Endocrine oncology

Early mortality critically impedes improvements in thyroid cancer survival through a half century

Eur J EndocrinolPublished Population-based survival study

Authors' conclusion

We documented worse relative survival in the first year than in the 4 subsequent years, most likely because of rare anaplastic cancer. Overall survival in thyroid cancer patients increased in the Nordic countries in the course of 50 years; 5-year survival was close to 90% for men and close to 95% for women. Even though overdiagnosis may explain some of 5-year survival increase, it is unlikely to influence the substantial increase in 1-year survival. The unmet need is to increase 1-year survival by diagnosing and treating aggressive tumors before metastatic spread.

Study context

Population
Thyroid cancer patients in Denmark, Finland, Norway and Sweden, 1971–2020
Exposure
Men vs Women
Outcome
Relative 1-, 5/1 (conditional)- and 5-year survival
Methodological detailsNORDCAN database, 4 Nordic countries, 1971-2020
  • NORDCAN database
  • 4 Nordic countries
  • 1971-2020

Main finding

As reported in the abstract

Relative survival (mean for the 4 countries)

Relative survival (mean for the 4 countries)

5-year relative survival

Observational data: associations, not effects.

Further findings

Incidence and mortality · 1971-2020

Incidence increase, men
3-fold
Incidence increase, women
4-fold
Mortality, men
halved
Mortality, women
decreased by 2/3

Original publication

Early mortality critically impedes improvements in thyroid cancer survival through a half century. Eur J Endocrinol. Published 7 September 2023. doi:10.1093/ejendo/lvad117

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