Evidence map›Paper›PMID 37564885›Full record

ArticleJournal of the Endocrine Society2023

Thyroglobulin Cutoff Values for Detecting Excellent Response to Therapy in Patients With Differentiated Thyroid Cancer.

Jennifer A Sipos, Joseph Aloi, Andrew Gianoukakis, Stephanie L Lee, Joshua P Klopper, Jacqueline T Kung, Mark A Lupo, David Morgenstern, Cristina Prat-Knoll, Andre Schuetzenmeister and 1 more

Open access · goldAbstract read
In one paragraph

Article in Journal of the Endocrine Society, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.0field-weighted citation impact, top 12% 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

6 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Redo Thyroidectomy: Updated Insights.Journal of clinical medicine · 2024
    Review
  6. 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 at 8 institutions in 2 countries.

Jennifer A SiposDivision of Endocrinology, Diabetes and Metabolism, The Ohio State University, Columbus, OH 43210, USA.ORCID https://orcid.org/0000-0001-6745-7353
Joseph AloiDivision of Endocrinology, Diabetes and Metabolism, Atrium Health Wake Forest Baptist, Winston-Salem, NC 27101, USA.
Andrew GianoukakisDivision of Endocrinology, The Lundquist Research Institute at Harbor-UCLA Medical Center, Torrance, CA 90502, USA.
Stephanie L LeeDepartment of Medicine, Boston Medical Center, Boston, MA 02118, USA.
Joshua P KlopperDepartment of Endocrinology, Kaiser Permanente of Colorado, Denver, CO 80920, USA.
Jacqueline T KungDivision of Endocrinology, Diabetes and Metabolism, Tufts Medical Center, Boston, MA 02111, USA.
Mark A LupoThe Thyroid & Endocrine Center of Florida, Sarasota, FL 34231, USA.
David MorgensternClinical Development and Medical Affairs, Roche Molecular Systems, Pleasanton, CA 94588, USA.
Cristina Prat-KnollClinical Development and Medical Affairs, Roche Diagnostics GmbH, 68305 Mannheim, Germany.
Andre SchuetzenmeisterBiostatistics, Roche Diagnostics GmbH, 68305 Mannheim, Germany.
Whitney S GoldnerDivision of Endocrinology, Diabetes and Metabolism, University of Nebraska Medical Center, Omaha, NE 68198, USA.
Roche Pharma AG (Germany) · DEAtrium Health Wake Forest Baptist · USBoston Medical Center · USKaiser Permanente · USThe Ohio State University · USTufts Medical Center · USUniversity of California, Los Angeles · USUniversity of Nebraska Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Context: Serum thyroglobulin (Tg) is a biochemical marker for detecting persistent or recurrent differentiated thyroid carcinoma (DTC) post-thyroidectomy. Tg can indicate DTC before structural disease (SD) is visible with imaging procedures. Objective: This work aimed to evaluate the clinical performance of the Elecsys Methods: Patients were enrolled into 2 cohorts: longitudinal (Tg assessed every 6 months over 2 years under thyroid-stimulating hormone [TSH] suppression therapy following thyroidectomy with or without RAI) and cross-sectional with confirmed SD (Tg assessed once >12 weeks after thyroidectomy). Analyses were performed for both cohorts combined and in the longitudinal cohort. Results: The study included 530 clinically evaluable samples, the majority (n = 424 samples) from patients who had not received RAI treatment. Following correction for SD prevalence (4.97% in the longitudinal cohort), an Elecsys Tg II cutoff of 0.2 ng/mL ruled out SD with a negative predictive value of 99.9% (95% CI, 99.5%-100%). The assay had excellent sensitivity (98.5%-100%) and acceptable specificity (53.4%-53.5%) for detecting SD (Tg ≥ 0.2 ng/mL) for both cohorts combined and in the longitudinal cohort, with similar findings in RAI-treated and non-RAI-treated subgroups. Conclusion: In this cohort of DTC patients post-thyroidectomy, a Tg cutoff of 0.2 ng/mL was highly effective for ruling out the presence of SD under TSH-suppressed conditions, including in patients who had not received RAI treatment.

Indexed as

differentiated thyroid carcinomaradioiodinestructural disease recurrencethyroglobulinthyroglobulin assay

Identifiers

PMID37564885
PMCPMC10410295
OpenAlexW4385717404

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.