Evidence map›Paper›PMID 30305094›Full record

Trial reportWorld journal of surgical oncology2018

Comparison of the prevalence of incidental and non-incidental papillary thyroid microcarcinoma during 2008-2016: a single-center experience.

Krzysztof Kaliszewski, Agnieszka Zubkiewicz-Kucharska, Paweł Kiełb, Jerzy Maksymowicz, Aleksander Krawczyk, Otto Krawiec

Abstract readClinical TrialComparative Study
In one paragraph

Trial report in World journal of surgical oncology, 2018. 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
–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

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

  1. Pooled it
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  7. Cytomorphological study of thyroid carcinoma.Experimental and therapeutic medicine · 2022
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  10. Predictive factors for recurrence of papillary thyroid carcinoma: analysis of 4,085 patients.Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale · 2021
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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.

Krzysztof KaliszewskiFirst Department and Clinic of General, Gastroenterological, and Endocrine Surgery, Wroclaw Medical University, 66 Maria Skłodowska-Curie Street, 50-369, Wrocaw, Poland. krzysztofkali@wp.pl.ORCID http://orcid.org/0000-0002-3291-5294
Agnieszka Zubkiewicz-KucharskaDepartment of Endocrinology and Diabetology for Children and Adolescents, Wroclaw Medical University, Wroclaw, Poland.
Paweł KiełbFirst Department and Clinic of General, Gastroenterological, and Endocrine Surgery, Wroclaw Medical University, 66 Maria Skłodowska-Curie Street, 50-369, Wrocaw, Poland.
Jerzy MaksymowiczFirst Department and Clinic of General, Gastroenterological, and Endocrine Surgery, Wroclaw Medical University, 66 Maria Skłodowska-Curie Street, 50-369, Wrocaw, Poland.
Aleksander KrawczykFirst Department and Clinic of General, Gastroenterological, and Endocrine Surgery, Wroclaw Medical University, 66 Maria Skłodowska-Curie Street, 50-369, Wrocaw, Poland.
Otto KrawiecFirst Department and Clinic of General, Gastroenterological, and Endocrine Surgery, Wroclaw Medical University, 66 Maria Skłodowska-Curie Street, 50-369, Wrocaw, Poland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe incidence of papillary thyroid microcarcinoma (PTMC) is increasing; however, it is not clear whether this reflects an increase in the incidence of incidental or in that of non-incidentally (presurgically) discovered PTMC (IPTMC vs. NIPTMC). We assessed the incidence of IPTMC and NIPTMC over the past 9 years, to discern whether the increase in PTMC incidence is due to improved diagnostics or to a real increase in the incidence.

methodsWe performed a retrospective chart review of 4327 patients who were consecutively admitted to and surgically treated for thyroid pathology at a single institution. As a main presurgical diagnostic test, all patients underwent ultrasound-guided fine-needle aspiration biopsy (UG-FNAB). The analyzed time frame was divided into three equal periods (I: 2008-2010, II: 2011-2013, III: 2014-2016), and IPTMCs and NIPTMCs were assessed and compared in each period.

resultsWe evaluated 393 (9.08%) patients with thyroid malignancy, of which 156 (3.60% of all thyroid tumors [TTs]; 39.69% of all thyroid cancers [TCs]) were diagnosed as PTMC. The prevalence of NIPTMC among all TCs increased from 16.66% in 2008 to 33.75% in 2016, while that of IPTMC decreased from 20.83% in 2008 to 13.75% in 2016. The incidence rates of NIPTMC and IPTMC in period III differed statistically significantly (p < 0.0001). The prevalence rate of NIPTMC in period III was higher than that in period II, yet comparable to that in period I (p = 0.0014; p = 0.2804, respectively).

conclusionsThe prevalence of NIPTMC, rather than that of IPTMC, is escalating; this may be due to better presurgical diagnosis.

Indexed as

ThyroidectomyAdultCarcinoma, PapillaryFemaleFollow-Up StudiesHumansIncidenceMaleMiddle AgedPolandPrevalencePrognosisRetrospective StudiesThyroid NeoplasmsIncidentalNon-incidentalPapillary thyroid microcarcinoma

Identifiers

PMID30305094
PMCPMC6180613

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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.