Evidence map›Paper›PMID 35639243›Full record

ArticleEndocrine2022

Incidentally discovered papillary thyroid microcarcinoma in patients undergoing thyroid surgery for benign disease.

Joaquín de Carlos, Ander Ernaga, Ana Irigaray, Jose Javier Pineda, Ana Echegoyen, Pilar Salvador, Emma Anda

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In one paragraph

Article in Endocrine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 17% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 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

7 authors at 2 institutions in 1 country.

Joaquín de CarlosEndocrinology Department, Hospital Universitario de Navarra, Pamplona, Navarra, Spain. decarlosjoaquin@gmail.com.ORCID http://orcid.org/0000-0001-5875-4524
Ander ErnagaEndocrinology Department, Hospital Universitario de Navarra, Pamplona, Navarra, Spain.
Ana IrigaraySection of Endocrinology, Hospital García Orcoyen, Estella, Navarra, Spain.
Jose Javier PinedaEndocrinology Department, Hospital Universitario de Navarra, Pamplona, Navarra, Spain.
Ana EchegoyenPathology Department, Hospital Universitario de Navarra, Pamplona, Navarra, Spain.
Pilar SalvadorGeneral Surgery Department, Hospital Universitario de Navarra, Pamplona, Navarra, Spain.
Emma AndaEndocrinology Department, Hospital Universitario de Navarra, Pamplona, Navarra, Spain.
Universidad de Navarra · ESComplejo Hospitalario de Navarra · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe incidence of thyroid carcinoma has grown significantly over the last few decades. A possible explanation is the increased diagnosis of small thyroid microcarcinoma (TMc). TMc reach a maximum diameter of ≤1 cm, identified during histopathology examination following a thyroidectomy performed for reasons not pertaining to malignancy. This study aims to investigate the prevalence of papillary thyroid microcarcinoma (PTMc) according to the benign pathology that refers patients to surgery and its trend evolution.

methodsRetrospective cohort analysis of 1815 patients who underwent total thyroidectomy for non-malignant diseases in the 2005-2020 period.

resultsThe mean age of the subjects was 53.5 years, with a higher proportion of women (1481, 82.1%). A total of 167 PTMc (9.3%) were incidentally discovered. A multivariate logistic regression analysis was performed, showing no differences in prevalence according to sex or age in patients with PTMc compared to final benign histology. Multinodular goiter increases the risk of PTMc with an odds ratio of 2.2 (p = 0.001) compared to Hashimoto's thyroiditis and Graves' disease (GD). There is a statistically significant increase in the incidence of PTMc in the group operated in the 2017-2020 vs. 2005-2008 period (p = 0.005).

conclusionThe overall prevalence of PTMc in patients who underwent thyroid surgery for the benign disease was 9.3%. Thyroid nodular hyperplasia was the most frequent benign pathology associated with PTMc compared to Hashimoto's or GD. Gender and age were not correlated with the prevalence of TMc. Over the years, surgical findings of PTMc have grown, particularly in the 2017-2020 period.

Indexed as

Carcinoma, PapillaryIncidental FindingsThyroid DiseasesThyroidectomyThyroid NeoplasmsFemaleGoiterGraves DiseaseHashimoto DiseaseHumansMaleMiddle AgedRetrospective StudiesBenign thyroid diseaseIncidentalPapillary thyroid microcarcinomaThyroid surgery

Identifiers

PMID35639243
OpenAlexW4281682883

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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.