Evidence map›Paper›PMID 40834361›Full record

ArticleArchives of endocrinology and metabolism2025

Identifying risk factors associated with refractoriness to radioiodine therapy in differentiated thyroid cancer.

Fernando Barros Costa Ribeiro, Ana Gregória Ferreira Pereira de Almeida, Adriana de Sá Caldas, Gilvan Cortês Nascimento, Rossana Santiago de Sousa Azulay, Conceição de Maria Ribeiro Veiga Parente, Manuel Dos Santos Faria, Marcelo Magalhães, Italo Campinho Braga de Araujo Lima, Carla Souza Pereira Sobral

Abstract read
In one paragraph

Article in Archives of endocrinology and metabolism, 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

10 authors.

Fernando Barros Costa RibeiroUniversidade Federal do Maranhão Hospital Universitário Departamento de Endocrinologia e Metabologia São Luís Maranhão Brasil Departamento de Endocrinologia e Metabologia, Hospital Universitário, Universidade Federal do Maranhão, São Luís, Maranhão, Brasil.ORCID 0000-0003-2270-7202
Ana Gregória Ferreira Pereira de AlmeidaUniversidade Federal do Maranhão Hospital Universitário Departamento de Endocrinologia e Metabologia São Luís Maranhão Brasil Departamento de Endocrinologia e Metabologia, Hospital Universitário, Universidade Federal do Maranhão, São Luís, Maranhão, Brasil.ORCID 0000-0002-4049-4629
Adriana de Sá CaldasUniversidade Federal do Maranhão Hospital Universitário Departamento de Endocrinologia e Metabologia São Luís Maranhão Brasil Departamento de Endocrinologia e Metabologia, Hospital Universitário, Universidade Federal do Maranhão, São Luís, Maranhão, Brasil.ORCID 0000-0002-5667-3381
Gilvan Cortês NascimentoUniversidade Federal do Maranhão Hospital Universitário Departamento de Endocrinologia e Metabologia São Luís Maranhão Brasil Departamento de Endocrinologia e Metabologia, Hospital Universitário, Universidade Federal do Maranhão, São Luís, Maranhão, Brasil.ORCID 0000-0002-3373-4372
Rossana Santiago de Sousa AzulayUniversidade Federal do Maranhão Hospital Universitário Departamento de Endocrinologia e Metabologia São Luís Maranhão Brasil Departamento de Endocrinologia e Metabologia, Hospital Universitário, Universidade Federal do Maranhão, São Luís, Maranhão, Brasil.ORCID 0000-0002-6097-8145
Conceição de Maria Ribeiro Veiga ParenteUniversidade Federal do Maranhão Hospital Universitário Departamento de Endocrinologia e Metabologia São Luís Maranhão Brasil Departamento de Endocrinologia e Metabologia, Hospital Universitário, Universidade Federal do Maranhão, São Luís, Maranhão, Brasil.ORCID 0000-0002-0335-7000
Manuel Dos Santos FariaUniversidade Federal do Maranhão Hospital Universitário Departamento de Endocrinologia e Metabologia São Luís Maranhão Brasil Departamento de Endocrinologia e Metabologia, Hospital Universitário, Universidade Federal do Maranhão, São Luís, Maranhão, Brasil.ORCID 0000-0003-0732-668X
Marcelo MagalhãesUniversidade Federal do Maranhão Hospital Universitário Grupo de Pesquisa Clínica e Molecular em Endocrinologia e Metabologia São Luís Maranhão Brasil Grupo de Pesquisa Clínica e Molecular em Endocrinologia e Metabologia, Hospital Universitário, Universidade Federal do Maranhão, São Luís, Maranhão, Brasil.ORCID 0000-0002-0464-4343
Italo Campinho Braga de Araujo LimaUniversidade Federal do Maranhão Hospital Universitário Departamento de Endocrinologia e Metabologia São Luís Maranhão Brasil Departamento de Endocrinologia e Metabologia, Hospital Universitário, Universidade Federal do Maranhão, São Luís, Maranhão, Brasil.ORCID 0009-0000-5414-7700
Carla Souza Pereira SobralUniversidade Federal do Maranhão Hospital Universitário Departamento de Endocrinologia e Metabologia São Luís Maranhão Brasil Departamento de Endocrinologia e Metabologia, Hospital Universitário, Universidade Federal do Maranhão, São Luís, Maranhão, Brasil.ORCID 0009-0002-8198-6221

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo identify factors potentially associated with radioiodine-refractory disease among patients treated for differentiated thyroid carcinoma at a referral center in Northeastern Brazil.

methodsA total of 554 medical records of patients with differentiated thyroid carcinoma treated between January 2010 and August 2024 were evaluated. Radioiodine-refractory disease tumors were detected in 44 (7.9%) patients. Clinical, laboratory, and radiological data were compared between the radioiodine-refractory disease and non-radioiodine-refractory disease groups to determine factors associated with poor differentiated thyroid carcinoma outcomes.

resultsFactors most strongly associated with progression to radioiodine-refractory disease included older age, increased number of surgeries performed, aggressive histological subtypes, larger tumor size, vascular invasion, extrathyroidal extension, compromised margins, lymph node metastasis, distant metastasis at diagnosis and during follow-up, higher malignant tumor classification staging, high risk of recurrence, high thyroglobulin levels prior to radioiodine therapy, higher doses and greater number of radioiodine therapy doses, and higher frequency of incomplete responses within the first year post-treatment.

conclusionIdentifying possible factors associated with radioiodine-refractory disease development may allow early diagnosis and a more effective treatment.

Indexed as

Iodine RadioisotopesNeoplasm Recurrence, LocalThyroid NeoplasmsAdolescentAdultAgedBrazilFemaleHumansMaleMiddle AgedRetrospective StudiesRisk FactorsThyroidectomyTreatment OutcomeYoung AdultIodine RadioisotopesDifferentiated thyroid carcinomaPossible associated factorsRefractory radioiodine

Identifiers

PMID40834361
PMCPMC12377030

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.