Evidence map›Paper›PMID 30887407›Full record

SynthesisReviews in endocrine & metabolic disorders2019

Efficacy of radiofrequency ablation in autonomous functioning thyroid nodules. A systematic review and meta-analysis.

Roberto Cesareo, Andrea Palermo, Domenico Benvenuto, Eleonora Cella, Valerio Pasqualini, Stella Bernardi, Fulvio Stacul, Silvia Angeletti, Giovanni Mauri, Massimo Ciccozzi and 1 more

Erratum issuedOpen access · greenAbstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Reviews in endocrine & metabolic disorders, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 27 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 2 pooled it
6.1field-weighted citation impact, top 3% 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

27 citing papers in PubMed, 2 syntheses or guidelines pooled it, 65 citations in OpenAlex.

  1. Ablative Technologies for Thyroid Nodules: A Health Technology Assessment.Ontario health technology assessment series · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 6 institutions in 2 countries.

Roberto CesareoThyroid and Metabolic Bone Diseases Center, Santa Maria Goretti Hospital, Latina, Italy.
Andrea PalermoDepartment of Endocrinology, University Campus Biomedico, Rome, Italy.
Domenico BenvenutoUnit of Medical statistic and Molecular Epidemiology, University Campus Bio-Medico, Rome, Italy.
Eleonora CellaUnit of Medical statistic and Molecular Epidemiology, University Campus Bio-Medico, Rome, Italy.
Valerio PasqualiniDepartments of Radiology, Santa Maria Goretti Hospital, Latina, Italy.
Stella BernardiDepartment of Medical Sciences, University of Trieste, Cattinara Teaching Hospital, Trieste, Italy.
Fulvio StaculRadiology Department, Maggiore Teaching Hospital, ASUITS, Trieste, Italy.
Silvia AngelettiUOC Laboratory Medicine, University Hospital Campus Bio-Medico of Rome, Rome, Italy.
Giovanni MauriDivision of Interventional Radiology, European Institute of Oncology, IRCCS, Milan, Italy.
Massimo CiccozziUnit of Medical statistic and Molecular Epidemiology, University Campus Bio-Medico, Rome, Italy.
Pierpaolo TrimboliDepartment of Nuclear Medicine and Thyroid Centre, Oncology Institute of Southern Switzerland, Bellinzona, Switzerland. pierpaolo.trimboli@eoc.ch.ORCID http://orcid.org/0000-0002-2125-4937
Università Campus Bio-Medico · ITOspedale Santa Maria Goretti · ITEuropean Institute of Oncology · ITInstitute of Oncology Research · CHOspedale Maggiore · ITUniversity of Trieste · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Whether thermal ablation is effective to treat toxic thyroid nodules (TTN) is still unknown. Aim of this review was to achieve more robust evidence on the efficacy of radiofrequency ablation (RFA) in treating TTN in terms of TSH normalization, thyroid scintiscan, and volume reduction rate (VRR). A comprehensive literature search of PubMed/Medline and Scopus was performed in November 2018 to retrieve published studies. Original papers reporting TTN treated by RFA and later followed-up were eligible. Excluded were: articles not within this field, articles with unclear data, overlapping series, case/series reports. Discordances were solved in a final collegial meeting. Information was collected concerning population features, treatment procedure, follow-up, cases with TSH normalization, cases with scintiscan normalization, VRR of nodules. Pooled prevalence of patients with TSH or scintiscan normalization, and pooled VRR over time were calculated. For statistical analysis, the random-effects model was used. Eight articles published between 2008 and 2018 were included. The overall number of AFTN treated by RFA was 205. Five studies used a single session of treatment. The time of follow-up ranged from six to 24 months. The pooled rate of patients with TSH normalization was 57%. The pooled rate of patients with scintigraphically proven optimal response was 60%. The pooled VRR at 1 year was 79%. Baseline nodules volume was associated with the rate of TSH normalization. In conclusion, a moderate efficacy of RFA in treating TTN was found, and this can represent a solid starting point in this field.

Indexed as

FemaleHumansMaleRadiofrequency AblationThyroid GlandThyroid NoduleAutonomous functioning thyroid nodulesRadiofrequency ablation

Identifiers

PMID30887407
OpenAlexW2922070378

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.