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Editorial
May 9, 2017

Striving for Clarity About the Best Approach to Thyroid Cancer Screening and TreatmentIs the Pendulum Swinging Too Far?

Author Affiliations
  • 1Section of Endocrine Surgery, Department of Surgery, Duke University Medical Center, Durham, North Carolina
  • 2Duke Cancer Institute, Duke University Medical Center, Durham, North Carolina
  • 3Duke Clinical Research Institute, Duke University Medical Center, Durham, North Carolina
  • 4Department of Surgery, University of California, San Francisco
  • 5Department of Surgery, Brigham and Women’s Hospital, Boston, Massachusetts
JAMA Surg. Published online May 9, 2017. doi:10.1001/jamasurg.2017.1338

The US Preventive Services Task Force (USPSTF) recommends against screening for thyroid cancer in asymptomatic adults, giving the practice a grade of D.1 That is, the Task Force discourages use of screening with palpation or ultrasonography with a moderate degree of certainty that such screening has no net benefit or that the harm outweighs any benefits. The recommendation is based on a systematic evidence review2 that is an update of a prior USPSTF recommendation from 1996,3 which came to a similar conclusion.

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