Evidence map›Paper›PMID 35446717›Full record

ArticleAnnals of the Royal College of Surgeons of England2022

Risk of malignancy in thyroid nodules with indeterminate (THY3f) cytology.

M C de Jong, J McNamara, L Winter, D Roskell, S Khan, R Mihai

Abstract read
In one paragraph

Article in Annals of the Royal College of Surgeons of England, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

6 authors.

M C de JongOxford University Hospitals NHS Foundation Trust, UK.
J McNamaraOxford University Hospitals NHS Foundation Trust, UK.
L WinterOxford University Hospitals NHS Foundation Trust, UK.
D RoskellOxford University Hospitals NHS Foundation Trust, UK.
S KhanOxford University Hospitals NHS Foundation Trust, UK.
R MihaiOxford University Hospitals NHS Foundation Trust, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFine-needle aspiration cytology (FNAC) is an integral part of thyroid nodule assessment. Nodules with an indeterminate cytology (THY3a-f) require formal histological assessment to confirm benign or malignant pathology. This study aimed to provide data for an evidence-based approach for management of patients with THY3f nodules.

methodsRetrospective review of patients who had a thyroid FNAC reported as suspicious of follicular neoplasm (THY3f) or showing atypia (THY3a) were identified, and clinical, operative and outcomes data were analysed.

resultsBetween 2018 and 2020, 200 patients (167F:33M, median age 51 years (range:18-86 years)) had a THY3f cytology. Most presented with a palpable nodule (

conclusionOne in five patients with features suspicious of a follicular neoplasm (THY3f) has a thyroid carcinoma. This risk is much lower for THY3a. This study reinforces the current recommendation for thyroid surgery in all patients with a reliable THY3f cytology, as no further stratifying risk factors could be identified.

Indexed as

Adenocarcinoma, FollicularCarcinoma, NeuroendocrineThyroid NeoplasmsThyroid NoduleHumansIodine RadioisotopesMaleMiddle AgedRetrospective StudiesUltrasonographyIodine RadioisotopesFine-needle aspiration cytologyThyroid neoplasmsThyroid noduleUS scan

Identifiers

PMID35446717
PMCPMC9685951

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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.