Evidence map›Paper›PMID 35116326›Full record

ArticleTranslational cancer research2021

Prognosis of radiotherapy in medullary thyroid carcinoma patients without distant metastasis.

Shaojun Huang, Jiana Zhong, Zhen Zhang, Rongping Chen, Jitong Li, Jia Sun, Hong Chen

Abstract read
In one paragraph

Article in Translational cancer research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

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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.

  1. Long-Term Follow-Up in Medullary Thyroid Carcinoma Patients.Recent results in cancer research. Fortschritte der Krebsforschung. Progres dans les recherches sur le cancer · 2025
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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

7 authors.

Shaojun Huang *Department of Endocrinology, Zhujiang Hospital, Southern Medical University, Guangzhou, China.
Jiana Zhong *Department of Endocrinology, Zhujiang Hospital, Southern Medical University, Guangzhou, China.
Zhen ZhangDepartment of Endocrinology, Zhujiang Hospital, Southern Medical University, Guangzhou, China.
Rongping ChenDepartment of Endocrinology, Zhujiang Hospital, Southern Medical University, Guangzhou, China.
Jitong LiDepartment of Endocrinology, Zhujiang Hospital, Southern Medical University, Guangzhou, China.
Jia SunDepartment of Endocrinology, Zhujiang Hospital, Southern Medical University, Guangzhou, China.
Hong ChenDepartment of Endocrinology, Zhujiang Hospital, Southern Medical University, Guangzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMedullary thyroid carcinoma (MTC) is an advanced disease with a poor prognosis. Although radiotherapy is widely utilized to treat MTC, it is still controversial. MTC patients without distant metastases have not been investigated to explore indications for adjuvant radiotherapy. This study aims to investigate the impact of radiotherapy on the survival of MTC patients without distant metastases.

methodsData of MTC patients without distant metastasis who underwent total thyroidectomy between 2010 and 2015 were obtained from the Surveillance, Epidemiology and End Results (SEER) database. Propensity score matching was performed to analyze the relationship between radiotherapy and cancer-specific survival (CSS).

resultsSeventy-four of 718 MTC patients without distant metastases received radiotherapy and underwent total thyroidectomy. A total of 148 patients were screened via propensity score matching analysis. Multivariate Cox regression indicated that factors including age, sex, radiotherapy and chemotherapy were independent predictors of CSS. Based on these factors, MTC patients without distant metastasis were classified into two risk groups using a nomogram and risk classification system. The C-index of the nomogram was 0.791. The calibration curves showed good consistency of CSS between the actual observation and the nomogram prediction, and decision curve analysis (DCA) showed great clinical usefulness of the nomogram. The three-year CSS of the radiotherapy group was 85.3%, and that of the surgery group was 95%. Particularly, compared with the surgery group, the three-year CSS of subgroups of the radiotherapy group, including male patients and those aged >48 years, was decreased.

conclusionsRadiotherapy results in worse CSS for MTC patients without distant metastases. To maximize benefits, decisions about individual radiotherapy should weigh its advantages and disadvantages.

Indexed as

Medullary thyroid cancer (MTC)prognosispropensity score matchingradiotherapyThe Surveillance Epidemiology and End Results database (SEER database)

Identifiers

PMID35116326
PMCPMC8798267

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