Evidence map›Paper›PMID 38808118›Full record

ArticleFrontiers in endocrinology2024

Influence of maximum diameter on fine-needle aspiration biopsy outcomes in ACR TI-RADS 5 thyroid nodules.

Shi-Liang Cao, Wan-Ying Shi, Yi-Ru Niu, Zhen-Long Zhao, Ying Wei, Jie Wu, Li-Li Peng, Yan Li, Ming-An Yu

Abstract read
In one paragraph

Article in Frontiers in endocrinology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–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

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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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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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

9 authors.

Shi-Liang CaoDepartment of Interventional Medicine, China-Japan Friendship Hospital, Beijing, China.
Wan-Ying ShiDepartment of Epidemiology and Health Statistics, School of Public Health, Capital Medical University, and Beijing Municipal Key Laboratory of Clinical Epidemiology, Beijing, China.
Yi-Ru NiuPathology Department, China-Japan Friendship Hospital, Beijing, China.
Zhen-Long ZhaoDepartment of Interventional Medicine, China-Japan Friendship Hospital, Beijing, China.
Ying WeiDepartment of Interventional Medicine, China-Japan Friendship Hospital, Beijing, China.
Jie WuDepartment of Interventional Medicine, China-Japan Friendship Hospital, Beijing, China.
Li-Li PengDepartment of Interventional Medicine, China-Japan Friendship Hospital, Beijing, China.
Yan LiDepartment of Interventional Medicine, China-Japan Friendship Hospital, Beijing, China.
Ming-An YuDepartment of Interventional Medicine, China-Japan Friendship Hospital, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Fine needle aspiration (FNA) biopsy is a widely accepted method for diagnosing thyroid nodules. However, the influence of maximum diameter (MD) of ACR TIRADS 5 (TR5) thyroid nodules on the FNA outcomes remains debated. This study examined the influence of MD on the FNA outcomes and investigated the optimal MD threshold for FNA in TR5 nodules. Methods: We conducted a retrospective analysis of 280 TR5 thyroid nodules from 226 patients who underwent FNA from January to June 2022 in our department. Probably malignant (PM) group was defined as Bethesda V in cytopathology with confirmed BRAF V600E mutation or Bethesda VI, the other cytopathology outcomes were defined as probably benign (PB) group. We examined factors influencing malignant cytopathology outcomes and determined the optimal MD threshold for FNA in TR5 nodules using logistic regression and restricted cubic spline (RCS) analysis. Results: Among these nodules, 58.2% (163/280) had PM outcomes. The PM group had a significantly larger MD than the PB group [6.5mm (range 5.0-8.4) vs. 5.3mm (range 4.0-7.0), p < 0.001]. In multivariate logistic regression fully adjusted for confounders, MD was significantly associated with PM outcomes [odds ratio 1.16, 95%CI 1.05-1.31; p = 0.042]. The highest quartile of MD had a greater likelihood of PM outcomes compared to the lowest quartile [odds ratio 4.71, 95% CI 1.97-11.69, p = 0.001]. The RCS analysis identified 6.2 mm as the optimal MD threshold for FNA in TR5 nodules. Conclusion: MD significantly affects the probability of malignant outcomes in FNA of TR5 thyroid nodules. A MD threshold of ≥6.2mm is suggested for FNA in these nodules.

Indexed as

Thyroid NoduleAdultAgedAged, 80 and overBiopsy, Fine-NeedleFemaleHumansMaleMiddle AgedRetrospective Studiesdiagnosisfine needle aspirationrestricted cubic spline (RCS)thyroid noduleultrasound

Identifiers

PMID38808118
PMCPMC11130351

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