Endocrine oncology

Use of Neck Ultrasound as Surveillance in Older Adults With Thyroid Cancer

Endocr PractPublished Retrospective cohort study

Authors' conclusion

Older adults with thyroid cancer are more likely to die of causes other than thyroid cancer. To improve high-value care in older adults with thyroid cancer and high-risk of death from other causes, there is need for individualized plans for neck ultrasound use.

Study context

Population
Patients aged ≥65 years diagnosed with thyroid cancer, 2016–2021; median age 74 years (range 65–100), 65.1% female
Participants
2,007 patients
Exposure
Patients who died of other causes vs remainder of cohort
  • Died of other causesn = 259
Outcome
Cause of death
Follow-up
Median 3 years, range 0-6 years
Methodological detailsMedicare data linked to University of Michigan health data
  • Medicare data linked to University of Michigan health data

Main finding

As reported in the abstract

Died of thyroid cancer

76

3.8%

Died of other causes

259

12.9%

Observational data: associations, not effects.

Further findings

Number of neck US during study period

P < 0.001

Heart disease

Heart disease in those who died of other causes
179 (69.1%)
Heart disease in entire cohort
868 (43.3%)
More comorbidities in those who died of other causes

Original publication

Use of Neck Ultrasound as Surveillance in Older Adults With Thyroid Cancer. Endocr Pract. Published 30 April 2025. doi:10.1016/j.eprac.2025.04.020

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