Evidence map›Paper›PMID 34820683›Full record

SynthesisEuropean journal of nuclear medicine and molecular imaging2022

Risk of primary breast cancer in patients with differentiated thyroid cancer undergoing radioactive iodine therapy: a systematic review and meta-analysis.

Carmela Nappi, Michele Klain, Valeria Cantoni, Roberta Green, Leandra Piscopo, Fabio Volpe, Simone Maurea, Mario Petretta, Alberto Cuocolo

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in European journal of nuclear medicine and molecular imaging, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 3 pooled it
1.6field-weighted citation impact, top 15% 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, 3 syntheses or guidelines pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Pooled it
  4. Thyroid Disease and Breast Cancer Risk in the Sister Study.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2026
    Article
  5. Article
  6. Article
  7. Radiofrequency ablation versus radioactive iodine: the race for the best cure.European journal of nuclear medicine and molecular imaging · 2024
    Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Review
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

9 authors at 2 institutions in 1 country.

Carmela NappiDepartment of Advanced Biomedical Sciences, University Federico II, Naples, Italy.
Michele KlainDepartment of Advanced Biomedical Sciences, University Federico II, Naples, Italy.
Valeria CantoniDepartment of Advanced Biomedical Sciences, University Federico II, Naples, Italy.
Roberta GreenDepartment of Advanced Biomedical Sciences, University Federico II, Naples, Italy.
Leandra PiscopoDepartment of Advanced Biomedical Sciences, University Federico II, Naples, Italy.
Fabio VolpeDepartment of Advanced Biomedical Sciences, University Federico II, Naples, Italy.
Simone MaureaDepartment of Advanced Biomedical Sciences, University Federico II, Naples, Italy.
Mario PetrettaIRCCS SDN, Naples, Italy.
Alberto CuocoloDepartment of Advanced Biomedical Sciences, University Federico II, Naples, Italy. cuocolo@unina.it.ORCID http://orcid.org/0000-0003-3431-7658
Federico II University Hospital · ITSDN Istituto di Ricerca Diagnostica e Nucleare · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAlthough it has been proven that radioactive iodine (RAI) treatment is an effective and well-tolerated procedure in patients with differentiated thyroid cancer (DTC), there is still some concern regarding the risk of developing a second primary malignancy after RAI administration. We performed a systematic review and meta-analysis to investigate the risk of primary breast cancer in patients with DTC undergoing RAI therapy.

methodsA comprehensive literature search of the PubMed, Scopus, and Web of Science databases was conducted according to the PRISMA statement.

resultsThe final analysis included 14 studies accounting for a total of 200,247 patients with DTC (98,368 treated with RAI and 101,879 not treated with RAI). The relative risk of primary breast cancer in patients with DTC treated with RAI to those not treated with RAI among studies ranged from 0.45 to 2.55, the pooled relative risk was 0.83 (95% confidence interval, 0.70-0.99), and the heterogeneity was 71.5%.

conclusionThe present meta-analysis indicates that patients with DTC treated with RAI do not have a higher risk of primary breast cancer compared to those not treated with RAI. These findings suggest that RAI therapy does not increase the risk of breast cancer.

Indexed as

AdenocarcinomaBreast NeoplasmsNeoplasms, Second PrimaryThyroid NeoplasmsFemaleHumansIodine RadioisotopesIodine RadioisotopesBreast cancerDifferentiated thyroid cancerMeta-analysisRadioiodine therapySecond primary malignancy

Identifiers

PMID34820683
OpenAlexW3215748376

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.