Evidence map›Paper›PMID 31929534›Full record

ArticlePloS one2020

Radioiodine therapy and Graves' disease - Myths and reality.

Maria Teresa Plazinska, Nadia Sawicka-Gutaj, Agata Czarnywojtek, Kosma Wolinski, Małgorzata Kobylecka, Maria Karlińska, Karolina Prasek, Małgorzata Zgorzalewicz-Stachowiak, Magdalena Borowska, Paweł Gut and 2 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.8field-weighted citation impact, top 8% 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, 27 citations in OpenAlex.

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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

12 authors at 2 institutions in 1 country.

Maria Teresa PlazinskaDepartment of Nuclear Medicine, Warsaw Medical University, Warsaw, Poland.
Nadia Sawicka-GutajDepartment of Endocrinology, Metabolism and Internal Medicine, Poznan University of Medical Sciences, Poznan, Poland.
Agata CzarnywojtekDepartment of Endocrinology, Metabolism and Internal Medicine, Poznan University of Medical Sciences, Poznan, Poland.
Kosma WolinskiDepartment of Endocrinology, Metabolism and Internal Medicine, Poznan University of Medical Sciences, Poznan, Poland.ORCID 0000-0001-9800-7881
Małgorzata KobyleckaDepartment of Nuclear Medicine, Warsaw Medical University, Warsaw, Poland.
Maria KarlińskaDepartment of Medical Informatics and Telemedicine, Warsaw Medical University, Warsaw, Poland.
Karolina PrasekDepartment of Nuclear Medicine, Warsaw Medical University, Warsaw, Poland.
Małgorzata Zgorzalewicz-StachowiakLaboratory of Medical Electrodiagnostics, Department of Health Prophylaxis, Poznan University of Medical Sciences, Poznan, Poland.
Magdalena BorowskaDepartment of Pharmacology, Poznan University of Medical Sciences, Poznan, Poland.
Paweł GutDepartment of Endocrinology, Metabolism and Internal Medicine, Poznan University of Medical Sciences, Poznan, Poland.
Marek RuchalaDepartment of Endocrinology, Metabolism and Internal Medicine, Poznan University of Medical Sciences, Poznan, Poland.
Leszek KrolickiDepartment of Nuclear Medicine, Warsaw Medical University, Warsaw, Poland.
Poznan University of Medical Sciences · PLMedical University of Warsaw · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAutoimmune reactions in Graves' disease (GD) occur not only in the thyroid gland, but also in the orbital connective tissue, eyelids, extraocular muscles. The occurrence of orbitopathy in the course of GD is influenced by environmental factors, e.g. cigarette smoking.

objectivesThe aim of the study was to analyze the effect of cigarette smoking on the efficacy of activity of radioiodine(131I) therapy in patients with GD. We also studied the influence of cigarette smoking and the efficacy of prednisone prophylaxis on the risk of thyroid-associated ophthalmopathy (TAO) development after radioiodine therapy (RIT) during two years of follow-up. PATIENTS AND

methodsMedical records of hyperthyroid patients treated with radioiodine had been included. Patients were scheduled to visit outpatient clinics at baseline and 1, 3, 6, 9, 12, 18, and 24 months after RIT.

resultsThe studied group consisted of 336 patients (274 women, 62 men) diagnosed with GD and treated with RIT; 130 patients received second therapeutic dose of 131I due to recurrent hyperthyroidism. Among all studied patients, 220 (65.5%) were smokers and 116 (34.5%) non-smokers. In the group of smokers 115 (52.2%) of patients received single RIT, 105 (47.8%) received second dose of RAI due to recurrent hyperthyroidism. In non-smokers 91 (78.6%) received single activity of RAI, while 25 (21.4%) patients required second RIT due to recurrent hyperthyroidism. The ophthalmic symptoms in the group of smokers after RIT were less frequent, if the patient received preventative treatment in the form of oral prednisone (P = 0.0088).

conclusionsThe results of our study suggest that cigarette smoking reduces the efficacy of treatment with 131I in patients with GD. The study also confirmed the effectiveness of steroid prophylaxis against TAO development or exacerbation after RIT.

Indexed as

AdultAgedAnti-Inflammatory AgentsCigarette SmokingFemaleGraves DiseaseGraves OphthalmopathyHumansHyperthyroidismIodine RadioisotopesMaleMiddle AgedPrednisoneRadiopharmaceuticalsRecurrenceRetrospective StudiesAnti-Inflammatory AgentsIodine-131Iodine RadioisotopesPrednisoneRadiopharmaceuticalsThyrotropinThyroxineTriiodothyronine

Identifiers

PMID31929534
PMCPMC6957158
OpenAlexW2998767970

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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.