveal asymptomatic thyroid cancer that is falling into a growth arrest pattern in many young patients, suggesting growth arrest after the initial proliferation phase of thyroid cancer.
Association of screening by thyroid ultrasonography with mortality in thyroid cancer: a case-control study using data from two national surveys.
TLDR
Screening for thyroid cancer with ultrasonography does not prevent death from thyroid cancer; therefore, screening asymptomatic adults for Thyroid cancer is unwarranted.
Active surveillance for prostate and thyroid cancers: evolution in clinical paradigms and lessons learned
TLDR
The authors describe the epidemiology, pathology, and screening guidelines for the management of patients with prostate and thyroid cancers; the evidence of overdiagnosis and overtreatment; and overviews of existing international active surveillance protocols.
...
1
2
3
4
5
...

References

SHOWING 1-10 OF 34 REFERENCES
Screening for Thyroid Cancer: Updated Evidence Report and Systematic Review for the US Preventive Services Task Force
TLDR
It is unclear if population-based or targeted screening can decrease mortality rates or improve important patient health outcomes, and screening that results in the identification of indolent thyroid cancers, and treatment of these overdiagnosed cancers, may increase the risk of patient harms.
Revised American Thyroid Association management guidelines for patients with thyroid nodules and differentiated thyroid cancer.
TLDR
Evidence-based recommendations in response to the appointment as an independent task force by the American Thyroid Association to assist in the clinical management of patients with thyroid nodules and differentiated thyroid cancer represent, in the authors' opinion, contemporary optimal care for patients with these disorders.
Screening for Colorectal Cancer: Updated Evidence Report and Systematic Review for the US Preventive Services Task Force.
TLDR
Although CRC screening has a large body of supporting evidence, additional research is still needed to support their use, ability to detect cancer and precursor lesions, and risk of serious adverse events in average-risk adults.
2015 American Thyroid Association Management Guidelines for Adult Patients with Thyroid Nodules and Differentiated Thyroid Cancer: The American Thyroid Association Guidelines Task Force on Thyroid Nodules and Differentiated Thyroid Cancer.
TLDR
Evidence-based recommendations are developed to inform clinical decision-making in the management of thyroid nodules and differentiated thyroid cancer and represent, in the authors' opinion, contemporary optimal care for patients with these disorders.
Thyroid cancer survival in the United States: observational data from 1973 to 2005.
TLDR
Papillary thyroid cancers of any size that are limited to the thyroid gland have favorable outcomes whether or not they are treated in the first year after diagnosis and whether they are treating by hemithyroidectomy or total thyroidectomy.
The risk of second primary malignancies up to three decades after the treatment of differentiated thyroid cancer.
TLDR
The overall risk of second primary malignancies is increased for thyroid cancer survivors and varies by radioisotope therapy, latency, and age at diagnosis.
Thyroid gland: US screening in middle-aged women with no previous thyroid disease.
To determine the prevalence of thyroid nodules in the healthy population, ultrasonography (US) of the thyroid gland was performed in 101 women aged 49-58 years in an urban area in southern Finland
American Thyroid Association Management Guidelines for Adult Patients with Thyroid Nodules and Differentiated Thyroid Cancer : The American Thyroid Association Guidelines Task Force on Thyroid Nodules and Differentiated Thyroid Cancer
TLDR
Clinical and histopathological characteristics of patients with incidental and nonincidental thyroid carcinoma (ITC vs. NITC) are analyzed retrospectively in 3,241 patients with solitary and multiple TNs treated consecutively between 2008 and 2014.
Thyroid gland: US screening in a random adult population.
TLDR
It is concluded that the prevalence of small thyroid echo abnormalities in a randomly selected adult population is rather high, a fact that supports use of a conservative approach to these types of findings.
Sonographic criteria for fine-needle aspiration cytology in a korean female population undergoing thyroid ultrasound screening
TLDR
Thyroid abnormalities were detected in 42% of all screened women and the use of the sonographic criteria showed excellent diagnostic performance for FNA and could be useful to provide practitioners with an objective tool to decide whether to perform a biopsy or not.
...
1
2
3
4
...