Evidence map›Paper›PMID 30264548›Full record

ArticleCancer medicine2018

Radioiodine refractoriness score: A multivariable prediction model for postoperative radioiodine-refractory differentiated thyroid carcinomas.

Genpeng Li, Jianyong Lei, Linlin Song, Ke Jiang, Tao Wei, Zhihui Li, Rixiang Gong, Jingqiang Zhu

Abstract read
In one paragraph

Article in Cancer medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing 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

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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

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

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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.

Genpeng LiThyroid and Parathyroid Surgery Center, West China Hospital of Sichuan University, Chengdu, China.ORCID 0000-0002-9771-221X
Jianyong LeiThyroid and Parathyroid Surgery Center, West China Hospital of Sichuan University, Chengdu, China.ORCID 0000-0002-8075-5416
Linlin SongThyroid and Parathyroid Surgery Center, West China Hospital of Sichuan University, Chengdu, China.
Ke JiangThyroid and Parathyroid Surgery Center, West China Hospital of Sichuan University, Chengdu, China.
Tao WeiThyroid and Parathyroid Surgery Center, West China Hospital of Sichuan University, Chengdu, China.
Zhihui LiThyroid and Parathyroid Surgery Center, West China Hospital of Sichuan University, Chengdu, China.
Rixiang GongThyroid and Parathyroid Surgery Center, West China Hospital of Sichuan University, Chengdu, China.
Jingqiang ZhuThyroid and Parathyroid Surgery Center, West China Hospital of Sichuan University, Chengdu, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe purpose of the present study was to evaluate the clinical features of patients with radioiodine refractory (RAIR) differentiated thyroid carcinoma (DTC) and establish an effective risk score for postoperative radioiodine refractoriness. SUBJECTS AND

methodsData were retrospectively collected from 5163 patients admitted to our center after thyroid surgery. Radioiodine refractoriness was defined according to criteria used in the 2015 American Thyroid Association guidelines. The scoring system was established by independent risk factors identified by univariate and multivariate analyses. The optimal index points for predicting the prevalence of radioiodine refractoriness and the model discriminatory power were assessed by receiver operating characteristic (ROC) curves.

resultsOne hundred and twelve (2.2%) patients developed RAIR DTC. Smoking, tumor type (follicular thyroid cancer), extrathyroid extension, lymph node metastasis number (≥4), lymph node metastasis rate (≥53%), and pN stage (N1) were highly positively correlated with the prevalence of RAIR DTC. The cutoff value of seven points was found to be the best for predicting the prevalence of RAIR DTC, and the scoring system presented better discrimination than other single independent predictors.

conclusionsBased on our multivariable prediction model, patients with ≥7 index points may need to undergo more active surveillance or aggressive treatment due to the high risk of RAIR DTC.

Indexed as

Models, StatisticalRadiation ToleranceFemaleHumansIodine RadioisotopesMaleMiddle AgedPostoperative PeriodRadiopharmaceuticalsSurvival AnalysisThyroidectomyThyroid NeoplasmsIodine RadioisotopesRadiopharmaceuticalsdifferentiated thyroid carcinomaradioiodine refractorinessrisk factorsscoring system

Identifiers

PMID30264548
PMCPMC6246937

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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.