Evidence map›Paper›PMID 37190260›Full record

ArticleCancers2023

Update on Calcitonin Screening for Medullary Thyroid Carcinoma and the Results of a Retrospective Analysis of 12,984 Patients with Thyroid Nodules.

Martina Broecker-Preuss, Dietmar Simon, Mirka Fries, Elisabeth Kornely, Manuel Weber, Irfan Vardarli, Elena Gilman, Ken Herrmann, Rainer Görges

Abstract read
In one paragraph

Article in Cancers, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–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

15 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Calcitonin as Biomarker for the Medullary Thyroid Carcinoma.Recent results in cancer research. Fortschritte der Krebsforschung. Progres dans les recherches sur le cancer · 2025
    Review
  8. What Is New in Diagnostics and Management of Medullary Thyroid Carcinoma.Recent results in cancer research. Fortschritte der Krebsforschung. Progres dans les recherches sur le cancer · 2025
    Review
  9. Epidemiology, Clinical Presentation, and Diagnosis of Medullary Thyroid Carcinoma.Recent results in cancer research. Fortschritte der Krebsforschung. Progres dans les recherches sur le cancer · 2025
    Review
  10. Diagnostic advances in medullary thyroid carcinoma.Endocrine oncology (Bristol, England) · 2025
    Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Management of Thyroid Nodules.Sisli Etfal Hastanesi tip bulteni · 2023
    Review
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.

Martina Broecker-PreussDepartment of Medicine, Laboratory Medicine Section, Ruhr-University Bochum, University Hospital, Knappschaftskrankenhaus Bochum, 44892 Bochum, Germany.ORCID 0000-0003-4537-0964
Dietmar SimonDepartment of Endocrine Surgery, Bethesda Krankenhaus, Thyroid Center Rhine-Ruhr, 47053 Duisburg, Germany.ORCID 0009-0002-2989-8865
Mirka FriesClinic for Nuclear Medicine, University Hospital Essen, 45147 Essen, Germany.ORCID 0009-0009-3729-6777
Elisabeth KornelyPractice of Endocrinology, Thyroid Center Rhine-Ruhr, 47051 Duisburg, Germany.
Manuel WeberClinic for Nuclear Medicine, University Hospital Essen, 45147 Essen, Germany.
Irfan VardarliDepartment of Medicine I, Klinikum Vest GmbH, Knappschaftskrankenhaus Recklinghausen, 45657 Recklinghausen, Germany.
Elena GilmanGilman Biometrics, Consultant for Data Processing and Statistics, 50858 Köln, Germany.
Ken HerrmannClinic for Nuclear Medicine, University Hospital Essen, 45147 Essen, Germany.
Rainer GörgesClinic for Nuclear Medicine, University Hospital Essen, 45147 Essen, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe provide an update on calcitonin (Ctn) screening for the early detection of medullary thyroid carcinoma (MTC) and present the results of a large single-center analysis evaluating sex-specific cut-off-levels and long-term courses.

methodsA total of 12,984 consecutive adult patients (20.1% male and 79.9% female) with thyroid nodules who had undergone routine Ctn measurement were retrospectively analyzed. Patients with confirmed suspicious Ctn values were referred for surgery.

resultsCtn measurements were elevated in 207 (1.6%) patients, with values below twice the sex-specific reference limit in 82% of these cases. Further clarification was possible in 124/207 cases, of which MTC could be ruled out in 108 cases. Histopathological assessment confirmed MTC in 16/12,984 patients.

conclusionsOur extrapolated MTC prevalence of 0.14% is significantly lower than that described in early international screening studies. The stimulation test can usually be dispensable when using a decision-making concept based on sex-specific basal Ctn cut-off values. Ctn screening is recommended even in patients with very small thyroid nodules. High quality standards in pre-analytics, laboratory measurements, and the interpretation of data must be ensured, as well as close interdisciplinary cooperation between medical disciplines.

Indexed as

calcitonincalcitonin screeningcalcium stimulation testmedullary thyroid cancernodular thyroid diseaseroutine calcitonin measurement

Identifiers

PMID37190260
PMCPMC10136489

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Registered trials

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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.