Evidence map›Paper›PMID 36686426›Full record

SynthesisFrontiers in endocrinology2022

The potential interaction between medical treatment and radioiodine treatment success: A systematic review.

Riazul Zannat, Jonathan Lee, Jameel Muzaffar, Martin L Read, Katie Brookes, Neil Sharma, Kristien Boelaert, Christopher J McCabe, Hannah R Nieto

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis 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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 47% 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

2 citing papers in PubMed, 1 citations in OpenAlex.

  1. Review
  2. 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

9 authors at 3 institutions in 1 country.

Riazul ZannatInstitute of Metabolism and Systems Research, University of Birmingham, Birmingham, United Kingdom.
Jonathan LeeDepartment of Ear, Nose and Throat Surgery, Warwick Hospital, University Hospitals of South Warwickshire NHS Foundation Trust, Birmingham, United Kingdom.
Jameel MuzaffarDepartment of Clinical Neurosciences, University of Cambridge, Cambridge, United Kingdom.
Martin L ReadInstitute of Metabolism and Systems Research, University of Birmingham, Birmingham, United Kingdom.
Katie BrookesInstitute of Metabolism and Systems Research, University of Birmingham, Birmingham, United Kingdom.
Neil SharmaDepartment of Ear, Nose and Throat Surgery, University Hospitals Birmingham NHS Foundation Trust, Birmingham, United Kingdom.
Kristien BoelaertInstitute of Applied Health Research, University of Birmingham, Birmingham, United Kingdom.
Christopher J McCabeInstitute of Metabolism and Systems Research, University of Birmingham, Birmingham, United Kingdom.
Hannah R NietoInstitute of Metabolism and Systems Research, University of Birmingham, Birmingham, United Kingdom.
University of Birmingham · GBSouth Warwickshire NHS Foundation Trust · GBUniversity of Cambridge · GB

Funding

Wellcome Trust
6 · The paper itself

Abstract

Introduction: Radioactive iodine (RAI) therapy is a critical component in the post-surgical management of thyroid cancer patients, as well as being a central therapeutic option in the treatment of hyperthyroidism. Previous work suggests that antithyroid drugs hinder the efficacy of RAI therapy in patients. However, the effects of other background medications on RAI treatment efficacy have not been evaluated. Therefore, we performed a systematic review and meta-analysis investigating the potential off-target effects of medication on RAI therapy in patients with thyroid cancer and hyperthyroidism. Methods: Systematic review and meta-analysis according to the 2020 PRISMA guidelines. Databases searched: MEDLINE, EMBASE and Cochrane Library for studies published between 2001 and 2021. Results: Sixty-nine unique studies were identified. After screening, 17 studies with 3313 participants were included. One study investigated thyroid cancer, with the rest targeted to hyperthyroidism. The majority of studies evaluated the effects of antithyroid drugs; the other drugs studied included lithium, prednisone and glycididazole sodium. Antithyroid drugs were associated with negative impacts on post-RAI outcomes (n = 5 studies, RR = 0.81, p = 0.02). However, meta-analysis found moderate heterogeneity between studies (I2 = 51%, τ2 = 0.0199, p = 0.08). Interestingly, lithium (n = 3 studies), prednisone (n = 1 study) and glycididazole (n = 1 study) appeared to have positive impacts on post-RAI outcomes upon qualitative analysis. Conclusion: Our systematic review strengthens previous work on antithyroid medication effects on RAI, and highlights that this field remains under researched especially for background medications unrelated to thyroid disease, with very few papers on non-thyroid medications published. Systematic review registration: https://www.crd.york.ac.uk/prospero/display_record.php, identifier CRD42021274026.

Indexed as

HyperthyroidismThyroid NeoplasmsAntithyroid AgentsHumansIodine RadioisotopesLithiumPrednisoneTreatment OutcomeAntithyroid AgentsIodine RadioisotopesLithiumPrednisoneantithyroid drugscarbimazoleglycididazole sodiumhyperthyroidismlithiumprednisoneradioiodinethyroid cancer

Identifiers

PMID36686426
PMCPMC9845773
OpenAlexW4313494905

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.