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Sarah Craus Department of Medicine, Faculty of Medicine and Surgery, University of Malta, Mater Dei Hospital, Msida, Malta
Department of Medicine, Mater Dei Hospital, Msida, Malta

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Mark Gruppetta Department of Medicine, Faculty of Medicine and Surgery, University of Malta, Mater Dei Hospital, Msida, Malta
Department of Medicine, Mater Dei Hospital, Msida, Malta

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this study was to analyse variable factors related to craniopharyngiomas, focusing mainly on epidemiology and tumour characteristics by carrying out a population-based study. Materials and methods Study population and data collection Malta

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Sara Coelho Department of Medical Oncology, Portuguese Oncology Institute of Porto, EPE, Porto, Portugal

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Cláudia Costa Department of Endocrinology, Portuguese Oncology Institute of Porto, EPE, Porto, Portugal

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Ana Paula Santos Department of Endocrinology, Portuguese Oncology Institute of Porto, EPE, Porto, Portugal
Research Center, Portuguese Oncology Institute of Porto, EPE, Porto, Portugal

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Pedro Souteiro Department of Endocrinology, Portuguese Oncology Institute of Porto, EPE, Porto, Portugal

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Joana Oliveira Department of Endocrinology, Portuguese Oncology Institute of Porto, EPE, Porto, Portugal

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Júlio Oliveira Department of Medical Oncology, Portuguese Oncology Institute of Porto, EPE, Porto, Portugal

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Isabel Azevedo Department of Medical Oncology, Portuguese Oncology Institute of Porto, EPE, Porto, Portugal

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Isabel Torres Department of Endocrinology, Portuguese Oncology Institute of Porto, EPE, Porto, Portugal

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Maria José Bento Department of Epidemiology, Portuguese Oncology Institute of Porto, EPE, Porto, Portugal
School of Medicine and Biomedical Sciences, University of Porto, Porto, Portugal

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, Hauso et al . 2008 , Fraenkel et al. 2014 ). According to Surveillance, Epidemiology and End Results database, the current incidence of pancreatic neuroendocrine neoplasms (Pan-NEN) in United States is 0.8/100,000/year ( Dasari et al. 2017

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Patricia Gina Lu Department of General Surgery, Division of Surgical Oncology and Endocrine Surgery, Mayo Clinic in Arizona, Phoenix, Arizona, USA

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Zhi Ven Fong Department of General Surgery, Division of Surgical Oncology and Endocrine Surgery, Mayo Clinic in Arizona, Phoenix, Arizona, USA

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Patrick T Hangge Department of General Surgery, Division of Surgical Oncology and Endocrine Surgery, Mayo Clinic in Arizona, Phoenix, Arizona, USA

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Yu-Hui Chang Department of Quantitative Health Sciences, Mayo Clinic in Arizona, Scottsdale, Arizona, USA

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Elisabeth S Lim Department of Quantitative Health Sciences, Mayo Clinic in Arizona, Scottsdale, Arizona, USA

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Nabil Wasif Department of General Surgery, Division of Surgical Oncology and Endocrine Surgery, Mayo Clinic in Arizona, Phoenix, Arizona, USA

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Patricia A Cronin Department of General Surgery, Division of Surgical Oncology and Endocrine Surgery, Mayo Clinic in Arizona, Phoenix, Arizona, USA

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Chee-Chee Stucky Department of General Surgery, Division of Surgical Oncology and Endocrine Surgery, Mayo Clinic in Arizona, Phoenix, Arizona, USA

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Background

The 2015 American Thyroid Association (ATA) guidelines added thyroid lobectomy (TL) as the appropriate treatment for low-risk differentiated thyroid cancer (DTC). We aimed to investigate the population-level factors that influence the utilization of TL.

Methods

The Surveillance, Epidemiology and End Results (SEER) database was queried for all DTC patients fitting low-risk criteria as defined by the ATA. Trends in total thyroidectomy (TT) and TL were identified using a Cochrane–Armitage test. Multivariable logistic regression identified patient and socioeconomic characteristics associated with TL, and difference-in-difference analysis was used to control for secular trends over time.

Results

A total of 43,526 patients with low-risk DTC were identified in the SEER database; 39,411 pre-2015 and 4115 post-2015. After 2015, TT continued to outnumber TL (76.2% vs 23.8%), although the rate of TL increased significantly (11.6% to 23.8%, P < 0.001). However, difference-in-difference analysis found that age > 55 (OR 1.11, 95% CI 1.01–1.19, P < 0.001) and rurality (OR 1.16, 95% CI 1.05–1.28, P < 0.001) were independently associated with TT. TL was associated with T1 disease (OR 1.11, 95% CI 1.04–1.19, P = 0.001).

Conclusion

Although the 2015 ATA guideline update led to an increase in TL for low-risk DTC, most patients still underwent TT. Age and neighborhood significantly impact the odds of receiving guideline-appropriate TL for low-risk DTC, especially for T2 disease.

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Molly Endicott University of Exeter Medical School, RILD Building, RD&E Hospital Wonford, Exeter, UK

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Chrissie Thirlwell University of Exeter Medical School, RILD Building, RD&E Hospital Wonford, Exeter, UK

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Amy P Webster University of Exeter Medical School, RILD Building, RD&E Hospital Wonford, Exeter, UK

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ME & Friis S 2014 The epidemiology of diabetes and cancer . Current Diabetes Reports 14 535 . ( https://doi.org/10.1007/s11892-014-0535-8 ) Cheng I Caberto CP Lum-Jones A Seifried A Wilkens LR Schumacher FR Monroe KR Lim U

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Sylvia L Asa Department of Pathology, University Hospitals Cleveland Medical Center, Case Western Reserve University, Cleveland, Ohio, USA

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Shereen Ezzat Department of Medicine, University Health Network, University of Toronto, Toronto, Ontario, Canada

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as primary lesions in the pituitary; only recently has there been a report suggesting the possibility of a true primary pituitary NEC ( Saeger et al. 2021 ). Epidemiology of PitNETs Like other NETs ( Yao et al. 2008 ), PitNETs are now

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T U Kars Department of Internal Medicine, Necmettin Erbakan University Meram School of Medicine, Konya, Turkey

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M Kulaksızoğlu Division of Endocrinology and Metabolism Disease, Department of Internal Medicine, Necmettin Erbakan University Meram School of Medicine, Meram, Konya, Turkey

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İ Kılınç Department of Biochemistry, Necmettin Erbakan University Meram School of Medicine, Meram, Konya, Turkey

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-mediated non-alcoholic steatohepatitis (NASH) fibrosis . Biochimica et Biophysica Acta 1862 135 – 144 . ( https://doi.org/10.1016/j.bbadis.2015.10.028 ) Dean DS Gharib H 2008 Epidemiology of thyroid nodules . Best Practice and Research: Clinical

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Sean McSweeney University of Minnesota Medical School, Minneapolis, Minnesota, USA

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Hannah E Bergom Department of Medicine, University of Minnesota Masonic Cancer Center, Minneapolis, Minnesota, USA
Division of Hematology, Oncology and Transplantation, University of Minnesota, Minneapolis, Minnesota, USA

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Anna Prizment Department of Medicine, University of Minnesota Masonic Cancer Center, Minneapolis, Minnesota, USA
Division of Hematology, Oncology and Transplantation, University of Minnesota, Minneapolis, Minnesota, USA

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Susan Halabi Department of Biostatistics and Bioinformatics, Duke University, Durham, North Carolina, USA

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Nima Sharifi Genitourinary Malignancies Research Center, Lerner Research Institute, Cleveland Clinic, Cleveland, Ohio, USA

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Charles Ryan University of Minnesota Medical School, Minneapolis, Minnesota, USA
Department of Medicine, University of Minnesota Masonic Cancer Center, Minneapolis, Minnesota, USA
Prostate Cancer Foundation, Santa Monica, California, USA

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Justin Hwang Department of Medicine, University of Minnesota Masonic Cancer Center, Minneapolis, Minnesota, USA
Division of Hematology, Oncology and Transplantation, University of Minnesota, Minneapolis, Minnesota, USA

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, and CYP11α in prostate cancer risk and aggressiveness . Cancer Epidemiology, Biomarkers and Prevention 14 2173 – 2177 . ( https://doi.org/10.1158/1055-9965.EPI-05-0215 ) 10.1158/1055-9965.EPI-05-0215 Dai C Chung YM Kovac E Zhu Z Li J Magi

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Mark S Stein Knox Private Hospital, Wantirna, Victoria, Australia

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Victor Kalff Molecular Imaging and Therapeutic Nuclear Medicine, Cancer Imaging, Prostate Cancer Theranostics and Imaging Centre of Excellence (ProsTIC), Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia

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Scott G Williams Radiation Oncology, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia
Sir Peter MacCallum Department of Oncology, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia

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Declan G Murphy Sir Peter MacCallum Department of Oncology, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia
Division of Cancer Surgery, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia

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Peter G Colman Department of Diabetes and Endocrinology, The Royal Melbourne Hospital and University of Melbourne Department of Medicine, Parkville, Victoria, Australia

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Michael S Hofman Molecular Imaging and Therapeutic Nuclear Medicine, Cancer Imaging, Prostate Cancer Theranostics and Imaging Centre of Excellence (ProsTIC), Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia
Sir Peter MacCallum Department of Oncology, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia

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lower than PSMA density in mCRPC and that exendin-4 will not be a useful diagnostic imaging tool in patients with mCRPC. Low GLP-1R expression does not discount a potential therapeutic benefit from GLP-1R agonists in prostate cancer. The epidemiology

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Macarena Contreras Angulo Department of Endocrinology and Nutrition, Puerta de Hierro University Hospital, Majadahonda, Madrid, Spain

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Belén García Izquierdo Department of Endocrinology and Nutrition, Puerta de Hierro University Hospital, Majadahonda, Madrid, Spain

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Laura Armengod Grao Department of Endocrinology and Nutrition, Puerta de Hierro University Hospital, Majadahonda, Madrid, Spain

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Nuria Palacios García Department of Endocrinology and Nutrition, Puerta de Hierro University Hospital, Majadahonda, Madrid, Spain

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(0.20 mg/dL (0.6–1.1)). Renal function was mildly impaired at baseline, as shown by a creatinine level of 1.18 mg/dL (0.5–0.9) and a glomerular filtration rate (estimated by a Chronic Kidney Disease Epidemiology Collaboration method (CDK-EPI)) of 46

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Benjamin J Worrall Endocrine Surgical Unit, Royal North Shore Hospital, Northern Sydney Local Health District, St. Leonards, New South Wales, Australia
Northern Clinical School, Sydney Medical School, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia

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Alexander Papachristos Endocrine Surgical Unit, Royal North Shore Hospital, Northern Sydney Local Health District, St. Leonards, New South Wales, Australia
Northern Clinical School, Sydney Medical School, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia

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Ahmad Aniss Endocrine Surgical Unit, Royal North Shore Hospital, Northern Sydney Local Health District, St. Leonards, New South Wales, Australia

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Anthony Glover Endocrine Surgical Unit, Royal North Shore Hospital, Northern Sydney Local Health District, St. Leonards, New South Wales, Australia
Northern Clinical School, Sydney Medical School, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia
The Kinghorn Cancer Centre, Garvan Institute of Medical Research, St. Vincent's Clinical School, Faculty of Medicine, University of New South Wales Sydney, Sydney, New South Wales, Australia

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Stan B Sidhu Endocrine Surgical Unit, Royal North Shore Hospital, Northern Sydney Local Health District, St. Leonards, New South Wales, Australia
Northern Clinical School, Sydney Medical School, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia

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Roderick J Clifton-Bligh Department of Endocrinology and metabolism, Royal North Shore Hospital, Sydney, Australia Faculty of Medicine and Health, University of Sydney, Sydney, Australia
Cancer Diagnosis and Pathology Group, Kolling Institute of Medical Research, Royal North Shore Hospital, Sydney, Australia

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Diana Learoyd GenesisCare North Shore Health Hub Tower A, St Leonards, New South Wales, Australia

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Venessa H M Tsang Northern Clinical School, Sydney Medical School, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia
Department of Endocrinology and metabolism, Royal North Shore Hospital, Sydney, Australia Faculty of Medicine and Health, University of Sydney, Sydney, Australia

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Matti Gild Endocrine Surgical Unit, Royal North Shore Hospital, Northern Sydney Local Health District, St. Leonards, New South Wales, Australia
Department of Endocrinology and metabolism, Royal North Shore Hospital, Sydney, Australia Faculty of Medicine and Health, University of Sydney, Sydney, Australia

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Bruce G Robinson Department of Endocrinology and metabolism, Royal North Shore Hospital, Sydney, Australia Faculty of Medicine and Health, University of Sydney, Sydney, Australia

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Mark S Sywak Endocrine Surgical Unit, Royal North Shore Hospital, Northern Sydney Local Health District, St. Leonards, New South Wales, Australia
Northern Clinical School, Sydney Medical School, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia

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to observations based on the Surveillance Epidemiology and End Results ( Sutton et al. 2022 ) and National Surgery Quality Improvement Program databases ( Ullmann et al. 2019 ). The modest engagement with the ATA recommendations can be partially

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