Evidence map›Paper›PMID 32020964›Full record

ArticleMedical journal, Armed Forces India2020

The risk of thyroid carcinoma in multinodular goiter compared to solitary thyroid nodules: A retrospective analysis of 600 patients.

Khaled Y Ajarma, Ashraf F Al-Faouri, Maysoon K Al Ruhaibeh, Feras A Almbaidien, Rima T Nserat, Abdallah O Al-Shawabkeh, Khaldon K Al-Sarihin, Yousef A Al-Harazi, Haitham S Rbihat, Mohammad E Aljbour

Open access · greenAbstract read
In one paragraph

Article in Medical journal, Armed Forces India, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
–field-weighted citation impact, top 88% 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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Completion Thyroidectomy Trends and Rates: A Systematic Review and Meta-Analysis.Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery · 2025
    Pooled it
  3. Article
  4. Article
  5. Risk Factors for Malignancy in Patients with Multinodular Goiter.International archives of otorhinolaryngology · 2023
    Article
  6. Review
  7. Article
  8. Article
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

10 authors at 1 institution in 1 country.

Khaled Y AjarmaConsultant (Surgery), King Hussein Medical Center, Amman 11831, Jordan.
Ashraf F Al-FaouriConsultant (Surgery), King Hussein Medical Center, Amman 11831, Jordan.
Maysoon K Al RuhaibehSenior Specialist (Pathology), King Hussein Medical Center, Amman 11831, Jordan.
Feras A AlmbaidienSpecialist (Surgery), King Hussein Medical Center, Amman 11831, Jordan.
Rima T NseratSenior Specialist (Pathology), King Hussein Medical Center, Amman 11831, Jordan.
Abdallah O Al-ShawabkehSpecialist (Surgery), King Hussein Medical Center, Amman 11831, Jordan.
Khaldon K Al-SarihinSenior Specialist (Internal Medicine and Endocrinology), King Hussein Medical Center, Amman 11831, Jordan.
Yousef A Al-HaraziSenior Resident (Surgery), King Hussein Medical Center, Amman 11831, Jordan.
Haitham S RbihatSenior Specialist (Surgery), King Hussein Medical Center, Amman 11831, Jordan.
Mohammad E AljbourSpecialist (Surgery), King Hussein Medical Center, Amman 11831, Jordan.
King Hussein Medical Center · JO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIt is generally believed that multinodular goiter (MNG) is associated with a lower risk of malignancy compared to solitary thyroid nodules (STN). This will be the null hypothesis in this retrospective study and we aim to prove or reject it.

methodsMedical files and histopathology reports of 600 patients who underwent thyroidectomy over 4-year period were reviewed. Data including patient' age, gender, presentation, ultrasonography, FNAC, surgical procedures, final histopathologic diagnosis and stage of malignant tumors were collected and analyzed. The primary end point was assessment of risk of thyroid carcinoma in patients with MNG compared to those with STN. Secondary endpoints included demographic differences and prognosis.

resultsThere were 459 females (76.5%). Mean age was 44.3 ± 14.5 years (range 14-85). After exclusion of 33 patients, 224 (39.5%) had STN and 343 (60.5%) had MNG. The prevalence of thyroid cancer was 41.1% (92/224) in STN compared to 29.2% (100/343) in MNG (Chi-Square = 8.593,

conclusionThe risk of thyroid carcinoma in STN and MNG was similar. Male gender was identified as a risk factor for thyroid cancer while age, number and size of nodules were not.

Indexed as

Multinodular goiterSolitary thyroid noduleThyroid cancer

Identifiers

PMID32020964
PMCPMC6994747
OpenAlexW2811480148

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.