Evidence map›Paper›PMID 33939906›Full record

Trial reportArchives of endocrinology and metabolism2021

Percutaneous injection of ethanol for thyroid nodule treatment: a comparative study.

Daysi Maria de Alcântara-Jones, Lucas Moura Bastos Borges, Tania Freitas A Nunes, Gabriella Brandão Pita, Vinicius Brito Rocha, Julia Mandaro Lavinas, Leila Maria Batista Araújo, Luis Fernando Fernandes Adan

Open access · diamondAbstract readClinical Trial
In one paragraph

Trial report in Archives of endocrinology and metabolism, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 36% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. 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

8 authors at 3 institutions in 2 countries.

Daysi Maria de Alcântara-JonesFaculdade de Medicina da Bahia (UFBA), Hospital São Rafael (HSR), Salvador, BA, Brasil, daysijones@gmail.com.
Lucas Moura Bastos BorgesFaculdade de Medicina da Bahia (UFBA), Salvador, BA, Brasil.
Tania Freitas A NunesPós-Graduação em Medicina, Hospital Santo Antonio, Salvador, BA, Brasil.
Gabriella Brandão PitaFaculdade de Medicina da Bahia (UFBA), Salvador, BA, Brasil.
Vinicius Brito RochaFaculdade de Medicina da Bahia (UFBA), Salvador, BA, Brasil.
Julia Mandaro LavinasFaculdade de Medicina da Bahia (UFBA), Hospital São Rafael (HSR), Salvador, BA, Brasil.
Leila Maria Batista AraújoFaculdade de Medicina da Bahia (UFBA), Salvador, BA, Brasil.
Luis Fernando Fernandes AdanFaculdade de Medicina da Bahia (UFBA), Salvador, BA, Brasil.
Universidade Federal da Bahia · BRHospital São Rafael · BRHospital de Santo António · PT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivePercutaneous ethanol injection (PEI) is an alternative to surgery for the treatment of thyroid nodules (TNs). However, size reductions of treated (TTNs) and untreated TN (UTNs) have not been compared. Volumetric reductions in TTNs with PEI were evaluated by comparing TTNs and UTNs in the same patient, and independent variables predicting good post-PEI outcomes were analyzed.

methodsOverall, 282 patients with multinodular goiters were selected. Two nodules located in different lobes were compared for common disease behaviors. Overall, 150 nodules were selected from 75 patients (6 M: 69 F) with a mean age of 50.1 ± 17.4 years. This prospective nonrandomized intervention study prioritized treating TNs of greater volume or single hyperfunctioning TNs. A single observer experienced in PEI and an ultrasound specialist performed the interventions.

resultsTTNs (mean volume: 14.8 ± 16.2 mL) were reduced by 72.6 ± 27.3% of their initial volume, while UTNs increased by a mean of 365.7 ± 1.403.8% (p < 0.00001). The patients underwent a mean of 4.0 ± 3.1 outpatient PEI sessions without relevant complications. Logistic regression analysis showed that the magnitude of the PEI induced reduction was associated with the number of treatment sessions (p = 0.03, CI [1.1-38.2]) and not with ultrasonographic characteristics of the nodules. Each PEI session increased the rate of TN reduction by a factor of 6.7.

conclusionPEI is a well-tolerated outpatient procedure that effectively reduces the volume of TNs and is noticeably superior to conservative treatment for all ultrasonographic classifications.

Indexed as

Thyroid NoduleAdultAgedEthanolHumansMiddle AgedProspective StudiesTreatment OutcomeUltrasonographyEthanolablation techniquesethanolnodular goiterThyroid nodule

Identifiers

PMID33939906
PMCPMC10065334
OpenAlexW3157362112

What OpenQuestion holds

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LicenceCC BY
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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.