Evidence map›Paper›PMID 27493887›Full record

ArticleEuropean thyroid journal2016

Obesity Does Not Modify the Risk of Differentiated Thyroid Cancer in a Cytological Series of Thyroid Nodules.

Mario Rotondi, Maria Grazia Castagna, Carlo Cappelli, Cristina Ciuoli, Francesca Coperchini, Francesco Chiofalo, Fabio Maino, Paola Palmitesta, Luca Chiovato, Furio Pacini

Open access · bronzeAbstract read
In one paragraph

Article in European thyroid journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
1.4field-weighted citation impact, top 17% 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

18 citing papers in PubMed, 32 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Thyroid Nodules and Obesity.Life (Basel, Switzerland) · 2023
    Review
  10. Article
  11. Review
  12. Review
  13. Article
  14. Does Obesity Cause Thyroid Cancer? A Mendelian Randomization Study.The Journal of clinical endocrinology and metabolism · 2020
    Article
  15. Observational
  16. Article
  17. Review
  18. Article
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

10 authors at 1 institution in 1 country.

Mario RotondiUnit of Internal Medicine and Endocrinology, Fondazione Salvatore Maugeri I.R.C.C.S., ISPESL Laboratory for Endocrine Disruptors and Chair of Endocrinology, University of Pavia, Pavia, Italy.
Maria Grazia CastagnaDepartments of Medical, Surgical and Neurological Sciences, University of Siena, Siena, Italy.
Carlo CappelliDepartment of Medical and Surgical Sciences, University of Brescia, Brescia, Italy.
Cristina CiuoliDepartments of Medical, Surgical and Neurological Sciences, University of Siena, Siena, Italy.
Francesca CoperchiniUnit of Internal Medicine and Endocrinology, Fondazione Salvatore Maugeri I.R.C.C.S., ISPESL Laboratory for Endocrine Disruptors and Chair of Endocrinology, University of Pavia, Pavia, Italy.
Francesco ChiofaloDepartments of Medical, Surgical and Neurological Sciences, University of Siena, Siena, Italy.
Fabio MainoDepartments of Medical, Surgical and Neurological Sciences, University of Siena, Siena, Italy.
Paola PalmitestaDepartments of Social, Political and Cognitive Sciences, University of Siena, Siena, Italy.
Luca ChiovatoUnit of Internal Medicine and Endocrinology, Fondazione Salvatore Maugeri I.R.C.C.S., ISPESL Laboratory for Endocrine Disruptors and Chair of Endocrinology, University of Pavia, Pavia, Italy.
Furio PaciniDepartments of Medical, Surgical and Neurological Sciences, University of Siena, Siena, Italy.
University of Brescia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA possible impact of obesity on the risk of thyroid cancer has been postulated in some studies, but it remains controversial.

objectiveTo investigate the association between obesity and differentiated thyroid carcinoma in a population of unselected patients subjected to fine-needle aspiration cytology (FNAC) for thyroid nodules.

methodsWe retrospectively evaluated the results of FNAC of thyroid nodules in 4,849 patients (3,809 females and 1,040 males; mean age 55.9 ± 14.1 years). Patients were stratified according to their body mass index (BMI). There were 1,876 (38.7%) normal-weight patients (BMI 18-24.9), 1,758 (36.2%) overweight (BMI 25-29.9), 662 (13.7%) grade 1 obese (BMI 30-34.9), 310 (6.4%) grade 2 obese (BMI 35-39.9) and 243 (5.0%) grade 3 obese (BMI >40).

resultsThe prevalence of suspicious or malignant nodules (Thy4/Thy5) did not differ across the 5 BMI groups, i.e. it was 6.8% in normal-weight patients, 6.3% in overweight patients, 6.3% in grade 1 obese patients, 4.0% in grade 2 obese patients and 4.2% in grade 3 obese patients (p = 0.29). The prevalence of Thy4/Thy5 nodules did not differ when males and females were evaluated separately (p = 0.22 and p = 0.12, respectively). A significant, lower rate of Thy4/5 cytology was observed in female patients with grade 2-3 obesity (odds ratio 0.51; 95% confidence interval 0.284-0.920; p = 0.009).

conclusionsThe results of this study, in a retrospective series of patients with thyroid nodules, do not confirm previous findings reporting an association between obesity and differentiated thyroid carcinoma. Thus, obese patients with nodular thyroid disease should be managed the same as normal-weight patients.

Indexed as

Body mass indexFine-needle aspiration cytologyMorbid obesityThyroid cancer

Identifiers

PMID27493887
PMCPMC4949374
OpenAlexW2343776349

What OpenQuestion holds

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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.