Evidence map›Paper›PMID 30241494›Full record

ArticleJournal of translational medicine2018

Predictive values of the selected inflammatory index in elderly patients with papillary thyroid cancer.

Weiheng Wen, Peili Wu, Jitong Li, He Wang, Jia Sun, Hong Chen

2 registry-linked trialsAbstract read
In one paragraph

Article in Journal of translational medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 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.

NCT04425512 nacompletednot on this map

Delta Neutrophil Index and Neutrophil Lymphocyte Ratio in Differentiation of Thyroid Malignancy and Nodular Goiter

TypeinterventionalSponsorKahramanmaras Sutcu Imam UniversityRan2014 to 2019Enrolled333ConditionsThyroid Cancer, Thyroid Nodule, Thyroid Diseases, Delta Neutrophyl IndexArmsComplete Blood Count
NCT06283368 completednot on this map

Red Blood Cell Distributions (RDW, RDW-CW) and Lymphocyte Monocyte Ratios (LMR) for the Detection of Malignant Thyroid Nodules in the Preoperative Period.

TypeobservationalSponsorKahramanmaras Sutcu Imam UniversityRan2016 to 2021Enrolled172ConditionsThyroid Neoplasms Benign, Thyroid Nodule, Thyroid Cancer, Thyroid DiseasesArmsThyroidectomy, Bilaterally Total, Thyroidectomy, Unilaterally Total, Thyroidectomy, Complementary, Thyroidectomy, Near Total
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. An Evaluation of Immature Granulocytes as Predictors of Malignancy in Patients with Atypia of Undetermined Significance Thyroid Nodules.Hormone and metabolic research = Hormon- und Stoffwechselforschung = Hormones et metabolisme · 2026
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  14. Serum Inflammation-based Scores in Endocrine Tumors.The Journal of clinical endocrinology and metabolism · 2021
    Review
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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

6 authors.

Weiheng WenDepartment of Endocrinology, Zhujiang Hospital, Southern Medical University, Guangzhou, 510282, People's Republic of China.
Peili WuDepartment of Endocrinology, Zhujiang Hospital, Southern Medical University, Guangzhou, 510282, People's Republic of China.
Jitong LiDepartment of Endocrinology, Zhujiang Hospital, Southern Medical University, Guangzhou, 510282, People's Republic of China.
He WangDepartment of Thoracic Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, 510282, People's Republic of China.
Jia SunDepartment of Endocrinology, Zhujiang Hospital, Southern Medical University, Guangzhou, 510282, People's Republic of China. sunjia@smu.edu.cn.
Hong ChenDepartment of Endocrinology, Zhujiang Hospital, Southern Medical University, Guangzhou, 510282, People's Republic of China. chenhong123@smu.edu.cn.ORCID 0000-0002-6317-9955

Funding

National Natural Science Foundation of China 81770835National Natural Science Foundation of China (CN) 81570716National Natural Science Foundation of China (CN) 81670783National Undergraduate Training Programs for Innovation and Entrepreneurship 201712121049Natural Science Foundation of Guangdong Province (CN) 2016A030313633Natural Science Foundation of Guangdong Province (CN) 2017A030313473
6 · The paper itself

Abstract

backgroundThe American Joint Committee on Cancer has recently revised the tumor-node-metastasis (TNM) staging system on thyroid cancer, which illustrated that the cut-off age for predicting mortality has elevated from 45 to 55 years old. We aimed to investigate the inflammation index based on hematological parameters to predict the clinical characteristics of elderly papillary thyroid cancer (PTC) patients with an inferior prognosis.

methodsWe retrospectively analyzed 558 patients newly diagnosed with PTC from January 2013 to December 2017, and 82 out of the 558 patients were over 55 years old. Receiver operating characteristic (ROC) study and univariate and multivariate logistic analysis was conducted to evaluate the diagnostic value of these preoperative inflammation indexes in PTC patients ≥ 55 years of age.

resultsElevated neutrophils were prognostic of bilaterality (area under the ROC curve (AUC) = 0.673, p = 0.023) and lymph node metastasis (AUC = 0.649, p = 0·020). Decreased mean platelet volume (MPV) and platelet distribution width (PDW) were prognostic of coexistence with Hashimoto's thyroiditis (AUC = 0.736, p = 0.016; AUC = 0.721, p = 0.024). Elevated lymphocyte and lymphocyte-to-monocyte ratio (LMR) were prognostic of advanced TNM stage (AUC = 0.691, p = 0.029; AUC = 0.680, p = 0.040). Meanwhile, the logistic regression model further revealed that LMR ≥ 5.45 was an independent risk factor for the advanced TNM stage (odds ratio (OR) = 7.306, p = 0.036).

conclusionsThe preoperative neutrophils, lymphocytes, MPV, PDW, LMR were all prognostic. More importantly, the increased in LMR independently contributed to the advanced TNM stage of PTC patients ≥ 55 years.

Indexed as

AdultAgedArea Under CurveFemaleHumansInflammationMaleMiddle AgedMultivariate AnalysisNeoplasm StagingPredictive Value of TestsROC CurveThyroid Cancer, PapillaryInflammatory indexLymphocyte-to-monocyte ratioPapillary thyroid cancerPrognosisTumor-node-metastasis staging system

Identifiers

PMID30241494
PMCPMC6151008

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Registered trials

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.