Evidence map›Paper›PMID 31884578›Full record

ArticleHormones & cancer2020

Elevated Free Thyroxine Levels Are Associated with Poorer Overall Survival in Patients with Gastroesophageal Cancer: A Retrospective Single Center Analysis.

H C Puhr, P Wolf, A S Berghoff, S F Schoppmann, M Preusser, Aysegul Ilhan-Mutlu

Open access · hybridAbstract read
In one paragraph

Article in Hormones & cancer, 2020. 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. Higher thyroid hormone levels and cancer.European journal of nuclear medicine and molecular imaging · 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

6 authors at 2 institutions in 1 country.

H C PuhrDepartment of Medicine I, Division of Oncology, Medical University of Vienna, Waehringer Guertel 18-20, A1090, Wien, Austria.
P WolfDepartment of Internal Medicine III, Division of Endocrinology and Metabolism, Medical University of Vienna, Waehringer Guertel 18-20, A1090, Wien, Austria.
A S BerghoffDepartment of Medicine I, Division of Oncology, Medical University of Vienna, Waehringer Guertel 18-20, A1090, Wien, Austria.
S F SchoppmannComprehensive Cancer Center Vienna, Upper-GI Tumors Unit, Medical University of Vienna, Waehringer Guertel 18-20, A1090, Wien, Austria.
M PreusserDepartment of Medicine I, Division of Oncology, Medical University of Vienna, Waehringer Guertel 18-20, A1090, Wien, Austria.
Aysegul Ilhan-MutluDepartment of Medicine I, Division of Oncology, Medical University of Vienna, Waehringer Guertel 18-20, A1090, Wien, Austria. aysegul.ilhan@meduniwien.ac.at.ORCID 0000-0001-8291-0873
Comprehensive Cancer Center Vienna · ATMedical University of Vienna · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

As endocrinological parameters such as thyroid hormones modulate proliferative, metabolic, and angiogenic pathways, it is surmised that their levels can be associated with cancer development and progression. Most patients with gastroesophageal cancer are diagnosed very late and have a poor prognosis, yet the association with endocrinological parameters has not been addressed so far. The aim of this study was to correlate hormones with the outcome, so new prognostic and potentially therapeutic markers can be defined. We analyzed clinical and endocrinological parameters including history of thyroid disorders and laboratory analyses of thyroid hormones and correlated these with the overall survival in a large European cohort of patients with inoperable locally advanced or metastatic gastroesophageal cancer treated between 2002 and 2018 at the Vienna General Hospital, Austria. In total, the survival outcome of 258 patients was evaluated. Higher levels of fT4 (p = 0.041, HR = 2.202) and lower levels of T3 (p = 0,003, HR = 0,141) were associated with significantly shorter survival. However, the overall survival of patients with known thyroid disorders did not differ significantly from euthyroid patients (euthyroid, 283 days; hyperthyroid, 354 days; hypothyroid, 284 days; p = 0.472). Elevated fT4 levels are associated with poorer overall survival of patients with gastroesophageal cancer in advanced stages. Since data on the correlation of endocrinological parameters and gastroesophageal cancer are scarce, this analysis is an important impulse for further studies concerning the impact of thyroxine on patients with cancer of the upper GI tract.

Indexed as

FemaleHumansMaleMiddle AgedRetrospective StudiesStomach NeoplasmsSurvival AnalysisThyroxineThyroxineEsophagusGastricGastroesophagealHyperthyroidismThyroxine

Identifiers

PMID31884578
PMCPMC10355234
OpenAlexW2997860987

What OpenQuestion holds

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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.