Evidence map›Paper›PMID 36692657›Full record

ArticleEndocrine2023

Prognostic value of 12-month response to therapy in pediatric patients with differentiated thyroid cancer.

Emilia Zampella, Leandra Piscopo, Mariarosaria Manganelli, Fabio Volpe, Carmela Nappi, Valeria Gaudieri, Leonardo Pace, Martin Schlumberger, Alberto Cuocolo, Michele Klain

Open access · hybridAbstract read
In one paragraph

Article in Endocrine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.6field-weighted citation impact, top 16% 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

5 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Article
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  4. New opportunities for dosimetric approach in patients with differentiated thyroid cancer.European journal of nuclear medicine and molecular imaging · 2024
    Article
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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

10 authors at 2 institutions in 1 country.

Emilia ZampellaDepartment of Advanced Biomedical Sciences, University Federico II, Naples, Italy.
Leandra PiscopoDepartment of Advanced Biomedical Sciences, University Federico II, Naples, Italy.
Mariarosaria ManganelliDepartment of Advanced Biomedical Sciences, University Federico II, Naples, Italy.
Fabio VolpeDepartment of Advanced Biomedical Sciences, University Federico II, Naples, Italy.
Carmela NappiDepartment of Advanced Biomedical Sciences, University Federico II, Naples, Italy.
Valeria GaudieriDepartment of Advanced Biomedical Sciences, University Federico II, Naples, Italy.
Leonardo PaceDepartment of Medicine, Surgery and Dentistry, University of Salerno, Salerno, Italy.
Martin SchlumbergerConsultant, Department of Advanced Biomedical Sciences, University Federico II, Naples, Italy.
Alberto CuocoloDepartment of Advanced Biomedical Sciences, University Federico II, Naples, Italy. cuocolo@unina.it.ORCID 0000-0003-3431-7658
Michele KlainDepartment of Advanced Biomedical Sciences, University Federico II, Naples, Italy.
Federico II University Hospital · ITUniversity of Salerno · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIn pediatric patients with differentiated thyroid cancer (DTC) we assessed the prognostic value of the 12-month response to therapy after initial treatment with surgery and radioactive iodine (RAI).

methodsWe retrospectively evaluated 94 pediatric patients with DTC, treated with surgery and RAI who were initially classified as low, intermediate or high risk of relapse of disease according to the American Thyroid Association (ATA) guidelines. Twelve months after RAI administration the response to therapy was assessed by serum thyroglobulin (Tg) measurement and neck ultrasound and patients were classified as having excellent response (ER) or no-ER.

resultsAt the 12 months evaluation, 62 (66%) patients had ER and 32 (34%) no-ER. During a mean follow-up time of 86 months (range 9-517), 19 events occurred (20% cumulative event rate). Events occurred more frequently in younger patients (p < 0.05), in those at ATA intermediate/high risk (p < 0.01) and with a pre-RAI therapy Tg level > 10 ng/mL (p < 0.001), and in those with no-ER (p < 0.001). At multivariate analysis, the evidence of no-ER was the only independent predictor of events.

conclusionIn pediatric patients with DTC, the response to therapy evaluated 12 months after initial treatment has an independent prognostic impact and is able to predict mid-term outcome. Patients with no-ER at 12 months after RAI therapy should be closely followed-up.

Indexed as

AdenocarcinomaThyroid NeoplasmsChildHumansIodine RadioisotopesNeoplasm Recurrence, LocalPrognosisRetrospective StudiesThyroglobulinThyroidectomyIodine RadioisotopesThyroglobulin131I therapyDifferentiated thyroid carcinomaPediatric patientsPrognosis

Identifiers

PMID36692657
PMCPMC10199830
OpenAlexW4317868522

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.