Evidence map›Paper›PMID 32757466›Full record

ArticleAsia-Pacific journal of clinical oncology2021

Total thyroidectomy is superior for initial treatment of thyroid cancer.

Lin Han, Wenlei Li, Yingxue Li, Wenjuan Wen, Yumin Yao, Yongkun Wang

Open access · hybridAbstract read
In one paragraph

Article in Asia-Pacific journal of clinical oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 pooled it
0.6field-weighted citation impact, top 31% 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

4 citing papers in PubMed, 2 syntheses or guidelines pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Total thyroidectomy is superior for initial treatment of thyroid cancer.Asia-Pacific journal of clinical oncology · 2021
    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

6 authors at 1 institution in 1 country.

Lin HanDepartment of Pathology, Liaocheng People's Hospital, Affiliated to Shandong First Medical University, Liaocheng, Shandong, China.
Wenlei LiDepartment of Thyroid Surgery, Liaocheng People's Hospital, Affiliated to Shandong First Medical University, Liaocheng, Shandong, China.
Yingxue LiDepartment of Pathology, Liaocheng People's Hospital, Affiliated to Shandong First Medical University, Liaocheng, Shandong, China.
Wenjuan WenDepartment of Pathology, Liaocheng People's Hospital, Affiliated to Shandong First Medical University, Liaocheng, Shandong, China.
Yumin YaoDepartment of Thyroid Surgery, Liaocheng People's Hospital, Affiliated to Shandong First Medical University, Liaocheng, Shandong, China.
Yongkun WangDepartment of Thyroid Surgery, Liaocheng People's Hospital, Affiliated to Shandong First Medical University, Liaocheng, Shandong, China.ORCID https://orcid.org/0000-0001-5705-8674
Liaocheng People's Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe incidence of thyroid cancer has increased annually, and has a heavy psychological and economic burden on the society and individuals. Based on thyroid cancer data from patients treated in Liaocheng People's Hospital in 2017, with Chinese national and regional characteristics, in this study we addressed the controversy of which initial thyroid surgical mode, lobectomy, or total thyroidectomy is the most effective. PATIENTS AND

methodsClinical and pathological data from 552 patients with thyroid cancer, who were initially diagnosed and treated surgically, were collected from the Department of Thyroid Surgery. Among them, 40 patients underwent endoscopic surgery, with resection, including lobectomy + central lymph node dissection of the affected lobe, while 512 cases underwent total thyroidectomy + central lymph node dissection.

resultsThe metastasis rate for all patients was 59.42%, with lymph node metastasis of papillary thyroid microcarcinoma of 46.92%; however, for patients with tumors >2 cm, the proportion developing metastasis was increased to 77.53%.

conclusionIn thyroid cancer, rates of neck lymph node metastasis are high, particularly among patients with risk factors for poor prognosis. Our data suggest that initial treatment should comprise at least total thyroidectomy + central lymph node dissection in China, at least in tumors larger than 1 cm, to avoid the risks associated with secondary surgery and effects on patient quality of life.

Indexed as

Carcinoma, PapillaryThyroid NeoplasmsHumansLymph NodesQuality of LifeRetrospective StudiesThyroidectomyinitial treatmentmetastasisreal worldsurgerythyroid cancer

Identifiers

PMID32757466
PMCPMC8596583
OpenAlexW3047550786

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.