Evidence map›Paper›PMID 26756356›Full record

ArticleThyroid : official journal of the American Thyroid Association2016

Anthropometric Factors and Thyroid Cancer Risk by Histological Subtype: Pooled Analysis of 22 Prospective Studies.

Cari M Kitahara, Marjorie L McCullough, Silvia Franceschi, Sabina Rinaldi, Alicja Wolk, Gila Neta, Hans Olov Adami, Kristin Anderson, Gabriella Andreotti, Laura E Beane Freeman and 34 more

Open access · greenAbstract read
In one paragraph

Article in Thyroid : official journal of the American Thyroid Association, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 100 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
100citing papers in PubMed, 5 pooled it
8.8field-weighted citation impact, top 1% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

100 citing papers in PubMed, 5 syntheses or guidelines pooled it, 192 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. 2021 American Thyroid Association Guidelines for Management of Patients with Anaplastic Thyroid Cancer.Thyroid : official journal of the American Thyroid Association · 2021
    Guideline
  5. Pooled it
  6. Review
  7. Article
  8. Review
  9. Article
  10. Review
  11. Article
  12. Article
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  15. Article
  16. Article
  17. Trends of thyroid cancer in children and adolescents over 23 Years in KSA.Journal of Taibah University Medical Sciences · 2025
    Article
  18. Article
  19. Article
  20. Article

40 more citing papers are in PubMed but not listed here.

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

44 authors at 20 institutions in 9 countries.

Cari M Kitahara1 Division of Cancer Epidemiology and Genetics; National Cancer Institute , Rockville, Maryland.
Marjorie L McCullough2 Epidemiology Research Program, American Cancer Society , Atlanta, Georgia .
Silvia Franceschi3 International Agency for Research on Cancer , Lyon, France .
Sabina Rinaldi3 International Agency for Research on Cancer , Lyon, France .
Alicja Wolk4 Division of Nutritional Epidemiology, Institute of Environmental Medicine; Karolinska Institutet , Stockholm, Sweden.
Gila Neta5 Division of Cancer Control and Population Sciences; National Cancer Institute , Rockville, Maryland.
Hans Olov Adami6 Department of Medical Epidemiology and Biostatistics; Karolinska Institutet , Stockholm, Sweden .
Kristin Anderson8 Division of Epidemiology and Community Health, School of Public Health; University of Minnesota , Minneapolis, Minnesota.
Gabriella Andreotti1 Division of Cancer Epidemiology and Genetics; National Cancer Institute , Rockville, Maryland.
Laura E Beane Freeman1 Division of Cancer Epidemiology and Genetics; National Cancer Institute , Rockville, Maryland.
Leslie Bernstein10 Division of Cancer Etiology, Department of Population Sciences, Beckman Research Institute , City of Hope, Duarte, California.
Julie E Buring7 Department of Epidemiology, Harvard School of Public Health , Boston, Massachusetts.
Francoise Clavel-Chapelon12 Inserm, Centre for Research in Epidemiology and Population Health (CESP), U1018, Villejuif, France Paris South University , UMRS Inserm 1018 Team 9, Villejuif, France .
Lisa A De Roo13 Department of Global Public Health and Primary Care, University of Bergen , Bergen, Norway .
Yu-Tang Gao15 Department of Epidemiology, Shanghai Cancer Institute, Renji Hospital, Shanghai Jiaotong University School of Medicine , Shanghai, China .
J Michael Gaziano11 Division of Preventive Medicine, Department of Medicine; Brigham and Women's Hospital , Boston, Massachusetts.
Graham G Giles18 Cancer Epidemiology Centre, Cancer Council Victoria , Melbourne, Australia .
Niclas Håkansson4 Division of Nutritional Epidemiology, Institute of Environmental Medicine; Karolinska Institutet , Stockholm, Sweden.
Pamela L Horn-Ross20 Cancer Prevention Institute of California , Fremont, California.
Vicki A Kirsh21 Prevention and Cancer Control, Cancer Care Ontario , Toronto, Canada .
Martha S Linet1 Division of Cancer Epidemiology and Genetics; National Cancer Institute , Rockville, Maryland.
Robert J MacInnis18 Cancer Epidemiology Centre, Cancer Council Victoria , Melbourne, Australia .
Nicola Orsini4 Division of Nutritional Epidemiology, Institute of Environmental Medicine; Karolinska Institutet , Stockholm, Sweden.
Yikyung Park23 Division of Public Health Sciences, Washington University School of Medicine in St. Louis , St. Louis, Missouri.
Alpa V Patel2 Epidemiology Research Program, American Cancer Society , Atlanta, Georgia .
Mark P Purdue24 Ontario Institute for Cancer Research , Toronto, Canada .
Elio Riboli25 Imperial School of Public Health, Imperial College London , London, United Kingdom .
Kimberly Robien26 Department of Exercise and Nutrition Sciences, Milken Institute School of Public Health, George Washington University , Washington, DC.
Thomas Rohan27 Department of Epidemiology and Population Health, Albert Einstein College of Medicine , Bronx, New York.
Dale P Sandler14 Epidemiology Branch, National Institute of Environmental Health Sciences , Research Triangle Park, North Carolina.
Catherine Schairer1 Division of Cancer Epidemiology and Genetics; National Cancer Institute , Rockville, Maryland.
Arthur B Schneider28 Section of Endocrinology, Diabetes and Metabolism, University of Illinois at Chicago , Chicago, Illinois.
Howard D Sesso7 Department of Epidemiology, Harvard School of Public Health , Boston, Massachusetts.
Xiao-Ou Shu29 Division of Epidemiology, Department of Medicine, Vanderbilt Epidemiology Center, Vanderbilt-Ingram Cancer Center, Vanderbilt University School of Medicine , Nashville, Tennessee.
Pramil N Singh30 Center for Health Research, School of Public Health, Loma Linda University , Loma Linda, California.
Piet A van den Brandt31 Department of Epidemiology, GROW School for Oncology and Developmental Biology, Maastricht University , Maastricht, Netherlands .
Elizabeth Ward32 Intramural Research, American Cancer Society , Atlanta, Georgia .
Elisabete Weiderpass6 Department of Medical Epidemiology and Biostatistics; Karolinska Institutet , Stockholm, Sweden .
Emily White36 Public Health Services Division, Fred Hutchinson Cancer Research Center , Seattle, Washington.
Yong-Bing Xiang15 Department of Epidemiology, Shanghai Cancer Institute, Renji Hospital, Shanghai Jiaotong University School of Medicine , Shanghai, China .
Anne Zeleniuch-Jacquotte38 Division of Epidemiology, Department of Population Health and NYU Cancer Institute, NYU School of Medicine , New York, New York.
Wei Zheng29 Division of Epidemiology, Department of Medicine, Vanderbilt Epidemiology Center, Vanderbilt-Ingram Cancer Center, Vanderbilt University School of Medicine , Nashville, Tennessee.
Patricia Hartge1 Division of Cancer Epidemiology and Genetics; National Cancer Institute , Rockville, Maryland.
Amy Berrington de González1 Division of Cancer Epidemiology and Genetics; National Cancer Institute , Rockville, Maryland.
Cancer Genetics (United States) · USAmerican Cancer Society · USKarolinska Institutet · SECentre International de Recherche sur le Cancer · FRDivision of Cancer Epidemiology and GeneticsGeneral Department of Preventive Medicine · VNHarvard University · USNational Institute of Environmental Health Sciences · USShanghai Cancer Institute · CNUniversity of Melbourne · AUVanderbilt University · USAlbert Einstein College of Medicine · USCancer Prevention Institute of California · USCancer Registry of Norway · NOCity of Hope · USGeorge Washington University · USLoma Linda University · USMaastricht University · NLOntario Institute for Cancer Research · CAPublic Health Ontario · CA

Funding

WORD PROCESSORP30CA013330 · NCI · YESHIVA UNIVERSITY · PI THOMAS E ROHAN · 1985 to 2026
$111.2M
CALIFORNIA COORDINATED CANCER PREVENTION & CONTROL PROGRAMU58DP003862 · DP · CALIFORNIA STATE DEPT OF PUBLIC HEALTH · PI SNIPES, KURT P · 2012 to 2014
$31.5M
CALIFORNIA TEACHERS STUDYR01CA077398 · NCI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI BERNSTEIN, LESLIE · 1998 to 2014
$29.7M
Environmental and Genetic Risk Factors For Breast Cancer: The Sister StudyZIAES044005 · NIEHS · NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES · PI SANDLER, DALE P · 2009 to 2025
$22.7M
Physicians' Health Study II: Prevention Trial of VitaminsR01CA097193 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI GAZIANO, J. MICHAEL · 2002 to 2011
$15.7M
EPIDEMIOLOGY OF CANCER IN A COHORT OF OLDER WOMENR01CA039742 · NCI · UNIVERSITY OF MINNESOTA TWIN CITIES · PI LAZOVICH, DEANN · 1985 to 2014
$8.0M
Cohort Study of Cancer inhibitory Factors in MenR01CA082729 · NCI · VANDERBILT UNIVERSITY · PI SHU, XIAO-OU · 2001 to 2011
$6.3M
Shanghai Womens Health StudyUM1CA182910 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI ZHENG, WEI · 2014 to 2018
$5.9M
Shanghai Men's Health StudyUM1CA173640 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI SHU, XIAO-OU · 2013 to 2017
$4.9M
Cancer Risk Reduction and Diet: A Cohort Study of WomenR37CA070867 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI ZHENG, WEI · 2009 to 2013
$4.7M
The Women's Health Study: Infrastructure Support for Continued Cohort Follow-upUM1CA182913 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI BURING, JULIE E., LEE, I-MIN · 2014 to 2018
$4.0M
Genetic and Environmental Risk Factors for Breast Cancer: The Sister StudyZ01ES044005 · NIEHS · NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES · PI SANDLER, DALE P · 1999 to 2008
$1.3M
British Heart FoundationCancer Research UKMedical Research CouncilNCCDPHP CDC HHS U58DP003862-01NCI NIH HHS CA-097193NCI NIH HHS CA-34933NCI NIH HHS CA-40360NCI NIH HHS HHSN261201000034CNCI NIH HHS HHSN261201000035CNCI NIH HHS HHSN261201000140CNCI NIH HHS K05-CA154337NCI NIH HHS P30 CA013330NCI NIH HHS R01 CA039742NCI NIH HHS R01 CA082729NCI NIH HHS R01 CA77398NCI NIH HHS R37 CA070867NCI NIH HHS UM1 CA173640NCI NIH HHS UM1 CA182910NCI NIH HHS UM1 CA182913NHLBI NIH HHS HL-26490NHLBI NIH HHS HL-34595NIEHS NIH HHS Z01-ES-044005Wellcome TrustWorld Health Organization 001
6 · The paper itself

Abstract

backgroundGreater height and body mass index (BMI) have been associated with an increased risk of thyroid cancer, particularly papillary carcinoma, the most common and least aggressive subtype. Few studies have evaluated these associations in relation to other, more aggressive histologic types or thyroid cancer-specific mortality.

methodsThis large pooled analysis of 22 prospective studies (833,176 men and 1,260,871 women) investigated thyroid cancer incidence associated with greater height, BMI at baseline and young adulthood, and adulthood BMI gain (difference between young-adult and baseline BMI), overall and separately by sex and histological subtype using multivariable Cox proportional hazards regression models. Associations with thyroid cancer mortality were investigated in a subset of cohorts (578,922 men and 774,373 women) that contributed cause of death information.

resultsDuring follow-up, 2996 incident thyroid cancers and 104 thyroid cancer deaths were identified. All anthropometric factors were positively associated with thyroid cancer incidence: hazard ratios (HR) [confidence intervals (CIs)] for height (per 5 cm) = 1.07 [1.04-1.10], BMI (per 5 kg/m2) = 1.06 [1.02-1.10], waist circumference (per 5 cm) = 1.03 [1.01-1.05], young-adult BMI (per 5 kg/m2) = 1.13 [1.02-1.25], and adulthood BMI gain (per 5 kg/m2) = 1.07 [1.00-1.15]. Associations for baseline BMI and waist circumference were attenuated after mutual adjustment. Baseline BMI was more strongly associated with risk in men compared with women (p = 0.04). Positive associations were observed for papillary, follicular, and anaplastic, but not medullary, thyroid carcinomas. Similar, but stronger, associations were observed for thyroid cancer mortality.

conclusionThe results suggest that greater height and excess adiposity throughout adulthood are associated with higher incidence of most major types of thyroid cancer, including the least common but most aggressive form, anaplastic carcinoma, and higher thyroid cancer mortality. Potential underlying biological mechanisms should be explored in future studies.

Indexed as

AdultAgedAged, 80 and overAnthropometryBody Mass IndexCarcinomaCarcinoma, PapillaryFemaleHumansMaleMiddle AgedProportional Hazards ModelsProspective StudiesRisk FactorsSmokingThyroid Cancer, Papillary

Identifiers

PMID26756356
PMCPMC4754509
OpenAlexW2254403995

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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.