Evidence map›Paper›PMID 40440421›Full record

Observational studyThe Journal of clinical endocrinology and metabolism2025

Stable Iodine Intake and Thyroid Screening Outcomes After the Fukushima Nuclear Disaster: An Observational Study.

Yoshitaka Nishikawa, Fumiya Oguro, Chiaki Suzuki, Yurie Kobashi, Naomi Ito, Yoshimitsu Takahashi, Takeo Nakayama, Aya Goto, Masaharu Tsubokura

Abstract readObservational Study
In one paragraph

Observational study in The Journal of clinical endocrinology and metabolism, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

9 authors.

Yoshitaka NishikawaDepartment of Internal Medicine, Hirata Central Hospital, Hirata, Ishikawa-gun, Fukushima 963-8202, Japan.ORCID 0000-0003-3313-1990
Fumiya OguroDepartment of Internal Medicine, Hirata Central Hospital, Hirata, Ishikawa-gun, Fukushima 963-8202, Japan.
Chiaki SuzukiDepartment of Thyroid Surgery, Hirata Central Hospital, Hirata, Ishikawa-gun, Fukushima 963-8202, Japan.
Yurie KobashiDepartment of Internal Medicine, Hirata Central Hospital, Hirata, Ishikawa-gun, Fukushima 963-8202, Japan.
Naomi ItoDepartment of Radiation Health Management, Fukushima Medical University School of Medicine, Fukushima City, Fukushima 960-1295, Japan.ORCID 0000-0002-0599-0328
Yoshimitsu TakahashiDepartment of Implementation Science in Public Health, Kyoto University School of Public Health, Sakyo-ku, Kyoto 606-8501, Japan.ORCID 0000-0003-4073-9945
Takeo NakayamaDepartment of Health Informatics, Graduate School of Medicine and School of Public Health, Kyoto University, Sakyo-ku, Kyoto 606-8501, Japan.
Aya GotoTakemi Program in International Health, Harvard T.H. Chan School of Public Health, Boston, MA 02115, USA.
Masaharu TsubokuraDepartment of Internal Medicine, Hirata Central Hospital, Hirata, Ishikawa-gun, Fukushima 963-8202, Japan.ORCID 0000-0001-8027-202X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextStable iodine intake is crucial in preventing thyroid cancer after radiological emergencies; however, the association between stable iodine intake and thyroid outcomes in children after the Fukushima Daiichi Nuclear Power Plant (FDNPP) accident remains unclear.

objectiveTo describe thyroid screening outcomes and investigate the association between stable iodine intake and those outcomes in children after the FDNPP accident.

methodsThis was an observational study based on data from the regional thyroid screening program conducted by the Research Institute of Radiation Safety for Disaster Recovery Support in Fukushima, Japan. Participants were children born between April 1998 and March 2011 in Miharu Town (n = 1974), where stable iodine intake was implemented during the FDNPP accident. The association between stable iodine intake and thyroid ultrasound results was examined using logistic regression analysis. Coarsened exact matching was used to balance sex and age.

resultsAmong the participants, 1095 (55.5%) consumed stable iodine, whereas 879 (44.5%) did not. In the age- and sex-matched group of 1952 children (1088 in the intake and 864 in non-intake group), no association was observed between stable iodine intake and thyroid screening results indicating the need for a detailed examination (odds ratio: 0.839; 95% CI: 0.393-1.8, P = .647). The volume and parenchymal heterogeneity were not different between these groups.

conclusionStable iodine intake was not associated with thyroid ultrasound screening results, probably because of the low radiation doses following the FDNPP accident. Parenchymal heterogeneity and thyroid volume were similar, supporting the conclusion that the adverse effects of single-dose stable iodine are minimal.

Indexed as

Fukushima Nuclear AccidentIodineThyroid GlandThyroid NeoplasmsAdolescentChildChild, PreschoolFemaleHumansInfantJapanMaleMass ScreeningUltrasonographyIodinecase studydisaster medicineFukushima nuclear accidentiodine isotopesthyroid neoplasm

Identifiers

PMID40440421
PMCPMC12712979

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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.