Evidence map›Paper›PMID 34376043›Full record

ArticleEndocrinology and metabolism (Seoul, Korea)2021

Association between Iodine Intake, Thyroid Function, and Papillary Thyroid Cancer: A Case-Control Study.

Kyungsik Kim, Sun Wook Cho, Young Joo Park, Kyu Eun Lee, Dong-Wook Lee, Sue K Park

Registry-linked trialOpen access · diamondAbstract read
In one paragraph

Article in Endocrinology and metabolism (Seoul, Korea), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06626581 (A Cross-sectional Study on Iodine Status and Characteristics of Papillary Thyroid Cancer), which is not on this map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 pooled it
5.1field-weighted citation impact, top 3% 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.

NCT06626581 not yet recruitingnot on this mapstarted 2024, after this paper: background citation

A Cross-sectional Study on Iodine Status and Characteristics of Papillary Thyroid Cancer

TypeobservationalSponsorShandong Provincial HospitalRan2024 to 2026Enrolled600ConditionsPapillary Thyroid CarcinomaArmsIodine excess, Iodine suitable
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 3 syntheses or guidelines pooled it, 45 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Dietary and Urinary Iodine in Relation to Thyroid Cancer Risk: A Meta-Analysis.Cancer control : journal of the Moffitt Cancer Center
    Pooled it
  4. Trial
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  11. Observational
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  14. Papillary thyroid carcinoma: an interesting case report.The Pan African medical journal · 2025
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  19. Review
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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.

Kyungsik KimDepartment of Preventive Medicine, Seoul National University College of Medicine, Seoul, Korea.
Sun Wook ChoDepartment of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea.
Young Joo ParkDepartment of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea.
Kyu Eun LeeCancer Research Institute, Seoul National University, Seoul, Korea.
Dong-Wook LeeDepartment of Family Medicine, Dongguk University College of Medicine, Gyeongju, Korea.
Sue K ParkDepartment of Preventive Medicine, Seoul National University College of Medicine, Seoul, Korea.
Seoul National University · KRDongguk University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aimed to assess the effects of iodine intake, thyroid function, and their combined effect on the risk of papillary thyroid cancer (PTC) and papillary thyroid microcarcinoma (PTMC).

methodsA case-control study was conducted including 500 community-based controls who had undergone a health check-up, and 446 overall PTC cases (209 PTC and 237 PTMC) from the Thyroid Cancer Longitudinal Study. Urinary iodine concentration (UIC), was used as an indicator of iodine intake, and serum for thyroid function. The risk of PTC and PTMC was estimated using unconditional logistic regression.

resultsExcessive iodine intake (UIC ≥220 μg/gCr) was associated with both PTC (odds ratio [OR], 18.13 95% confidence interval [CI], 8.87 to 37.04) and PTMC (OR, 8.02; 95% CI, 4.64 to 13.87), compared to adequate iodine intake (UIC, 85 to 219 μg/gCr). Free thyroxine (T4) levels ≥1.25 ng/dL were associated with PTC (OR, 1.97; 95% CI, 1.36 to 2.87) and PTMC (OR, 2.98; 95% CI, 2.01 to 4.41), compared to free T4 levels of 0.7 to 1.24 ng/dL. Individuals with excessive iodine intake and high free T4 levels had a greatly increased OR of PTC (OR, 43.48; 95% CI, 12.63 to 149.62), and PTMC (OR, 26.96; 95% CI, 10.26 to 70.89), compared to individuals with adequate iodine intake and low free T4 levels.

conclusionExcessive iodine intake using creatinine-adjusted UIC and high free T4 levels may have a synergistic effect on PTC and PTMC. Considering both iodine intake and thyroid function is important to assess PTC and PTMC risk.

Indexed as

IodineThyroid NeoplasmsCase-Control StudiesHumansLongitudinal StudiesThyroid Cancer, PapillaryIodineIodinePapillary thyroid microcarcinomaThyroid cancer, papillaryThyroid function tests

Identifiers

PMID34376043
PMCPMC8419609
OpenAlexW3191294573

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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Registered trials

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.