Thyroid Cancer is Overtreated: Mayo Study

Wednesday, 28 Aug 2013 04:29 PM

By Nick Tate

Share:
  Comment  |
   Contact Us  |
  Print  
|  A   A  
  Copy Shortlink
An explosion in the use of ultrasound, MRI, and CT scans is driving what Mayo Clinic researchers are calling an "epidemic" in the diagnosis and treatment of low-risk thyroid cancers that are not likely to ever cause symptoms or death.

In a new report published online in the British Medical Journal, medical investigators with the Mayo Clinic Center for the Science of Health Care Delivery argue that an increasing gap between the rate of thyroid cancer and deaths from the disease suggests that low-risk forms of the disease are being overdiagnosed and overtreated.
 
"High tech imaging technologies such as ultrasound, CT, and MRI can detect very small thyroid nodules many of which are slow growing papillary thyroid cancers," said lead researcher Juan Pablo Brito, a health care delivery specialist at Mayo Clinic. "This is exposing patients to unnecessary and harmful treatments that are inconsistent with their prognosis."
 
Brito noted the surgical removal of all or part of the thyroid gland is costly procedure and can cause complications such as low calcium levels and nerve injury. Surgical removal procedures in the United States have tripled in the past 30 years — from 3.6 per 100,000 people in 1973 to 11.6 per 100,000 people in 2009, Brito said.
 
"Uncertainty about the benefits and harms of immediate treatment for low-risk papillary thyroid cancer should spur clinicians to engage patients in shared decision-making to ensure treatment is consistent with the research evidence and patient goals," he added.
 
Brito recommended using a new term that connotes a favorable prognosis for low-risk thyroid cancers, such as microPapillary Lesions of Indolent Course (microPLIC). A new term would make it easier for clinicians to offer patients the choice of active surveillance — watchful waiting, which not occurs for patients with low-risk prostate cancer — instead of immediate and often intensive treatment.
 
He also called for additional research to identify the appropriate care for these patients.

© 2014 NewsmaxHealth. All rights reserved.

Share:
  Comment  |
   Contact Us  |
  Print  
  Copy Shortlink
Around the Web
Join the Newsmax Community
>> Register to share your comments with the community.
>> Login if you are already a member.
blog comments powered by Disqus
 
Email:
Retype Email:
Country
Zip Code:
 
Hot Topics
Follow Newsmax
Like us
on Facebook
Follow us
on Twitter
Add us
on Google Plus
Around the Web
You May Also Like

Singer Debbie Gibson Reveals Battle With Lyme Disease

Friday, 18 Apr 2014 17:07 PM

Singer Debbie Gibson says that he was diagnosed last year with Lyme disease, a tick-borne illness that can cause joint p . . .

Food Poisoning Strikes Food Safety Meeting

Friday, 18 Apr 2014 16:43 PM

Maryland health officials are investigating a suspected outbreak of food poisoning among government and business leaders . . .

Favorite Easter Candy: What Will It Take to Work It Off?

Friday, 18 Apr 2014 16:37 PM

Marshmallow Peeps, Cadbury Crème Eggs, and chocolate bunnies are popular for Easter. But what will it take to burn off t . . .

Newsmax, Moneynews, and Independent. American. are registered trademarks of Newsmax Media, Inc. Newsmax TV, NewsmaxWorld, NewsmaxHealth, are trademarks of Newsmax Media, Inc.

 
NEWSMAX.COM
America's News Page
©  Newsmax Media, Inc.
All Rights Reserved