Evidence map›Paper›PMID 34533289›Full record

ArticleCancer medicine2021

Risk of thyroid as a first or second primary cancer. A population-based study in Italy, 1998-2012.

Emanuele Crocetti, Veronica Mattioli, Carlotta Buzzoni, Silvia Franceschi, Diego Serraino, Salvatore Vaccarella, Stefano Ferretti, Susanna Busco, Ugo Fedeli, Massimo Varvarà and 27 more

Open access · goldAbstract readHistorical Article
In one paragraph

Article in Cancer medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 5 pooled it
2.1field-weighted citation impact, top 12% 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

12 citing papers in PubMed, 5 syntheses or guidelines pooled it, 18 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

37 authors at 19 institutions in 2 countries.

Emanuele CrocettiCancer Epidemiology Unit, Centro di Riferimento Oncologico di Aviano (CRO) IRCCS, Aviano, Italy.ORCID 0000-0002-4649-2034
Veronica MattioliCancer Epidemiology Unit, Centro di Riferimento Oncologico di Aviano (CRO) IRCCS, Aviano, Italy.
Carlotta BuzzoniGlobal Patient Outcomes and Real World Evidence (GPORWE) International Eli Lilly Italy S.p.A, Sesto Fiorentino, Florence, Italy.
Silvia FranceschiCancer Epidemiology Unit, Centro di Riferimento Oncologico di Aviano (CRO) IRCCS, Aviano, Italy.
Diego SerrainoCancer Epidemiology Unit, Centro di Riferimento Oncologico di Aviano (CRO) IRCCS, Aviano, Italy.
Salvatore VaccarellaSection of Cancer Surveillance, International Agency for Research on Cancer, Lyon, France.ORCID 0000-0002-2516-2167
Stefano FerrettiRomagna Cancer Registry, Section of Ferrara, Local Health Unit, University of Ferrara, Ferrara, Italy.
Susanna BuscoCancer Registry of Latina Province, ASL Latina, Latina, Italy.
Ugo FedeliEpidemiological Department, Azienda Zero, Padua, Italy.
Massimo VarvaràRegistro Tumori Integrato Catania-Messina-Siracusa-Enna, Università degli Studi di Catania, Catania, Italy.
Fabio FalciniRomagna Cancer Registry, Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (IRST), IRCCS, Meldola, Italy.
Manuel ZorziVeneto Tumor Registry, Azienda Zero, Padua, Italy.ORCID 0000-0001-6025-5214
Giuliano CarrozziModena Cancer Registry, Public Health Department, AUSL Modena, Modena, Italy.
Walter MazzuccoPalermo and Province Cancer Registry, Clinical Epidemiology Unit with Cancer Registry, Azienda Ospedaliera Universitaria Policlinico "Paolo Giaccone", University of Palermo, Palermo, Italy.
Cinzia GasparottiBrescia Cancer Registry, Epidemiology Unit, Brescia Health Protection Agency, Brescia, Italy.
Silvia IacovacciCancer Registry of Latina Province, ASL Latina, Latina, Italy.
Federica ToffoluttiCancer Epidemiology Unit, Centro di Riferimento Oncologico di Aviano (CRO) IRCCS, Aviano, Italy.
Rossella CavalloASL Salerno Cancer Registry, Salerno, Italy.
Fabrizio StracciPublic Health Section, Department of Medicine and Surgery, University of Perugia, Perugia, Italy.
Antonio G RussoCancer Registry of Milan, Epidemiology Unit, Agency for Health Protection, Milan, Italy.
Adele CaldarellaTuscany Cancer Registry, Clinical Epidemiology Unit, Institute for Cancer Research, Prevention and Clinical Network (ISPRO), Florence, Italy.
Stefano RossoPiedmont Cancer Registry, Azienda Ospedaliera-Universitaria Città della Salute e della Scienza di Torino, Italy.
Antonino MusolinoParma Cancer Registry, Oncology Unit, Azienda Ospedaliera Universitaria di Parma, Parma, Italy.
Lucia MangoneReggio Emilia Cancer Registry, Epidemiology Unit, AUSL ASMN-IRCCS, Azienda USL di Reggio Emilia, Reggio Emilia, Italy.
Claudia CasellaLiguria Cancer Registry, Clinical Epidemiology, IRCCS Ospedale Policlinico San Martino, Genova, Italy.
Mario FuscoCancer Registry of ASL Napoli 3 Sud, Napoli, Italy.
Giovanna TagliabueLombardy Cancer Registry, Cancer Registry Unit, Department of Research, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
Daniela PirasNorth Sardinia Cancer Registry, Azienda Regionale per la Tutela della Salute, Sassari, Italy.
Rosario TuminoCancer Registry and Histopathology Department, Provincial Health Authority (ASP 7), Ragusa, Italy.
Linda GuardaMantova Cancer Registry, Epidemilogy Unit, Agenzia di Tutela della Salute (ATS) della Val Padana, Mantova, Italy.
Ylenia M DinaroSiracusa Cancer Registry, Health Unit of Siracusa, Siracusa, Italy.
Silvano PifferTrento Province Cancer Registry, Unit of Clinical Epidemiology, Trento, Italy.
Pasquala PinnaNuoro Cancer Registry, RT Nuoro, ASSL Nuoro/ATS Sardegna, Nuoro, Italy.
Guido MazzoleniSouthtyrol Cancer Registry, Bolzano, Italy.
Anna C FanettiSondrio Cancer Registry, Health Protection Agency, Sondrio, Italy.
Luigino Dal MasoCancer Epidemiology Unit, Centro di Riferimento Oncologico di Aviano (CRO) IRCCS, Aviano, Italy.ORCID 0000-0001-6163-200X
for AIRTUM working group
Centro di Riferimento Oncologico · ITOspedale Santa Maria Goretti · ITAgenzia Regionale per la Protezione Ambientale del Piemonte · ITATS Sardegna (Italy) · ITAzienda Ospedaliera Citta' della Salute e della Scienza di Torino · ITAzienda Ospedaliera Universitaria Policlinico "Paolo Giaccone" di Palermo · ITAzienda Sanitaria Unità Locale di Reggio Emilia · ITCentre international de recherche sur le cancer · FREli Lilly (Italy) · ITFondazione IRCCS Istituto Nazionale dei Tumori · ITIstituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori · ITOspedale di Bolzano · ITOspedale di Parma · ITOspedale Policlinico San Martino · ITPiedmont Reference Center for Epidemiology and Cancer Prevention · ITRegione del Veneto · ITUniversity of Catania · ITUniversity of Ferrara · ITUniversity of Perugia · IT

Funding

World Health Organization 001
6 · The paper itself

Abstract

backgroundThe number of patients living after a cancer diagnosis is increasing, especially after thyroid cancer (TC). This study aims at evaluating both the risk of a second primary cancer (SPC) in TC patients and the risk of TC as a SPC.

methodsWe analyzed two population-based cohorts of individuals with TC or other neoplasms diagnosed between 1998 and 2012, in 28 Italian areas covered by population-based cancer registries. Standardized incidence ratios (SIRs) of SPC were stratified by sex, age, and time since first cancer.

resultsA total of 38,535 TC patients and 1,329,624 patients with other primary cancers were included. The overall SIR was 1.16 (95% CI: 1.12-1.21) for SPC in TC patients, though no increase was shown for people with follicular (1.06) and medullary (0.95) TC. SPC with significantly increased SIRs was bone/soft tissue (2.0), breast (1.2), prostate (1.4), kidney (2.2), and hemolymphopoietic (1.4) cancers. The overall SIR for TC as a SPC was 1.49 (95% CI: 1.42-1.55), similar for all TC subtypes, and it was significantly increased for people diagnosed with head and neck (2.1), colon-rectum (1.4), lung (1.8), melanoma (2.0), bone/soft tissue (2.8), breast (1.3), corpus uteri (1.4), prostate (1.5), kidney (3.2), central nervous system (2.3), and hemolymphopoietic (1.8) cancers.

conclusionsThe increased risk of TC after many other neoplasms and of few SPC after TC questions the best way to follow-up cancer patients, avoiding overdiagnosis and overtreatment for TC and, possibly, for other malignancies.

Indexed as

Cohort StudiesFemaleHistory, 20th CenturyHistory, 21st CenturyHumansIncidenceItalyMaleNeoplasms, Second PrimaryRegistriesRisk FactorsThyroid Neoplasmscancer survivorsItalypopulation-based cancer registriesrelative risksecond primary cancerthyroid cancer

Identifiers

PMID34533289
PMCPMC8495271
OpenAlexW3199913929

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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.