Evidence map›Paper›PMID 36988853›Full record

ArticleEndocrine2023

Is radioiodine ablation with 1.1 GBq (30 mCi)

Verónica Ilera, Inés Califano, Andrea Cavallo, Eduardo Faure, Adriana Vázquez, Fabián Pitoia, Thyroid Department of Sociedad Argentina de Endocrinología y Metabolismo

Abstract readMulticenter Study
PubMed Publisher
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 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 23% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. 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

7 authors at 1 institution in 1 country.

Verónica IleraThyroid Department of Sociedad Argentina de Endocrinología y Metabolismo, Díaz Vélez 3889, (C1200AAF), Ciudad Autónoma de Buenos Aires, Argentina.ORCID 0000-0003-1724-9390
Inés CalifanoThyroid Department of Sociedad Argentina de Endocrinología y Metabolismo, Díaz Vélez 3889, (C1200AAF), Ciudad Autónoma de Buenos Aires, Argentina.ORCID 0000-0002-7450-5832
Andrea CavalloThyroid Department of Sociedad Argentina de Endocrinología y Metabolismo, Díaz Vélez 3889, (C1200AAF), Ciudad Autónoma de Buenos Aires, Argentina.ORCID 0000-0003-0959-950X
Eduardo FaureThyroid Department of Sociedad Argentina de Endocrinología y Metabolismo, Díaz Vélez 3889, (C1200AAF), Ciudad Autónoma de Buenos Aires, Argentina.ORCID 0000-0003-1974-1485
Adriana VázquezThyroid Department of Sociedad Argentina de Endocrinología y Metabolismo, Díaz Vélez 3889, (C1200AAF), Ciudad Autónoma de Buenos Aires, Argentina.ORCID 0000-0003-4514-4238
Fabián PitoiaThyroid Department of Sociedad Argentina de Endocrinología y Metabolismo, Díaz Vélez 3889, (C1200AAF), Ciudad Autónoma de Buenos Aires, Argentina. fpitoia@intramed.net.ORCID 0000-0002-2742-7085
Thyroid Department of Sociedad Argentina de Endocrinología y Metabolismo
Institute of Scientific and Technical Research for Defense · AR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn patients with low-risk differentiated thyroid cancer (DTC), remnant ablation with radioiodine (RA) after total thyroidectomy (TT) is controversial. No benefits have been demonstrated in terms of mortality or disease-free survival. Recent evidence found that RA did not improve mid-term outcomes. PURPOSE: To evaluate initial response to treatment and long-term follow-up status in low-risk DTC patients after TT vs. TT + RA with

methodsProspective multicenter non-randomized study; 174 low-risk DTC that underwent TT were recruited an divided in two groups according to RA (87 ablated and 87 non-ablated). Response to treatment was evaluated at 6-18 months after thyroidectomy and at the end of follow-up with measurements of thyroglobulin, and anti-thyroglobulin antibodies levels, and neck ultrasonography.

resultsBaseline characteristics of both groups were similar. Ablated patients: median age 45.5 years, 84% females, 95.4% papillary thyroid carcinoma (PTC), mean tumor size 16 mm; non-ablated: median age 45 years, 88.5% females, 96.6% PTC, mean tumor size 14 mm. Response to initial treatment was similar between both groups, with < 2% of structural incomplete response. Final status was evaluated in 139 cases (median follow-up of 60 months). Among ablated patients, 82.8% had no evidence of disease (NED), 12% had an indeterminate response (IR) and 5% a biochemical incomplete response (BIR). Non-ablated patients had NED in 90%, IR in 8.7% and BIR in 1.2%. No statistical difference was found between groups (p = 0.29). No patient had evidence of structural disease at the end of follow-up.

conclusionsOur findings support the recommendation against routine RA in low-risk DTC patients.

Indexed as

Iodine RadioisotopesThyroid NeoplasmsFemaleFollow-Up StudiesHumansMaleMiddle AgedProspective StudiesRetrospective StudiesThyroid Cancer, PapillaryThyroidectomyTreatment OutcomeIodine-131Iodine RadioisotopesDifferentiated thyroid cancerLow-risk patientsRemnant ablationResponse to treatment

Identifiers

PMID36988853
OpenAlexW4361291141

What OpenQuestion holds

Textmetadata
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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.