Evidence map›Paper›PMID 36044162›Full record

SynthesisEndocrine pathology2022

Thyroid Nodules with Indeterminate FNAC According to the Italian Classification System: Prevalence, Rate of Operation, and Impact on Risk of Malignancy. An Updated Systematic Review and Meta-analysis.

Pierpaolo Trimboli, Giulia Ferrarazzo, Carlo Cappelli, Arnoldo Piccardo, Marco Castellana, Jessica Barizzi

Open access · hybridAbstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Endocrine pathology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
3.2field-weighted citation impact, top 7% 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

20 citing papers in PubMed, 24 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Natural History of Cytologically Low-Risk Indeterminate Thyroid Nodules.The Journal of clinical endocrinology and metabolism · 2025
    Article
  11. Observational
  12. Article
  13. Review
  14. Review
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. Article
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 at 6 institutions in 2 countries.

Pierpaolo Trimboli *Servizio Di Endocrinologia E Diabetologia, Ente Ospedaliero Cantonale (EOC), Bellinzona, Switzerland. pierpaolo.trimboli@eoc.ch.
Giulia Ferrarazzo *Medicina Nucleare, Ospedale Villa Scassi Hospital, Genoa, Italy.
Carlo CappelliDepartment of Clinical and Experimental Sciences, SSD Medicina Ad Indirizzo Endocrino-Metabolico, University of Brescia, ASST Spedali Civili Di Brescia, Brescia, Italy.
Arnoldo PiccardoStruttura Complessa Di Medicina Nucleare, E.O. Ospedali Galliera, Genoa, Italy.
Marco CastellanaAmbulatorio Di Endocrinologia E Diabetologia, Poliambulatorio Di Monopoli, Azienda Sanitaria Locale Bari, Monopoli, Italy.
Jessica BarizziServizio Di Citopatologia, Istituto Cantonale Di Patologia, Locarno, Switzerland.
ASL Roma · ITEnte Ospedaliero Ospedali Galliera · ITIstituto Cantonale di Patologia · CHUniversità della Svizzera italiana · CHUniversity of Brescia · ITVilla Torri Hospital · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A thyroid nodule classified as indeterminate on fine-needle aspiration cytology (FNAC), hereafter referred to as an indeterminate thyroid nodule (ITN), represents a clinical dilemma. The Italian Consensus for the Classification and Reporting of Thyroid Cytology (ICCRTC) divides ITNs into low- and high-risk categories (i.e., TIR3A and TIR3B, respectively) to better manage patients. This study aimed to achieve high-evidence estimates of the prevalence, rate of operation, and risk of malignancy of ITNs, including TIR3A and TIR3B ITNs. This systematic review was conducted according to MOOSE to retrieve all original studies citing ICCRTC. The last search was performed in February 2022. The risk of bias of the included studies was assessed. Separate proportion meta-analyses were performed with a random-effect model using OpenMeta[Analyst]. The online search processed 271 studies, and 33 were finally considered. First, the cancer prevalence among ITNs was 32.4%. Second, the cancer prevalence among TIR3As was 12.4%, with heterogeneity (I

Indexed as

Thyroid NeoplasmsThyroid NoduleBiopsy, Fine-NeedleCytodiagnosisHumansPrevalenceRetrospective StudiesCarcinomaFine-needle aspiration (FNAC)Indeterminate nodulesItalian Consensus for the Classification and Reporting of Thyroid CytologyRisk of malignancyThyroid

Identifiers

PMID36044162
PMCPMC9712406
OpenAlexW4293724120

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.