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Is thyroid surgery performed too often in Germany?

Frederik A Verburg1

  • 1Frederik A. Verburg MD PhD, RWTH University Hospital Aachen, Department of Nuclear Medicine, Pauwelsstraße 30, 52074 Aachen, Germany, Tel. +49/(0)241/803 66 19, Fax +49/(0)241/808 25 20,

Nuklearmedizin. Nuclear Medicine
|June 25, 2015
PubMed
Summary

Thyroid surgery rates in Germany are declining but remain high compared to other Western nations. Factors like iodine deficiency and advanced diagnostics may contribute to this trend.

Keywords:
Thyroid surgeryindications for surgeryinternational comparisonthyroid disease

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Area of Science:

  • Endocrinology
  • Surgical Epidemiology

Background:

  • Thyroid surgery is a common procedure in Germany.
  • Rates vary significantly across Western countries.

Purpose of the Study:

  • To compare thyroid surgery incidence in Germany with the Netherlands, USA, and England.
  • To explore potential factors contributing to higher rates in Germany.

Main Methods:

  • Comparative analysis of thyroid surgery data from Germany, Netherlands, USA, and England.
  • Exploration of contributing factors including iodine intake, diagnostic practices, and medical system influences.

Main Results:

  • German thyroid surgery rates, though declining, were higher (109/100,000/year in 2012) than in the Netherlands (16), USA (≥42), and England (≥27).
  • Potential factors identified include iodine deficiency, extensive use of ultrasound diagnostics, limited use of fine-needle biopsy, and defensive medicine practices.

Conclusions:

  • Despite a downward trend, Germany exhibits a comparatively high incidence of thyroid surgery.
  • The precise contribution of identified factors to the elevated rates in Germany requires further investigation.