Evidence map›Paper›PMID 36147564›Full record

ArticleFrontiers in endocrinology2022

Blood immune indexes can predict lateral lymph node metastasis of thyroid papillary carcinoma.

Lingqian Zhao, Tianhan Zhou, Wenhao Zhang, Fan Wu, Kecheng Jiang, Bei Lin, Siqi Zhan, Tao Hu, Tian Tang, Yu Zhang and 1 more

Abstract read
In one paragraph

Article in Frontiers in endocrinology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 4 pooled it
–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

20 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Role of nutritional (PNI, CONUT) and inflammatory indices (SII) in predicting lymph node metastasis and prognosis of thyroid cancer: a systematic review and meta-analysis.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  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

11 authors.

Lingqian ZhaoZhejiang Chinese Medical University, Fourth Clinical Medical College, Hangzhou, China.
Tianhan ZhouHangzhou Traditional Chinese Medicine Hospital Affiliated to Zhejiang Chinese Medical University, The Department of General Surgery, Hangzhou, China.
Wenhao ZhangZhejiang Chinese Medical University, Fourth Clinical Medical College, Hangzhou, China.
Fan WuAffiliated Hangzhou First People's Hospital Zhejiang University School of Medicine, Department of Oncological Surgery, Hangzhou, China.
Kecheng JiangZhejiang Chinese Medical University, Fourth Clinical Medical College, Hangzhou, China.
Bei LinZhejiang Chinese Medical University, Fourth Clinical Medical College, Hangzhou, China.
Siqi ZhanZhejiang Chinese Medical University, Fourth Clinical Medical College, Hangzhou, China.
Tao HuZhejiang Chinese Medical University, Fourth Clinical Medical College, Hangzhou, China.
Tian TangZhejiang Chinese Medical University, Fourth Clinical Medical College, Hangzhou, China.
Yu ZhangAffiliated Hangzhou First People's Hospital Zhejiang University School of Medicine, Department of Oncological Surgery, Hangzhou, China.
Dingcun LuoAffiliated Hangzhou First People's Hospital Zhejiang University School of Medicine, Department of Oncological Surgery, Hangzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To explore the clinical significance of blood immune indexes in predicting lateral lymph node metastasis (LLNM) of thyroid papillary carcinoma (PTC). Methods: The pathological data and preoperative blood samples of 713 patients that underwent thyroid surgery at affiliated Hangzhou First People's Hospital Zhejiang University School of Medicine from January 2013 to June 2021 were collected as the model group. The pathological data and preoperative blood samples of 177 patients that underwent thyroid surgery in the same hospital from July 2021 to October 2021 were collected as the external validation group. Univariate and multivariate logistic regression analyses were used to determine the independent risk factors of LLNM in PTC patients. A predictive model for assessing LLNM in PTC patients was established and externally validated using the external data. Results: According to univariate and multivariate logistic regression analyses, tumor diameter (P < 0.001, odds ratios (OR): 1.205, 95% confidence interval (CI): 1.162-1.249) and the preoperative systemic immune-inflammation index (SII) (P = 0.032, OR: 1.001, 95% CI: 1.000-1.002) were independent risk factors for distinguishing LLNM in PTC patients. When the Youden index was the highest, the area under the curve (AUC) was 0.860 (P < 0.001, 95% CI: 0.821-0.898). The externally validated AUC was 0.827 (P < 0.001, 95% CI: 0.724-0.929), the specificity was 86.4%, and the sensitivity was 69.6%. The calibration curve and the decision curve indicated that the model had good diagnostic value. Conclusion: Blood immune indexes can reflect the occurrence of LLNM and the biological behavior of PTC. The predictive model established in combination with SII and tumor diameter can effectively predict the occurrence of LLNM in PTC patients.

Indexed as

Carcinoma, PapillaryThyroid NeoplasmsHumansLymphatic MetastasisRetrospective StudiesThyroid Cancer, Papillarylateral cervical lymph nodelymph node metastasisnomogrampapillary thyroid carcinomasystemic immune-inflammation index

Identifiers

PMID36147564
PMCPMC9487154

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.