Evidence map›Paper›PMID 40397204›Full record

SynthesisJournal of the Egyptian National Cancer Institute2025

Effectiveness of radioiodine therapy on preventing recurrence in differentiated thyroid carcinoma: a systematic review.

Bima Indra, Nur Qodir, Didit Pramudhito, Legiran Legiran, Zen Hafy, Andi M Iqbal Yusran

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of the Egyptian National Cancer Institute, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

6 authors.

Bima IndraFaculty of Medicine, University of Sriwijaya, Palembang, Indonesia. bimaindra26@gmail.com.
Nur QodirDepartment of Surgery, University of Sriwijaya/ Mohammad Hoesin General Hospital, Palembang, Indonesia.
Didit PramudhitoDepartment of Surgery, University of Sriwijaya/ Mohammad Hoesin General Hospital, Palembang, Indonesia.
Legiran LegiranDepartment of Biomedicine, University of Sriwijaya, Palembang, Indonesia.
Zen HafyDepartment of Biomedicine, University of Sriwijaya, Palembang, Indonesia.
Andi M Iqbal YusranNuclear Medicine Division, Department of Oncology, Mohammad Hoesin General Hospital, Palembang, Indonesia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe effectiveness of radioiodine therapy (RAI) in reducing recurrence and improving overall survival in differentiated thyroid carcinoma (DTC) remains debated. This systematic review evaluates the impact of RAI on DTC recurrence and survival.

methodsA comprehensive search was conducted across PubMed, ScienceDirect, Web of Science, CINAHL, and Tripdatabase, including studies from inception to August 2024. Only studies published in English with full-text availability were included. Risk of bias was assessed using the Revised Risk of Bias Assessment Tool for Nonrandomized Studies of Interventions (RoBANS 2).

resultsNine studies were included, involving 161,703 participants (36,658 men and 125,045 women). The studies were geographically diverse, with four from the American continent, three from Asia, and two from Europe. RAI doses ranged from 30 to 300 mCi, with 30 mCi and 100 mCi being the most common. Five studies found that RAI reduced recurrence, while two found no significant effect. The median time to recurrence ranged from 10 months to 15 years, with most studies indicating a 1-2-year median. Regarding overall survival, two studies reported improvement with successful RAI therapy, while two found no significant impact.

conclusionRAI therapy shows potential in reducing recurrence in DTC, particularly within the first 2-year post-treatment, but its effect on overall survival remains unclear. Further high-quality research is necessary to confirm these findings and guide clinical practice.

Indexed as

Iodine RadioisotopesNeoplasm Recurrence, LocalThyroid NeoplasmsFemaleHumansMaleTreatment OutcomeIodine RadioisotopesDifferentiated thyroid carcinomaPapillary thyroid carcinomaRadioiodine therapyThyroglobulin

Identifiers

PMID40397204
PMCPMC13313509

What OpenQuestion holds

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LicenceCC BY
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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.