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In Reply We appreciate Dr Chow’s interest in our study. We agree that having a central lymph node dissection might affect patients’ reported health-related quality of life (HRQOL). In our cohort, 29% of those who had a total thyroidectomy had concurrent central lymph node dissection. We have now further explored whether this affected the association between thyroidectomy and HRQOL in 2 ways. First, we included this as a variable in our multivariable analyses. Compared with having a hemithyroidectomy, we found that the association between having a total thyroidectomy and reporting an HRQOL issue was similar whether we adjusted for central lymph node dissection (adjusted odds ratio [aOR], 1.47; 95% CI, 1.03-2.11) or not (aOR, 1.49; 95% CI, 1.
To the Editor In the January issue, Ohtsuru et al suggest that large-scale mass screening using ultrasonography of the thyroid can identify many detectable cancers from a large pool of nonclinical and subclinical thyroid cancers among young persons in an age-dependent manner, comparing the differences in the age-conditional incidence rate between the Fukushima Health Management Survey (FHMS) for children and young adults within 5 years of the 2011 Fukushima Daiichi nuclear power station accident and the age-conditional incidence rate estimate.

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