Evidence map›Paper›PMID 30903583›Full record

ArticleHormones & cancer2019

The Combination of RET, BRAF and Demographic Data Identifies Subsets of Patients with Aggressive Papillary Thyroid Cancer.

Jose R W Martínez, Sergio Vargas-Salas, Soledad Urra Gamboa, Estefanía Muñoz, José Miguel Domínguez, Augusto León, Nicolás Droppelmann, Antonieta Solar, Mark Zafereo, F Christopher Holsinger and 1 more

Open access · greenAbstract read
In one paragraph

Article in Hormones & cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 26% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Risk and Prognostic Factors for BRAFBioMed research international · 2022
    Pooled it
  2. Review
  3. Review
  4. Article
  5. Pathology oncology research : POR · 2023
    Article
  6. Review
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

11 authors at 3 institutions in 2 countries.

Jose R W MartínezDepartment of Surgical Oncology, Faculty of Medicine - Pontificia Universidad Católica de Chile, Diagonal Paraguay 362, Piso 3, Santiago, Chile.
Sergio Vargas-SalasDepartment of Surgical Oncology, Faculty of Medicine - Pontificia Universidad Católica de Chile, Diagonal Paraguay 362, Piso 3, Santiago, Chile.
Soledad Urra GamboaDepartment of Surgical Oncology, Faculty of Medicine - Pontificia Universidad Católica de Chile, Diagonal Paraguay 362, Piso 3, Santiago, Chile. msurra@med.puc.cl.
Estefanía MuñozDepartment of Surgical Oncology, Faculty of Medicine - Pontificia Universidad Católica de Chile, Diagonal Paraguay 362, Piso 3, Santiago, Chile.
José Miguel DomínguezDepartment of Endocrinology, Faculty of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile.
Augusto LeónDepartment of Surgical Oncology, Faculty of Medicine - Pontificia Universidad Católica de Chile, Diagonal Paraguay 362, Piso 3, Santiago, Chile.
Nicolás DroppelmannDepartment of Surgical Oncology, Faculty of Medicine - Pontificia Universidad Católica de Chile, Diagonal Paraguay 362, Piso 3, Santiago, Chile.
Antonieta SolarDepartment of Anatomic Pathology, Faculty of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile.
Mark ZafereoDepartment of Head and Neck Surgery, University of Texas - MD Anderson Cancer Center, Houston, TX, USA.
F Christopher HolsingerDivision of Head and Neck Surgery, Department of Otolaryngology, Stanford University, Palo Alto, CA, USA.
Hernán E GonzálezDepartment of Surgical Oncology, Faculty of Medicine - Pontificia Universidad Católica de Chile, Diagonal Paraguay 362, Piso 3, Santiago, Chile. hgonzale@med.puc.cl.
Pontificia Universidad Católica de Chile · CLStanford University · USThe University of Texas MD Anderson Cancer Center · US

Funding

Biomedical Research Consortium 13CTI-21526 P2
6 · The paper itself

Abstract

The use of BRAFV600E and RET/PTC1 as biomarkers to guide the extent of surgery in patients with papillary thyroid cancer (PTC) remains controversial. We assessed the combined use of demographic data (sex and age) with mRNA expression levels and/or mutational status (BRAFV600E and RET/PTC1) to identify potential subsets of patients with aggressive histopathological features (lymph node metastases and extrathyroidal extension). In a cohort of 126 consecutive patients, BRAFV600E and RET/PTC1 mutations were found in 52 and 18%, respectively. By conditional bivariate analysis (CBVA), a 'high activity' profile of BRAF (BRAFV600E positive or high expression) and 'low activity' profile of RET (RET/PTC1 negative or low expression) was associated with extrathyroidal extension (ETE) (OR 4.48). Alternatively, a 'high activity' profile of RET (RET/PTC1 positive or high expression) and 'low activity' profile of BRAF (BRAFV600E negative or low expression) were associated with lymph node metastasis (LNM) (OR 12.80). Furthermore, in patients younger than 55 years, a low expression of BRAF was associated with LNM (OR 17.65) and the presence of BRAFV600E mutation was associated with ETE (OR 2.76). Our results suggest that the analysis of demographic and molecular variables by CBVA could contribute to identify subsets of patients with aggressive histopathologic features, providing a potential guide to personalised surgical management of PTC.

Indexed as

AdultBiomarkers, TumorDNA Mutational AnalysisFemaleHumansLymphatic MetastasisLymph NodesMaleMiddle AgedMutationPrognosisProspective StudiesProto-Oncogene Proteins B-rafProto-Oncogene Proteins c-retThyroid Cancer, PapillaryThyroid NeoplasmsBiomarkers, TumorBRAF protein, humanProto-Oncogene Proteins B-rafProto-Oncogene Proteins c-retRET protein, humanBRAF V600EExtrathyroidal extensionLymph node metastasisPapillary thyroid cancerRET/PTC1

Identifiers

PMID30903583
PMCPMC10355709
OpenAlexW2923010602

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.