Factors determining the persistence or recurrence of well-differentiated thyroid cancer treated by thyroidectomy and/or radioiodine in the Boston, Massachusetts area: A retrospective chart review
2011

Factors Affecting Thyroid Cancer Recurrence

Sample size: 431 publication Evidence: moderate

Author Information

Author(s): Angela M Leung, Shalini Dave, Stephanie L Lee, Francis X Campion, Jeffrey R Garber, Elizabeth N Pearce

Primary Institution: Boston University School of Medicine

Hypothesis

Certain patient-associated or tumor-associated factors predict well-differentiated thyroid cancer persistence or recurrence.

Conclusion

Age at diagnosis seems to have some positive prognostic value for thyroid cancer persistence or recurrence.

Supporting Evidence

  • 52 patients (12%) experienced persistence or recurrence of thyroid cancer.
  • Older age was a significant predictor of disease persistence or recurrence.
  • Most tumors were unifocal and larger than 1 cm.

Takeaway

This study looked at patients with thyroid cancer to see what factors might make their cancer come back. It found that being older when diagnosed could be important.

Methodology

Retrospective chart review of thyroid carcinoma patients treated between 1979 and 2007.

Potential Biases

Potential misclassification bias due to patients managed by non-HVMA providers.

Limitations

The study could not assess local extension of disease and lymph node involvement due to missing data.

Participant Demographics

74% women, 79% Caucasian, mean age 45.8 years.

Statistical Information

P-Value

0.02

Confidence Interval

95% CI, 0.25 to 0.95

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1756-6614-4-9

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