Evidence map›Paper›PMID 29416604›Full record

ArticleOncotarget2018

CUNR scoring system for the prediction of lateral lymph node metastasis in papillary thyroid carcinoma.

Jianyong Lei, Gengpeng Li, Zhihui Li, R X Rong, Jingqiang Zhu

Abstract read
In one paragraph

Article in Oncotarget, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
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1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Jianyong LeiThyroid and Parathyroid Surgery Center, West China Hospital of Sichuan University, Chengdu 610041, China.
Gengpeng LiThyroid and Parathyroid Surgery Center, West China Hospital of Sichuan University, Chengdu 610041, China.
Zhihui LiThyroid and Parathyroid Surgery Center, West China Hospital of Sichuan University, Chengdu 610041, China.
R X RongThyroid and Parathyroid Surgery Center, West China Hospital of Sichuan University, Chengdu 610041, China.
Jingqiang ZhuThyroid and Parathyroid Surgery Center, West China Hospital of Sichuan University, Chengdu 610041, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveOur present study aimed to evaluate and compare the number and rate of central lymph node metastases (LNMs) for the prediction of lateral LNM (LLNM) in papillary thyroid carcinoma (PTC) and to develop a scoring system.

resultsCapsule invasion, tumor location in the upper portion of the thyroid, an ipsilateral central compartment LNM number ≥3, and an ipsilateral central compartment LNM rate of ≥56% were identified as significant independent predictors of ipsilateral lateral LNM in PTC. The predictive ability of an ipsilateral central compartment LNM rate ≥56% (area under the curve (AUC) = 0.802) was better than that of an ipsilateral central compartment LNM number ≥3 (AUC = 0.755). The ROC curves identified the best index point (CUNR) to distinguish the presence or absence of ipsilateral LLNM as 11, which has a high sensitivity (0.860) and a low false-negative rate (0.100, 1-Specificity). These findings were supported by the validation cohort.

conclusionsPatients with a CUNR index point equal to or greater than 11 and ipsilateral lateral lymph node dissection should be considered for a diagnosis of LLNM. PATIENTS AND

methodsA total of 1,281 PTC patients were included and divided into two groups: those with a presence of LLNM (

Indexed as

laterallymph nodemetastasispapillarythyroid carcinoma

Identifiers

PMID29416604
PMCPMC5787454

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