Evidence map›Paper›PMID 27138882›Full record

ArticleWorld journal of surgery2016

BRAF(V600E) Mutation is Associated with Decreased Disease-Free Survival in Papillary Thyroid Cancer.

S Fraser, C Go, A Aniss, S Sidhu, L Delbridge, D Learoyd, R Clifton-Bligh, L Tacon, V Tsang, B Robinson and 2 more

Abstract read
PubMed Publisher
In one paragraph

Article in World journal of surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 2 pooled it
5.4field-weighted citation impact, top 4% 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

25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 37 citations in OpenAlex.

  1. Risk and Prognostic Factors for BRAFBioMed research international · 2022
    Pooled it
  2. Predictive Value of BRAFCurrent medical science · 2018
    Pooled it
  3. Development of Novel mRNA Classifiers to Stratify Preoperative Thyroid Tumor Risk.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2026
    Article
  4. Review
  5. Preoperative Co-Mutation of BRAFCancer medicine · 2026
    Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Mechanisms of regulating NIS transport to the cell membrane and redifferentiation therapy in thyroid cancer.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2021
    Review
  13. Article
  14. Article
  15. Whole-Exome Sequencing of Matched Primary and Metastatic Papillary Thyroid Cancer.Thyroid : official journal of the American Thyroid Association · 2020
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. [Clinical value of BRAF V600E in thyroid carcinoma and the effect of telomerase reverse transcriptase promoter mutations].Sheng wu yi xue gong cheng xue za zhi = Journal of biomedical engineering = Shengwu yixue gongchengxue zazhi · 2019
    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

12 authors at 2 institutions in 1 country.

S FraserSurgical Endocrine Unit, Royal North Shore Hospital, University of Sydney, Level 3, Acute Services Building, Reserve Road, St Leonards, NSW, 2065, Australia. sheilafraser@doctors.org.uk.
C GoSurgical Endocrine Unit, Royal North Shore Hospital, University of Sydney, Level 3, Acute Services Building, Reserve Road, St Leonards, NSW, 2065, Australia.
A AnissSurgical Endocrine Unit, Royal North Shore Hospital, University of Sydney, Level 3, Acute Services Building, Reserve Road, St Leonards, NSW, 2065, Australia.
S SidhuSurgical Endocrine Unit, Royal North Shore Hospital, University of Sydney, Level 3, Acute Services Building, Reserve Road, St Leonards, NSW, 2065, Australia.
L DelbridgeSurgical Endocrine Unit, Royal North Shore Hospital, University of Sydney, Level 3, Acute Services Building, Reserve Road, St Leonards, NSW, 2065, Australia.
D LearoydDepartment of Endocrinology, Royal North Shore Hospital and Sydney Medical School, University of Sydney, St Leonards, Australia.
R Clifton-BlighDepartment of Endocrinology, Royal North Shore Hospital and Sydney Medical School, University of Sydney, St Leonards, Australia.
L TaconDepartment of Endocrinology, Royal North Shore Hospital and Sydney Medical School, University of Sydney, St Leonards, Australia.
V TsangDepartment of Endocrinology, Royal North Shore Hospital and Sydney Medical School, University of Sydney, St Leonards, Australia.
B RobinsonDepartment of Endocrinology, Royal North Shore Hospital and Sydney Medical School, University of Sydney, St Leonards, Australia.
A J GillDepartment of Anatomical Pathology, Royal North Shore Hospital and Cancer Diagnosis and Pathology Group, Kolling Institute of Medical Research, University of Sydney, St Leonards, Australia.
M SywakSurgical Endocrine Unit, Royal North Shore Hospital, University of Sydney, Level 3, Acute Services Building, Reserve Road, St Leonards, NSW, 2065, Australia.
Royal North Shore Hospital · AUUniversity of Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe BRAF (V600E) mutation is a recognised molecular marker in papillary thyroid cancer (PTC), reported incidence from 30 to 80 %. BRAF(V600E) aberrantly activates the MAPK pathway, a central regulator of cell growth and proliferation. Previous studies have reported conflicting data regarding the impact of BRAF(V600E) on clinicopathological features of PTC. The study aims to determine whether BRAF(V600E) is useful as a prognostic biomarker in PTC.

methodsA cohort study of patients undergoing surgery for PTC was undertaken. The primary outcome measure was disease-free survival. Secondary outcome measures were tumour size, nodal positivity and radioactive iodine ablation rate. All cases were re-examined to confirm PTC. Immunohistochemistry for BRAF(V600E) was performed on tissue microarrays. A single endocrine pathologist, blinded to clinicopathological data, interpreted staining.

results496 patients with PTC were included, and 309 (62 %) were BRAF(V600E) positive. Tumour size was similar for BRAF(V600E)-positive and -negative tumours (21.3 vs. 23.2 mm, p = 0.23). BRAF(V600E)-positive patients were significantly older at first operation (mean age 45 versus 49 years, p = 0.003). BRAF(V600E)-positive PTCs had a higher rate of disease recurrence (12.9 vs. 5.6 %, p = 0.004), lymph node metastasis (44 vs. 29.4 %, p = 0.004) and extra-thyroidal extension (44 vs. 22 %, p < 0.001). Five-year disease-free survival was 89.6 % for BRAF(V600E) positive and 96.3 % for negative tumours, p < 0.001. There was no difference between groups for vascular invasion or multifocality. The mean follow-up was 57 months for both groups.

conclusionBRAF(V600E) in PTC predicts an increased risk of lymph node metastasis, extra-thyroidal extension and reduced disease-free survival. It is an additional useful prognostic biomarker.

Indexed as

Ablation TechniquesAdolescentAdultAgedAged, 80 and overBiomarkers, TumorCarcinomaCarcinoma, PapillaryChildCohort StudiesDisease-Free SurvivalFemaleHumansIodine RadioisotopesLymphatic MetastasisMaleBiomarkers, TumorIodine RadioisotopesProto-Oncogene Proteins B-raf

Identifiers

PMID27138882
OpenAlexW2346104069

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.