Evidence map›Paper›PMID 30992645›Full record

ArticleJournal of cytology

Diagnostic Efficacy of Ultrasound-Guided Fine Needle Aspiration Combined with the Bethesda System of Reporting.

K Ajitha Kumari, Poonam D Jadhav, Chaya Prasad, N V Smitha, Annie Jojo, V D Manjula

Open access · diamondAbstract read
In one paragraph

Article in Journal of cytology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.3field-weighted citation impact, top 20% 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

4 citing papers in PubMed, 9 citations in OpenAlex.

  1. Evaluation of Thyroid Lesions by Fine Needle Aspiration Cytology According to Bethesda System.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2023
    Article
  2. Article
  3. Article
  4. 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

6 authors at 3 institutions in 1 country.

K Ajitha KumariDepartment of Pathology, Believers Church Medical College, Thiruvalla, Kerala, India.
Poonam D JadhavDepartment of Pathology, Amrita Institute of Medical Sciences and Research Centre, Kochi, Kerala, India.
Chaya PrasadDepartment of Pathology, Amrita Institute of Medical Sciences and Research Centre, Kochi, Kerala, India.
N V SmithaDepartment of Pathology, Amrita Institute of Medical Sciences and Research Centre, Kochi, Kerala, India.
Annie JojoDepartment of Pathology, Amrita Institute of Medical Sciences and Research Centre, Kochi, Kerala, India.
V D ManjulaDepartment of Community Medicine, Government Medical College, Idukki, Kerala, India.
Amrita Institute of Medical Sciences and Research Centre · INGovernment Medical College · INMalankara Orthodox Syrian Church Medical College Hospital · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImage-guided fine needle aspiration cytology (FNAC) is emerging as an important diagnostic tool in the evaluation of thyroid swellings.

aimThis study aims to assess the efficacy of ultrasound (US)-guided FNAC combined with "The Bethesda system' of reporting as a primary screening test for all thyroid lesions. SETTINGS AND

designA prospective cohort study was made and all the US-guided FNACs done were followed up to find out the histopathological diagnoses wherever surgery was done. MATERIALS AND

methodsIn all, 1050 patients who underwent US-guided FNAC were studied during a period of 1 year. Age, sex, cytological features, and histological diagnoses were analyzed. Statistical analyses of all the findings were done to derive conclusions.

resultsOf the 1050 patients, only 10.5% underwent surgery. Higher than expected rate (as per the Bethesda system) of malignancy was noted with the so-called grey zone lesions. The test results revealed a high level of sensitivity, specificity, and diagnostic accuracy.

conclusionThe study showed that The Bethesda System of Reporting Thyroid Cytology provides effective communication between clinician and pathologists thereby enabling clear management strategies. We also concluded that US-guided FNACs offer better results compared with palpation-guided FNACs.

Indexed as

CytopathologyThe Bethesda System of Reporting Thyroid Cytologythyroid lesionsultrasound-guided fine needle aspiration

Identifiers

PMID30992645
PMCPMC6425777
OpenAlexW2914659308

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.