Evidence map›Paper›PMID 30574463›Full record

ArticleEuropean thyroid journal2018

Differentiated Thyroid Cancer: How Do Current Practice Guidelines Affect Management?

Patrick W Owens, Terri P McVeigh, Eoin J Fahey, Marcia Bell, Denis S Quill, Michael J Kerin, Aoife J Lowery

Open access · bronzeAbstract read
In one paragraph

Article in European thyroid journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 31% of its field
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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Completion Thyroidectomy Trends and Rates: A Systematic Review and Meta-Analysis.Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery · 2025
    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

7 authors at 3 institutions in 2 countries.

Patrick W OwensDiscipline of Surgery, Lambe Institute for Translational Research, NUI Galway, Galway, Ireland.
Terri P McVeighDiscipline of Surgery, Lambe Institute for Translational Research, NUI Galway, Galway, Ireland.
Eoin J FaheyDiscipline of Surgery, Lambe Institute for Translational Research, NUI Galway, Galway, Ireland.
Marcia BellDepartment of Endocrinology, Galway University Hospital, Galway, Ireland.
Denis S QuillDiscipline of Surgery, Lambe Institute for Translational Research, NUI Galway, Galway, Ireland.
Michael J KerinDiscipline of Surgery, Lambe Institute for Translational Research, NUI Galway, Galway, Ireland.
Aoife J LoweryDiscipline of Surgery, Lambe Institute for Translational Research, NUI Galway, Galway, Ireland.
Ollscoil na Gaillimhe – University of Galway · IERoyal Marsden NHS Foundation Trust · GBUniversity Hospital Galway · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInternational best-practice guidelines recommend completion thyroidectomy and radioiodine remnant ablation (RRA) for patients with differentiated thyroid cancer (DTC) > 4 cm or with specific risk factors. Patients with DTC < 1 cm without risk factors are recommended for lobectomy alone. Indications for aggressive surgery and RRA are less clearly defined for tumours measuring 1-4 cm. A personalised approach to decision-making is recommended.

objectivesThis study assesses therapeutic approaches to DTC as compared to the current British Thyroid Association (BTA) clinical practice guidelines. We ascertained the effect of equivocal guidance in the 1-4 cm tumour cohort on contemporary practice patterns.

methodsData were obtained from a prospectively maintained thyroid cancer database of patients treated for DTC in a tertiary referral centre at the University Hospital Galway. Consecutive patients attending a dedicated thyroid cancer clinic between August 2014 and August 2017 were included. Clinicopathological characteristics and management strategies were assessed.

resultsNinety-four percent (

conclusionsManagement of DTC at our institution closely adheres to contemporary clinical practice guidelines. The finding of more aggressive management in those requiring a personalised decision-making approach highlights the requirement for improved risk stratification in this cohort to ratio-nalise management strategies.

Indexed as

British Thyroid AssociationDifferentiated thyroid cancerFollicular cancerGuidelinesPapillary cancerRisk stratification

Identifiers

PMID30574463
PMCPMC6276740
OpenAlexW2894361335

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.