Evidence map›Paper›PMID 31571010›Full record

ReviewJournal of cancer research and clinical oncology2019

Active surveillance of low-risk papillary thyroid carcinoma: a promising strategy requiring additional evidence.

Yuyang Ze, Xiaowen Zhang, Fei Shao, Lin Zhu, Shanmei Shen, Dalong Zhu, Yan Bi

Open access · greenAbstract readReview
In one paragraph

Review in Journal of cancer research and clinical oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 16% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. 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 1 institution in 1 country.

Yuyang ZeDepartment of Endocrinology, Nanjing Drum Tower Hospital Clinical College of Nanjing Medical University, 321 Zhongshan Road, Nanjing, 210008, Jiangsu Province, China.
Xiaowen ZhangDepartment of Endocrinology, The Affiliated Hospital of Nanjing University Medical School, Nanjing Drum Tower Hospital, 321 Zhongshan Road, Nanjing, 210008, Jiangsu Province, China.
Fei ShaoDepartment of Endocrinology, The Affiliated Hospital of Nanjing University Medical School, Nanjing Drum Tower Hospital, 321 Zhongshan Road, Nanjing, 210008, Jiangsu Province, China.
Lin ZhuDepartment of Endocrinology, The Affiliated Hospital of Nanjing University Medical School, Nanjing Drum Tower Hospital, 321 Zhongshan Road, Nanjing, 210008, Jiangsu Province, China.
Shanmei ShenDepartment of Endocrinology, The Affiliated Hospital of Nanjing University Medical School, Nanjing Drum Tower Hospital, 321 Zhongshan Road, Nanjing, 210008, Jiangsu Province, China. shanmeishen@126.com.
Dalong ZhuDepartment of Endocrinology, The Affiliated Hospital of Nanjing University Medical School, Nanjing Drum Tower Hospital, 321 Zhongshan Road, Nanjing, 210008, Jiangsu Province, China. zhudalong@nju.edu.cn.
Yan BiDepartment of Endocrinology, The Affiliated Hospital of Nanjing University Medical School, Nanjing Drum Tower Hospital, 321 Zhongshan Road, Nanjing, 210008, Jiangsu Province, China. biyan@nju.edu.cn.ORCID http://orcid.org/0000-0003-3914-7854
Nanjing Drum Tower Hospital · CN

Funding

National Natural Science Foundation of China 81800752Natural Science Foundation of Jiangsu Province BK20170125
6 · The paper itself

Abstract

purposePapillary thyroid carcinoma (PTC), the most common malignant tumor of the thyroid, has been criticized as overtreated by some researchers in recent years. Active surveillance (AS) was first proposed at Kuma Hospital in 1993, and popularized in other institutes ever since. We provide a brief review of low-risk PTC active monitoring studies to date, and discuss the advantages of AS and limitations of existing studies.

resultsMost papillary thyroid microcarcinomas do not show significant growth or new lymph node metastasis in a 10-year AS period. Patients who undergo delayed surgery during AS generally have a good prognosis. Tumor progression correlates with age, calcification pattern, and Ki-67 positivity. Serum thyroid stimulating hormone concentration and pregnancy might also influence tumor progression in some studies.

conclusionActive surveillance for low-risk PTC has shown its safety and feasibility in certain populations. In the future, it is warranted to determine valuable tumor progression predictors and most suitable PTC patients for AS.

Indexed as

HumansPopulation SurveillanceThyroid Cancer, PapillaryThyroid NeoplasmsWatchful WaitingActive surveillanceLow-riskObservationPapillary carcinomaThyroid

Identifiers

PMID31571010
PMCPMC11810325
OpenAlexW2978836141

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.