Extent of Surgery Affects Survival for Papillary Thyroid Cancer
Northwestern University · American College of Surgeons · +2 more institutions
Abstract
From the National Cancer Data Base (1985–1998), 52,173 patients underwent surgery for PTC. Survival was estimated by the Kaplan-Meier method and compared using log-rank tests. Cox Proportional Hazards modeling stratified by tumor size was used to assess the impact of surgical extent on outcomes and to identify a tumor size threshold above which total thyroidectomy is associated with an improvement in recurrence and long-term survival rates.
Of the 52,173 patients, 43,227 (82.9%) underwent total thyroidectomy, and 8946 (17.1%) underwent lobectomy. For PTC
Citation impact
- FWCI
- 15.30
- Percentile
- 100%
- References
- 39
Authors
7- KYKarl Y. BilimoriaCorresponding
Northwestern University, American College of Surgeons
- DJDavid J. BentremCorresponding
Northwestern University
- CYClifford Y. Ko
VA Greater Los Angeles Healthcare System, American College of Surgeons
- AKAndrew K. Stewart
American College of Surgeons
- DPDavid P. Winchester
NorthShore University HealthSystem, American College of Surgeons
Topics & keywords
- Medicine
- Thyroidectomy
- Total thyroidectomy
- Papillary thyroid cancer
- Thyroid cancer
- Proportional hazards model
- Surgery
- Cancer
- Good health and well-being