Evidence map›Paper›PMID 28055959›Full record

ArticleOncotarget2017

Preoperative low tri-iodothyronine concentration is associated with worse health status and shorter five year survival of primary brain tumor patients.

Adomas Bunevicius, Vytenis Pranas Deltuva, Sarunas Tamasauskas, Timothy Smith, Edward R Laws, Robertas Bunevicius, Giorgio Iervasi, Arimantas Tamasauskas

Open access · diamondAbstract read
In one paragraph

Article in Oncotarget, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 10% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
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  4. Low T3 syndrome as a predictor of poor prognosis in peripheral T-cell lymphomas.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2024
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  8. Observational
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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

8 authors at 3 institutions in 3 countries.

Adomas BuneviciusDepartment of Neurosurgery, Lithuanian University of Health Sciences, Kaunas, Lithuania.
Vytenis Pranas DeltuvaDepartment of Neurosurgery, Lithuanian University of Health Sciences, Kaunas, Lithuania.
Sarunas TamasauskasDepartment of Neurosurgery, Lithuanian University of Health Sciences, Kaunas, Lithuania.
Timothy SmithDepartment of Neurosurgery, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Edward R LawsDepartment of Neurosurgery, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Robertas BuneviciusBehavioural medicine institute, Lithuanian University of Health Sciences, Palanga, Lithuania.
Giorgio IervasiCNR Institute of Clinical Physiology, Pisa, Italy.
Arimantas TamasauskasDepartment of Neurosurgery, Lithuanian University of Health Sciences, Kaunas, Lithuania.
Lithuanian University of Health Sciences · LTBrigham and Women's Hospital · USIstituto di Fisiologia Clinica · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLow tri-iodothyronine syndrome is associated with worse prognosis of severely ill patients. We investigated the association of thyroid hormone levels with discharge outcomes and 5-year mortality in primary brain tumor patients.

methodsFrom January, 2010 until September, 2011, 230 patients (70% women) before brain tumor surgery were evaluated for cognitive (Mini mental State Examination; MMSE) and functional (Barthel index; BI) status, and thyroid function profile. The Low triiodothyronine syndrome was defined as triiodothyronine concentration below the reference range. Unfavorable discharge outcomes were Glasgow outcome scale score of ≤3. Follow-up continued until November, 2015.

resultsSeventy-four percent of patients had Low triiodothyronine syndrome. Lower total tri-iodothyronine concentrations were associated with lower MMSE (p=.013) and BI (p=.023) scores independent of age, gender and histological diagnosis. Preoperative Low tri-iodothyronine syndrome increased risk for unfavorable discharge outcomes adjusting for age, gender and histological diagnosis (OR=2.944, 95%CI [1.314-6.597], p=.009). In all patients, lower tri-iodothyronine concentrations were associated with greater mortality risk (p≤.038) adjusting for age, gender, extent of resection, adjuvant treatment and histological diagnosis. The Low tri-iodothyronine syndrome was associated with greater 5-year mortality for glioma patients (HR=2.197; 95%CI [1.160-4.163], p=.016) and with shorter survival (249 [260] vs. 352 [399] days; p=.029) of high grade glioma patients independent of age, gender, extent of resection and adjuvant treatment.

conclusionsThe Low tri-iodothyronine syndrome is common in brain tumor patients and is associated with poor functional and cognitive status, and with worse discharge outcomes. The Low tri-iodothyronine syndrome is associated with shorter survival of glioma patients.

Indexed as

Health StatusAdultAgedBrain NeoplasmsChi-Square DistributionCognitionDown-RegulationFemaleHumansKaplan-Meier EstimateMaleMental Status and Dementia TestsMiddle AgedMultivariate AnalysisOdds RatioPredictive Value of TestsTriiodothyroninegliomameningiomasurvivalthyroidtri-iodothyronine

Identifiers

PMID28055959
PMCPMC5352429
OpenAlexW2563218211

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LicenceCC BY
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Registered trials

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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.