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Table 1 Summary of the data on thyroid lobectomy in low-risk differentiated thyroid carcinoma

From: Lobo-isthmectomy in the management of differentiated thyroid cancer

Study

Number of patients

Source

Main outcomes

Studies that ATA took into account preparing 2015 ATA GL

Mendelsohn [17]

22,724

SEER

No difference in survival between TT and TL

Matsuzu [18]

1088

Single center

All treated with TL. No comparison between TT and TL

25-year DSS 95.2%

Nixon [19]

889

Single center

No difference in local and regional recurrence between TT and TL

No differences in OS and DSS

Haigh [20]

5432

SEER

No differences in survival between TT and TL

Bilimoria [23]

52,173

NCDB

Significantly higher risk of recurrence and death in tumors > 1 cm after TL than TT

Adam [21]

61,775

NCDB

No difference in OS between TT and TL

Barney [22]

23,605

SEER

No differences in OS and DSS between TT and TL

Studies published after the introduction of 2015 ATA GL

Kuba [25]

173

Single center

No differences in RFS and OS between TT and TL

Song [26]

2345

Single center

No difference in DFS between TT and TL

Choi [27]

5266

Single center

Significantly lower DFS after TL than TT. No difference in DSS between TT and TL

Bosset [29]

295

Single center

All treated with TL. No comparison between TT and TL. Recurrence rate 13.6%

Matsuura [30]

6259

Single center

No differences in OS, DSS, and RFS between TT and TL

Rajjoub [31]

33,816

NCDB

TT compared with TL associated with significantly improved survival in tumors 2–3.9 cm, no difference in tumors 1–1.9 cm

  1. ATA GL The guidelines of the American Thyroid Association, TT Total thyroidectomy, TL Thyroid lobectomy, SEER Surveillance, Epidemiology and End Results, NCDB National Cancer Database, OS overall survival, DSS disease-specific survival, RFS regional-free survival, DFS disease-free survival