Evidence map›Paper›PMID 21364517›Full record

ReviewNature reviews. Endocrinology2011

Thyroid nodule guidelines: agreement, disagreement and need for future research.

Ralf Paschke, Laszlo Hegedüs, Erik Alexander, Roberto Valcavi, Enrico Papini, Hossein Gharib

Registry-linked trialAbstract readEvaluation StudyReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Endocrinology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04009863 (A Randomized, Open-label, Parallel-group Study to Determine the Efficacy of Sequential High-intensity Focused Ultrasound), which is not on this map. Cited by 58 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04009863 nacompletednot on this mapstarted 2020, after this paper: background citation

A Randomized, Open-label, Parallel-group Study to Determine the Efficacy of Sequential High-intensity Focused Ultrasound (HIFU) Ablation Versus Fixed-dose Radioiodine-131 Therapy in Moderate-sized Non-toxic Multinodular Goiter

TypeinterventionalSponsorThe University of Hong KongRan2020 to 2022Enrolled156ConditionsNon Toxic Multinodular Goiter, High Intensity Focused Ultrasound, RAIArmsEchopulse, Radioactive iodine (Radioidine i131)
3 · Its place in the literature

Who cites it

58 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. The EANM guideline on radioiodine therapy of benign thyroid disease.European journal of nuclear medicine and molecular imaging · 2023
    Guideline
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Nonsurgical Thermal Ablation of Thyroid Nodules: Not if, but Why, When, and How?Thyroid : official journal of the American Thyroid Association · 2020
    Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Ralf PaschkeKlinik für Endokrinologie und Nephrologie, Universität Leipzig, Liebigstraße 20, D-04103 Leipzig, Germany. ralf.paschke@ medizin.uni-leipzig.de
Laszlo Hegedüs
Erik Alexander
Roberto Valcavi
Enrico Papini
Hossein Gharib

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This article reviews agreement, disagreement and need for future research of the thyroid nodule guidelines published by the British Thyroid Association, National Cancer Institute, American Thyroid Association and the joint, transatlantic effort of three large societies, the American Society of Clinical Endocrinologists, Associazione Medici Endocrinologi and the European Thyroid Association, published in 2010. Consensus exists for most topics in the various guidelines. A few areas of disagreement, such as the use of scintigraphy, are mostly due to differences in disease prevalence in different countries. Most of the discordance, for example, on the use of calcitonin screening or fine-needle aspiration cytology classification, could probably be resolved by further expert discussions, as the basis is the same published evidence. Importantly, owing to a current lack of evidence in many areas, clinically very relevant areas of uncertainty need to be addressed by further research. This situation applies, for instance, to better definition of ultrasound malignancy criteria and the evaluation of emerging new diagnostic and therapeutic techniques, including molecular markers. For clinicians who advise individual patients, these areas of uncertainty can currently only be resolved by sound management on the basis of clinical judgment, experience and patient preference.

Indexed as

Biomedical ResearchHealth Services Needs and DemandPractice Guidelines as TopicBiopsy, Fine-NeedleConsensusDissent and DisputesForecastingHumansThyroid NoduleUltrasonography

Identifiers

PMID21364517

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.