Evidence map›Paper›PMID 29255094›Full record

SynthesisEndocrine-related cancer2018

Genetic testing for indeterminate thyroid cytology: review and meta-analysis.

Sergio Vargas-Salas, José R Martínez, Soledad Urra, José Miguel Domínguez, Natalia Mena, Thomas Uslar, Marcela Lagos, Marcela Henríquez, Hernán E González

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Endocrine-related cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 6 pooled it
–field-weighted citation impact
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

51 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Pooled it
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  7. Article
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  10. Review
  11. Observational
  12. Article
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  16. Article
  17. Molecular testing for thyroid nodules: Where are we now?Reviews in endocrine & metabolic disorders · 2024
    Review
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  19. Article
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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

9 authors.

Sergio Vargas-SalasDepartment of Surgical OncologyFaculty of Medicine, Pontificia Universidad Católica de Chile , Santiago, Chile.
José R MartínezDepartment of Surgical OncologyFaculty of Medicine, Pontificia Universidad Católica de Chile , Santiago, Chile.
Soledad UrraDepartment of Surgical OncologyFaculty of Medicine, Pontificia Universidad Católica de Chile , Santiago, Chile.
José Miguel DomínguezDepartment of EndocrinologyFaculty of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile.
Natalia MenaGeneproDXSantiago, Chile.
Thomas UslarDepartment of Internal MedicinePontificia Universidad Católica de Chile, Santiago, Chile.
Marcela LagosDepartment of Clinical LaboratoriesFaculty of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile.
Marcela HenríquezDepartment of Clinical LaboratoriesFaculty of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile.
Hernán E GonzálezDepartment of Surgical OncologyFaculty of Medicine, Pontificia Universidad Católica de Chile , Santiago, Chile hgonzale@med.puc.cl.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Thyroid cancer is the most frequent endocrine malignancy, and its incidence is increasing. A current limitation of cytological evaluation of thyroid nodules is that 20-25% are reported as indeterminate. Therefore, an important challenge for clinicians is to determine whether an indeterminate nodule is malignant, and should undergo surgery, or benign, and should be recommended to follow-up. The emergence of precision medicine has offered a valuable solution for this problem, with four tests currently available for the molecular diagnosis of indeterminate cytologies. However, efforts to critically analyze the quality of the accumulated evidence are scarce. This systematic review and meta-analysis is aimed to contribute to a better knowledge about the four available molecular tests, their technical characteristics, clinical performance, and ultimately to help clinicians to make better decisions to provide the best care options possible. For this purpose, we address three critical topics: (i) the proper theoretical accuracy, considering the intended clinical use of the test (rule-in vs rule-out) and the impact on clinical decisions; (ii) the quality of the evidence reported for each test (iii) and how accurate and effective have the tests proved to be after their clinical use. Together with the upcoming evidence, this work provides significant and useful information for healthcare system decision-makers to consider the use of molecular testing as a public health need, avoiding unnecessary surgical risks and costs.

Indexed as

Genetic TestingHumansThyroid GlandThyroid Neoplasmsaccuracyindeterminate thyroid cytologymeta-analysismolecular diagnostics

Identifiers

PMID29255094
PMCPMC5799829

What OpenQuestion holds

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LicenceCC BY
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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.