Evidence map›Paper›PMID 27824301›Full record

ArticleThyroid : official journal of the American Thyroid Association2017

Measurement and Variation in Estimation of Quality of Life Effects of Patients Undergoing Treatment for Papillary Thyroid Carcinoma.

Carrie C Lubitz, Lucia De Gregorio, Abbey L Fingeret, Konstantinos P Economopoulos, Diana Termezawi, Mursal Hassan, Sareh Parangi, Antonia E Stephen, Elkan F Halpern, Karen Donelan and 1 more

Open access · greenAbstract read
In one paragraph

Article in Thyroid : official journal of the American Thyroid Association, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 7 pooled it
11.3field-weighted citation impact, top 2% 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

33 citing papers in PubMed, 7 syntheses or guidelines pooled it, 57 citations in OpenAlex.

  1. A systematic review of minimum important changes for generic multi-attribute utility instruments and recommendations for their estimation.The European journal of health economics : HEPAC : health economics in prevention and care · 2025
    Pooled it
  2. Guideline
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  6. A systematic review of health state utility values for thyroid cancer.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2021
    Pooled it
  7. Patient-Reported Quality-of-Life Outcome Measures in the Thyroid Cancer Population.Thyroid : official journal of the American Thyroid Association · 2020
    Pooled it
  8. Validation for use in Colombia of the EORTC QLQ-THY34 questionnaire to measure quality of life in patients with thyroid cancer.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
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  15. Differences in health state valuation for small, low-risk thyroid cancer between general population and cancer survivors: a cross-sectional analysis.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
    Article
  16. Health-related quality of life and radioiodine therapy in thyroid cancer patients: a before-and-after study.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2024
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  17. Article
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  20. HRQOL after endoscopic transaxillary gasless hemithyroidectomy.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2023
    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

11 authors at 2 institutions in 1 country.

Carrie C Lubitz1 Department of Surgery, Massachusetts General Hospital , Harvard Medical School, Boston, Massachusetts.
Lucia De Gregorio1 Department of Surgery, Massachusetts General Hospital , Harvard Medical School, Boston, Massachusetts.
Abbey L Fingeret1 Department of Surgery, Massachusetts General Hospital , Harvard Medical School, Boston, Massachusetts.
Konstantinos P Economopoulos1 Department of Surgery, Massachusetts General Hospital , Harvard Medical School, Boston, Massachusetts.
Diana Termezawi1 Department of Surgery, Massachusetts General Hospital , Harvard Medical School, Boston, Massachusetts.
Mursal Hassan1 Department of Surgery, Massachusetts General Hospital , Harvard Medical School, Boston, Massachusetts.
Sareh Parangi1 Department of Surgery, Massachusetts General Hospital , Harvard Medical School, Boston, Massachusetts.
Antonia E Stephen1 Department of Surgery, Massachusetts General Hospital , Harvard Medical School, Boston, Massachusetts.
Elkan F Halpern2 Institute for Technology Assessment, Massachusetts General Hospital , Boston, Massachusetts.
Karen Donelan2 Institute for Technology Assessment, Massachusetts General Hospital , Boston, Massachusetts.
J Shannon Swan2 Institute for Technology Assessment, Massachusetts General Hospital , Boston, Massachusetts.
Massachusetts General Hospital · USHarvard University · US

Funding

Optimization of Treatment of Papillary Thyroid Cancer: A Risk-tailored ApproachK07CA177900 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI CUNNINGHAM, CARRIE ELIZABETH · 2014 to 2018
$712k
NCI NIH HHS K07 CA177900
6 · The paper itself

Abstract

backgroundThyroid cancer incidence is increasing. The effect of diagnosis and treatment on health-related quality of life (HRQoL) is an essential variable in the absence of a change in life span for the majority of patients. HRQoL instruments, with data useful for between-disease comparisons, are being increasingly used for health policy and outcomes evaluation. Variation exits among the instruments based on the impact of a specific disease. We assessed which of four well-validated, preference-based surveys detect changes in health and clinical intervention in patients diagnosed with papillary thyroid cancer (PTC).

methodsFour commonly used HRQoL questionnaires (Short Form-12v2® [SF6D], EuroQol-5D [EQ5D], and Health Utilities Index Mark 2 and 3 [HUI2, HUI3]) were administered to patients with the diagnosis of PTC at three perioperative time points during the first year of treatment. Clinicopathological and treatment course data were assessed for HRQoL impact including complications from surgery, re-operation for persistence/early recurrence, and adjuvant radioactive iodine treatment. We compared standard metrics, including ceiling effect, intraclass correlation coefficient, effect sizes, and quality-adjusted life-years between the four instruments.

resultsOf 117 patients, 27% had a preoperative diagnosis of anxiety or depression, 41% had regional lymph node metastases, three had distant metastases and 49% underwent adjuvant radioactive iodine treatment. The ceiling effect (i.e., proportion with a perfect score) was greatest with EQ5D and least with SF6D. Index scores ranged from 0.77 (SF6D) to 0.90 (EQ5D). All scores declined at two weeks postoperatively and returned to pretreatment levels at six months. The SF6D was the only instrument to exceed the conventional minimally important difference between all three time points. Quality-adjusted life-years were as follows: SF6D, 0.79; EQ5D, 0.90; HUI2, 0.88; and HUI3, 0.86.

conclusionsOur results reflect the general good health of PTC patients. The effect on quality of life is primarily related to emotional and social impacts of treatment. The results support the measurement of a similar underlying construct, although variation in detecting changes in health exists between the instruments. Of the instruments assessed, the SF6D is the most responsive to treatment effects and should be utilized in future economic analyses in this patient population.

Indexed as

Health StatusQuality of LifeThyroidectomyAdolescentAdultAgedAnxietyCarcinoma, PapillaryDepressionFemaleHumansIodine RadioisotopesLymph NodesMaleMiddle AgedNeoplasm StagingIodine Radioisotopesclinical researchquality of lifesurgerythyroid cancer

Identifiers

PMID27824301
PMCPMC5314725
OpenAlexW2556485482

What OpenQuestion holds

Textmetadata
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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.