Evidence map›Paper›PMID 40705743›Full record

ArticlePloS one2025

Sex disparities in papillary thyroid cancer survival: Divergent patterns of relative and absolute effects across the age spectrum.

Hui Ouyang, Xiaolin Dou, Xinying Li, Mingyu Cao, Zhijing Wu, Fada Xia

Abstract read
In one paragraph

Article in PloS one, 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

6 authors.

Hui OuyangDepartment of General Surgery, Xiangya Hospital, Central South University, Changsha, Hunan Province, China.
Xiaolin DouDepartment of General Surgery, Xiangya Hospital, Central South University, Changsha, Hunan Province, China.
Xinying LiDepartment of General Surgery, Xiangya Hospital, Central South University, Changsha, Hunan Province, China.
Mingyu CaoDepartment of General Surgery, Xiangya Hospital, Central South University, Changsha, Hunan Province, China.
Zhijing WuDepartment of General Surgery, Xiangya Hospital, Central South University, Changsha, Hunan Province, China.ORCID https://orcid.org/0009-0004-9435-8843
Fada XiaDepartment of General Surgery, Xiangya Hospital, Central South University, Changsha, Hunan Province, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis retrospective cohort study aimed to reevaluate the prognostic impact of sex and determine whether age modifies the effect of sex on cancer-specific survival (CSS) in PTC patients.

methodsData for PTC patients diagnosed between 2004 and 2015 were retrieved from the SEER database. The primary outcome was CSS. The effect of Sex was evaluated using both relative (hazard ratios, HRs) and absolute measures (survival differences). Additionally, the effect of sex modified by age was assessed using restricted cubic spline curves from the Cox and Poisson models, with further analysis of the interaction between sex and age.

resultsOf 77,349 patients, 16,152 (20.9%) were male. Men exhibited older age, more aggressive clinicopathological features, and received more radioactive iodine treatment. Multivariate Cox analysis determined male sex as an independent risk factor (adjusted HR: 1.46 (1.24-1.70). The 10-year and 15-year survival differences between men and women were 0.46% (95% CI, 0.25%-0.67%) and 0.77% (95% CI, 0.31%-1.22%), respectively. Moreover, a nonlinear effect for sex across age was observed, with HRs for men plateauing below age 50 and decreasing thereafter. Importantly and conversely, before age 50, the absolute survival difference increased slightly with age, but after 50, it significantly widened. Furthermore, A significant negative multiplicative interaction between sex and age was found.

conclusionsOur analyses provide robust evidence that male sex is indeed an independent risk factor for CSS in PTC patients. Although younger female patients show a relative survival advantage, this does not translate into a substantial absolute benefit, which widens with advancing age.

Indexed as

Thyroid Cancer, PapillaryThyroid NeoplasmsAdolescentAdultAgedAged, 80 and overAge FactorsFemaleHumansMaleMiddle AgedPrognosisProportional Hazards ModelsRetrospective StudiesRisk FactorsSEER Program

Identifiers

PMID40705743
PMCPMC12288988

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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.