Research Article

Long-Term Survival in Young Women: Hazards and Competing Risks after Thyroid Cancer

Table 1

Characteristics of women diagnosed with differentiated thyroid cancer 1975–2009 (SEER 9) by age group.

Characteristic (chi-sq. value±)<40 years40+ years
(%) (%)

Total ( 35,053)14,540 (41.5)20,513 (58.5)
Age at diagnosis†††
 Mean (std dev)30.01 (6.37)54.82 (11.42)
 Median age at diagnosis3152
Histology***
 Papillary13,215 (90.9)17,883 (87.2)
 Follicular1,325 (9.1)2,630 (12.8)
Race and ethnicity***
 Non-Hispanic White10,901 (75.0)15,428 (75.2)
 Non-Hispanic Black774 (5.3)1,270 (6.2)
 Hispanic1,437 (9.9)1,490 (7.3)
 Asian/Pacific Islander1,428 (9.8)2325 (11.3)
Marital status***
 Married/Common law8,471 (58.3)13,575 (66.2)
 Not married5,618 (38.6)6,138 (29.9)
 Unknown451 (3.1)800 (3.9)
Multiple primary cancers***
 One primary only13,616 (93.7)17,973 (87.6)
 1st of 2+ primaries924 (6.4)2,540 (12.4)
SEER Historic Stage A***
 Localized8,857 (60.9)13,691 (66.7)
 Regional5,288 (36.4)6,112 (29.8)
 Distant395 (2.7)710 (3.5)
Surgical treatment***
 Surgery14,457 (99.4)20,202 (98.5)
 No surgery83 (0.6)311 (1.5)
Radiation treatment**
 Radiation6,655 (45.8)9,012 (43.9)
 No radiation7,885 (54.2)11,501 (56.1)
Tumor size (1983+)***
 0-1 cm2,814 (22.7)5,760 (31.1)
 1.1–2 cm4,048 (32.6)5,003 (27.0)
 2.1–4 cm3,450 (27.8)4,144 (22.4)
 >4 cm796 (6.4)1,414 (7.6)
 Unknown1,315 (10.6)2,203 (11.9)
SEER registry***
 San Francisco-Oakland2,222 (15.3)2,776 (13.5)
 Connecticut1,745 (12.0)3,013 (14.7)
 Detroit2,055 (5.9)3,254 (15.9)
 Hawaii828 (5.7)1,315 (6.4)
 Iowa1,664 (11.4)2,198 (10.7)
 New Mexico959 (6.6)1,564 (7.6)
 Seattle2,161 (14.9)2,901 (14.1)
 Utah1,576 (10.8)1,662 (8.1)
 Atlanta1,330 (9.2)1,830 (8.9)
Rural-Urban continuum Designation (county at diagnosis)***
 Metropolitan counties12,996 (89.4)18,048 (88.0)
 Nonmetropolitan counties1,544 (10.6)2,465 (12.0)
Socioeconomic status—% poverty (county at diagnosis) 1992+**
 Tertile 1 (high poverty/low SES)1,330 (14.0)2,426 (15.7)
 Tertile 24,280 (44.9)6,670 (43.2)
 Tertile 3 (low poverty/high SES)3,920 (41.1)6,350 (41.1)
Vital status***
 Alive14,134 (97.2)16,912 (82.5)
 Dead406 (2.8)3,601 (17.6)
Median follow-up time (years)11.427.25
 Range0.00–34.920.00–34.92

***Chi-square < 0.0001; **chi-square < 0.001.
†††Satterthwaite’s t-statistic = 259.37, < 0.0001.
cases missing county at diagnosis.
±Significance adjusted for Bonferroni’s correction for 13 bivariate comparisons: < 0.0038.