American Association of Endocrine SurgeonIncreases in thyroid nodule fine-needle aspirations, operations, and diagnoses of thyroid cancer in the United States
Section snippets
Methods
Utilization data were obtained for 2006–2011 from the Healthcare Cost and Utilization Project (HCUP) Nationwide Inpatient Sample (NIS) and the Thomson Reuters MarketScan Outpatient View database. HCUP is the largest collection of longitudinal inpatient hospital care data in the United States, with all-payer, encounter-level information maintained by the Agency for Healthcare Research and Quality. Outpatient View uses proprietary and public claims as well as federal surveys to construct
Results
Estimates of non-population adjusted, annual thyroid cancer incidence and thyroid cancer-related deaths from the ACS are shown for 2001 to 2013 (Fig 1).12 During the 12-year period, the incidence of thyroid cancer tripled (209% total increase, 17% APC), whereas thyroid cancer-related deaths increased more slowly (42% total increase, 4% APC). For the 2006–2011 study period, the incidence of thyroid cancer increased from 30,180 to 48,020 (59% total increase, 12% APC), and thyroid cancer-related
Discussion
This report of recent trends in thyroid nodule-related procedures is novel in that it is based on national sampling of both publicly and privately insured populations. The rate of thyroid FNAs is increasing rapidly, consistent with the hypothesis that increased use of more sensitive neck imaging is a key driver of this procedure. In contrast, the rate of thyroid nodule-related operations is not increasing as quickly as the rate of thyroid FNA, consistent with the cost-effective role of FNA
Uncited table
Table I.
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R.B.L. and J.W.H. are employed by Veracyte. K.A.R. has received institutional research support from Veracyte.