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Increasing Detection and Increasing Incidence in Thyroid Cancer

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Abstract

Background

It has been proposed that the increasing incidence of thyroid cancer is due to increasing detection.

Methods

Using administrative data, we compare by year from 1993 to 2006, the rates of diagnostic imaging tests of the neck (computed axial tomography—CT, magnetic resonance imaging—MRI, and non-obstetrical ultrasound—US) to the incidence of thyroid cancer for the population of the Province of Ontario Canada.

Results

Women and men have different rates of tests, and those rates reflect the rates of new diagnoses of thyroid cancer.

Conclusions

The rising incidence of thyroid disease in women is associated with increasing numbers of diagnostic imaging tests.

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References

  1. Verrilli D, Welch H (1996) The impact of diagnostic testing on therapeutic interventions. JAMA 275:1189–1191

    Article  CAS  PubMed  Google Scholar 

  2. Welch H, Schwartz L, Woloshin S (2007) What’s making us sick is an epidemic of diagnoses. The New York Times Corp., New York, 2 Jan 2007

  3. Black W, Welch H (1993) Advances in diagnostic imaging and overestimation of disease prevalence and the benefits of therapy. N Engl J Med 328:1237–1243

    Article  CAS  PubMed  Google Scholar 

  4. Colanna M, Grosclaude P, Remontet L et al (2002) Incidence of thyroid cancer in adults recorded by French cancer registries. Eur J Cancer 38:1762–1768

    Article  Google Scholar 

  5. Davies L, Welch H (2006) Increasing incidence of thyroid cancer in the United States. JAMA 295:2164–2167

    Article  CAS  PubMed  Google Scholar 

  6. Liu S, Semenciw R, Ugnat A (2001) Increasing thyroid cancer incidence in Canada, 1970–1996: time trends and age–period–cohort effects. Br J Cancer 85:1335–1339

    Article  CAS  PubMed  Google Scholar 

  7. Reynolds R, Weirt J, Stockton D et al (2005) Changing trends in incidence and mortality of thyroid cancer in Scotland. Clin Endocrinol 62:156–162

    Article  Google Scholar 

  8. Kent W, Hall SIP et al (2007) The increasing incidence of differentiated thyroid cancer is due to increased detection of subclinical disease. Can Med Assoc J 177:1357–1361

    Article  Google Scholar 

  9. Barbaro D, Simit U, Meucci P et al (2005) Thyroid papillary cancer: microcarcinomas and carcinoma, incidental cancers and non-incidental cancers—are they different diseases? Clin Endocrinol 63:577–581

    Article  CAS  Google Scholar 

  10. Mitchell J, Parangi S (2004) Thyroid incidentalomas: a new epidemic. Curr Surg 61:545–551

    Article  PubMed  Google Scholar 

  11. Topliss D (2004) Thyroid incidentaloma: the ignorant in pursuit of the impalpable. Clin Endocrinol 60:18–20

    Article  Google Scholar 

  12. Bondeson L, Ljungberg O (1981) Occult thyroid carcinoma at autopsy in Malmo Sweden. Cancer 47:319–323

    Article  CAS  PubMed  Google Scholar 

  13. Harach H, Franssila K, Wasenius V (1985) Occult papillary carcinoma of the thyroid: a “normal” finding in Finland. Cancer 56:531–538

    Article  CAS  PubMed  Google Scholar 

  14. Lang W, Borrusch H, Bauer L (1988) Occult carcinomas of the thyroid: evaluation of 1,020 autopsies. Am J Clin Pathol 90:72–76

    CAS  PubMed  Google Scholar 

  15. Nielsen B, Zetterlund B (1985) Malignant thyroid tumors at autopsy in a Swedish goitrous population. Cancer 55:1041–1043

    Article  CAS  PubMed  Google Scholar 

  16. Sobrinho-Simoes M, Sambade M, Goncalves V (1979) Latent thyroid carcinoma at autopsy. Cancer 43:1702–1706

    Article  CAS  PubMed  Google Scholar 

  17. Yamamoto Y, Maeda T, Izumi K et al (1990) Occult papillary carcinoma of the thyroid: a study of 408 autopsy cases. Cancer 65:1173–1179

    Article  CAS  PubMed  Google Scholar 

  18. Ito Y, Uruno T, Narayan S et al (2003) An observation trial without surgical treatment in patients with papillary microcarcinoma of the thyroid. Thyroid 13:381–387

    Article  PubMed  Google Scholar 

  19. Chow W, Devesa S, Warren J (1999) Rising incidence of renal cell cancer in the United States. JAMA 281:1628–1631

    Article  CAS  PubMed  Google Scholar 

  20. Hollingsworth J, Miller D, Daignault S et al (2006) Rising incidence of small renal masses: a need to reassess treatment effect. J Natl Cancer Inst 98:1331–1334

    Article  PubMed  Google Scholar 

  21. Kane C, Mallin K, Ritchey J et al (2008) Renal cell cancer stage migration: analysis of the National Cancer Database. Cancer 113:78–83

    Article  PubMed  Google Scholar 

  22. Hollingsworth J, Miller D, Daignault S et al (2007) Correspondence: rising incidence of small renal masses: a need to reassess treatment effect. J Natl Cancer Inst 99:569–571

    Article  Google Scholar 

  23. Jayson M, Sanders H (1998) Increased incidence of serendipitously discovered renal cell carcinoma. Urology 51:203–205

    Article  CAS  PubMed  Google Scholar 

  24. Mathew A, Devesa S, Fraumeni J et al (2002) Global increases in kidney cancer incidence, 1973–1992. Eur J Cancer Prev 11:171–178

    Article  CAS  PubMed  Google Scholar 

  25. Chawla S, Crispen P, Hanlon A et al (2006) The natural history of observed enhancing renal masses: meta-analysis and review of the literature. J Urol 175:425–431

    Article  PubMed  Google Scholar 

  26. Sowery R, Siemens R (2004) Growth characteristics of renal cortical tumors in patients managed by watchful waiting. Can J Urol 11:2407–2410

    PubMed  Google Scholar 

  27. Matar K, Basiuk J, Tanguay S et al (2008) Active surveillance of small renal masses: a prospective mutli-center Canadian trial. Eur J Urol 7(suppl):309

    Article  Google Scholar 

  28. Bhargavan M, Sunshine J (2005) Utilization of radiology services in the United States. Radiology 234:824–832

    Article  PubMed  Google Scholar 

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Acknowledgments

This project was funded by a peer reviewed competition within the Endowment Fund of the Clinical Teachers of Queen’s University in Kingston Ontario Canada. Dr. Hall was funded during this time by the New Investigator Program of the Canadian Institutes of Health Research.

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Authors and Affiliations

  1. Division of Cancer Care and Epidemiology, Queen’s Cancer Research Institute, 10 Stuart Street, Level 2, Kingston, ON, K7L 3N6, Canada

    Stephen F. Hall, Hugh Walker & Amy Schneeberg

  2. Department of Urology, Queen’s University, 76 Stuart Street, Kingston, ON, K7L 2V7, Canada

    Robert Siemens

Authors
  1. Stephen F. Hall
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  2. Hugh Walker
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  3. Robert Siemens
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  4. Amy Schneeberg
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Correspondence to Stephen F. Hall.

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Hall, S.F., Walker, H., Siemens, R. et al. Increasing Detection and Increasing Incidence in Thyroid Cancer. World J Surg 33, 2567–2571 (2009). https://doi.org/10.1007/s00268-009-0226-9

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  • DOI: https://doi.org/10.1007/s00268-009-0226-9

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