Evidence map›Paper›PMID 38141816›Full record

ArticleValue in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research2024

Modeling Thyroid Cancer Epidemiology in the United States Using Papillary Thyroid Carcinoma Microsimulation Model.

Oguzhan Alagoz, Yichi Zhang, Natalia Arroyo, Sara Fernandes-Taylor, Dou-Yan Yang, Craig Krebsbach, Manasa Venkatesh, Vivian Hsiao, Louise Davies, David O Francis

Open access · bronzeAbstract read
In one paragraph

Article in Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.8field-weighted citation impact, top 13% 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

12 citing papers in PubMed, 9 citations in OpenAlex.

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  8. A Scoping Review on Calibration Methods for Cancer Simulation Models.Medical decision making : an international journal of the Society for Medical Decision Making · 2025
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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.

Oguzhan AlagozDepartment of Industrial and Systems Engineering, University of Wisconsin-Madison, Madison, WI, USA. Electronic address: alagoz@engr.wisc.edu.
Yichi ZhangDepartment of Industrial and Systems Engineering, University of Wisconsin-Madison, Madison, WI, USA.
Natalia ArroyoDepartment of Surgery, University of Wisconsin-Madison, Madison, WI, USA.
Sara Fernandes-TaylorDepartment of Surgery, University of Wisconsin-Madison, Madison, WI, USA.
Dou-Yan YangDepartment of Surgery, University of Wisconsin-Madison, Madison, WI, USA.
Craig KrebsbachDepartment of Surgery, University of Wisconsin-Madison, Madison, WI, USA.
Manasa VenkateshDepartment of Surgery, University of Wisconsin-Madison, Madison, WI, USA.
Vivian HsiaoDepartment of Surgery, University of Wisconsin-Madison, Madison, WI, USA.
Louise DaviesGeisel School of Medicine at Dartmouth and The Dartmouth Institute for Health Policy & Clinical Practice, Hanover, NH, USA; Department of Veterans Affairs Medical Center, White River Junction, VT, USA.
David O FrancisDepartment of Surgery, University of Wisconsin-Madison, Madison, WI, USA.
University of Wisconsin–Madison · USDartmouth College · US

Funding

Estimating and Mitigating Thyroid Cancer Overdiagnosis: A Mathematical Modeling ApproachR01CA251566 · NCI · UNIVERSITY OF WISCONSIN-MADISON · PI ALAGOZ, OGUZHAN, FRANCIS, DAVID O. · 2020 to 2024
$2.6M
NCI NIH HHS R01 CA251566
6 · The paper itself

Abstract

objectivesThyroid cancer incidence increased over 200% from 1992 to 2018, whereas mortality rates had not increased proportionately. The increased incidence has been attributed primarily to the detection of subclinical disease, raising important questions related to thyroid cancer control. We developed the Papillary Thyroid Carcinoma Microsimulation model (PATCAM) to answer them, including the impact of overdiagnosis on thyroid cancer incidence.

methodsPATCAM simulates individuals from age 15 until death in birth cohorts starting from 1975 using 4 inter-related components, including natural history, detection, post-diagnosis, and other-cause mortality. PATCAM was built using high-quality data and calibrated against observed age-, sex-, and stage-specific incidence in the United States as reported by the Surveillance, Epidemiology, and End Results database. PATCAM was validated against US thyroid cancer mortality and 3 active surveillance studies, including the largest and longest running thyroid cancer active surveillance cohort in the world (from Japan) and 2 from the United States.

resultsPATCAM successfully replicated age- and stage-specific papillary thyroid cancers (PTC) incidence and mean tumor size at diagnosis and PTC mortality in the United States between 1975 and 2015. PATCAM accurately predicted the proportion of tumors that grew more than 3 mm and 5 mm in 5 years and 10 years, aligning with the 95% confidence intervals of the reported rates from active surveillance studies in most cases.

conclusionsPATCAM successfully reproduced observed US thyroid cancer incidence and mortality over time and was externally validated. PATCAM can be used to identify factors that influence the detection of subclinical PTCs.

Indexed as

CarcinomaCarcinoma, PapillaryThyroid NeoplasmsAdolescentHumansIncidenceThyroid Cancer, PapillaryUnited Statesmicrosimulationoverdiagnosispapillary thyroid carcinomasimulation modelingthyroid cancer

Identifiers

PMID38141816
PMCPMC10922958
OpenAlexW4390084375

What OpenQuestion holds

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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.