Evidence map›Paper›PMID 31391492›Full record

ArticleScientific reports2019

The relationship of comorbidities to mortality and cause of death in patients with differentiated thyroid carcinoma.

Young Ki Lee, Namki Hong, Se Hee Park, Dong Yeob Shin, Cho Rok Lee, Sang-Wook Kang, Jandee Lee, Jong Ju Jeong, Kee-Hyun Nam, Woong Youn Chung and 1 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
3.2field-weighted citation impact, top 7% 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

31 citing papers in PubMed, 43 citations in OpenAlex.

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  20. Molecules (Basel, Switzerland) · 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

11 authors at 2 institutions in 2 countries.

Young Ki LeeDivision of Endocrinology and Metabolism, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, 03722, Republic of Korea.ORCID http://orcid.org/0000-0003-0330-7684
Namki HongDivision of Endocrinology and Metabolism, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, 03722, Republic of Korea.
Se Hee ParkDivision of Endocrinology and Metabolism, Department of Internal Medicine, National Health Insurance Service Ilsan Hospital, Goyang, 10444, Republic of Korea.
Dong Yeob ShinDivision of Endocrinology and Metabolism, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, 03722, Republic of Korea. shindongyi@yuhs.ac.ORCID http://orcid.org/0000-0003-1048-7978
Cho Rok LeeDivision of Thyroid and Endocrine Surgery, Department of Surgery, Yonsei University College of Medicine, Seoul, 03722, Republic of Korea.
Sang-Wook KangDivision of Thyroid and Endocrine Surgery, Department of Surgery, Yonsei University College of Medicine, Seoul, 03722, Republic of Korea.ORCID http://orcid.org/0000-0001-5355-833X
Jandee LeeDivision of Thyroid and Endocrine Surgery, Department of Surgery, Yonsei University College of Medicine, Seoul, 03722, Republic of Korea.
Jong Ju JeongDivision of Thyroid and Endocrine Surgery, Department of Surgery, Yonsei University College of Medicine, Seoul, 03722, Republic of Korea.ORCID http://orcid.org/0000-0002-4155-6035
Kee-Hyun NamDivision of Thyroid and Endocrine Surgery, Department of Surgery, Yonsei University College of Medicine, Seoul, 03722, Republic of Korea.
Woong Youn ChungDivision of Thyroid and Endocrine Surgery, Department of Surgery, Yonsei University College of Medicine, Seoul, 03722, Republic of Korea.
Eun Jig LeeDivision of Endocrinology and Metabolism, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, 03722, Republic of Korea.
Yonsei University · KRNational Health Insurance Service Ilsan Hospital · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Understanding how comorbidities contribute to death in cancer patients is becoming an important topic. The present study assessed the role of comorbidities in overall mortality and causes of death in patients with differentiated thyroid carcinoma (DTC). This retrospective cohort study included 2070 patients who underwent thyroidectomy for DTC at a single institution between 2002 and 2005. Probabilities of overall, DTC-specific and other-cause death were examined according to the number of comorbidities, with consideration for competing events. The estimated 15-year cumulative incidences of overall, DTC-specific, and other-cause death were 7.3%, 1.6%, and 5.7%, respectively. Taking the group without comorbidities as a reference, we found that the group with 1-2 comorbidities and the group with ≥3 comorbidities had higher probabilities of other-cause death (subhazard ratios = 2.48 and 9.41, respectively; p < 0.01) and consequently shorter overall survival (hazard ratio = 1.95 and 5.33, respectively; p < 0.01), with adjustment for age, sex, and tumor-node-metastasis classification. In contrast, the probability of DTC-specific death was reduced in patients with ≥3 comorbidities (subhazard ratio = 6.81e-10, p < 0.01). For overall death, the relative proportion of death from DTC reduced when the number of comorbidities increased, and DTC-specific death was not observed in patients with ≥3 comorbidities. Our results show that death from DTC itself accounted for only a fraction of the overall deaths among patients who underwent surgery for DTC. Comorbidities increased overall mortality by increasing the probability of other-cause death. Patients with multiple comorbidities had a low probability of dying from DTC because they died earlier from comorbidities.

Indexed as

Cause of DeathThyroidectomyAdultAge FactorsCarcinomaComorbidityFemaleFollow-Up StudiesHumansKaplan-Meier EstimateMaleMiddle AgedNeoplasm StagingRepublic of KoreaRetrospective StudiesSex Factors

Identifiers

PMID31391492
PMCPMC6685995
OpenAlexW2964927025

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.