ThyroSeq®V2.0 Molecular Testing: A Cost-Effective Approach for the Evaluation of Indeterminate Thyroid Nodules

Abstract

Insights

ThyroSeq®V2.0 molecular testing is more cost-effective than diagnostic thyroidectomy for indeterminate thyroid nodules (Bethesda categories III and IV). This approach offers a lower average cost per nodule and per cancer case detected.

Area of Science:

  • Endocrinology
  • Oncology
  • Molecular Diagnostics

Background:

  • Indeterminate thyroid nodules (Bethesda III/IV) present a diagnostic challenge, with many undergoing unnecessary surgery.
  • Molecular testing aids in risk stratification, potentially reducing surgical intervention.
  • ThyroSeq®V2.0 is a molecular test for evaluating these nodules.

Purpose of the Study:

  • To assess the cost-effectiveness of ThyroSeq®V2.0 compared to diagnostic thyroidectomy for indeterminate thyroid nodules.
  • To evaluate the economic impact of molecular testing in thyroid nodule management.

Main Methods:

  • Retrospective review of Bethesda category III and IV nodules from January 2014 to November 2016.
  • Comparison of costs associated with ThyroSeq®V2.0 testing versus diagnostic thyroidectomy.
  • Analysis of cost per nodule evaluated and cost per cancer case detected.

Main Results:

  • For Bethesda III nodules, ThyroSeq®V2.0 averaged $14,669/nodule vs. $23,338 for surgery; cost per cancer was $58,674 vs. $62,233.
  • For Bethesda IV nodules, ThyroSeq®V2.0 averaged $14,641/nodule vs. $24,345 for surgery; cost per cancer was $31,721 vs. $53,560.
  • ThyroSeq®V2.0 demonstrated lower costs in both evaluated categories.

Conclusions:

  • ThyroSeq®V2.0 is a cost-effective diagnostic tool for indeterminate thyroid nodules (Bethesda III/IV).
  • Molecular testing can reduce healthcare costs associated with unnecessary thyroid surgeries.

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