Evidence map›Paper›PMID 41284731›Full record

ArticleThe Journal of clinical endocrinology and metabolism2026

Parity as a Risk Factor for Differentiated Thyroid Carcinoma: A Population-based Study.

Rotem Dan, Nave Paran, Nuphar Vinegrad, Merav Fraenkel, Uri Yoel

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Article in The Journal of clinical endocrinology and metabolism, 2026. 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. Parity as a Risk Factor for Differentiated Thyroid Carcinoma: A Population-based Study.The Journal of clinical endocrinology and metabolism · 2026
    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

5 authors.

Rotem DanThe Goldman Medical School at the Faculty of Health Sciences, Ben-Gurion University of the Negev, 84105 Beer Sheva, Israel.
Nave ParanClinical Research Center, Soroka University Medical Center, 84101 Beer Sheva, Israel.
Nuphar VinegradFaculty of Health Sciences, Ben-Gurion University of the Negev, 84105 Beer Sheva, Israel.
Merav FraenkelFaculty of Health Sciences, Ben-Gurion University of the Negev, 84105 Beer Sheva, Israel.ORCID 0000-0002-9039-5565
Uri YoelFaculty of Health Sciences, Ben-Gurion University of the Negev, 84105 Beer Sheva, Israel.ORCID 0000-0003-3805-3565

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextFemale sex is a risk factor for differentiated thyroid carcinoma (DTC), potentially due to reproductive influences. However, data on the association between parity and DTC risk remain inconsistent.

objectiveTo assess the association between parity and DTC risk in a high-multiparity population.

designPopulation-based case-control study (1982-2022).

settingA single tertiary medical center. PATIENTS OR OTHER

participantsThe study included 300 female patients with DTC and 900 controls, matched by birth year and ethnicity. The primary exposure was the number of deliveries before DTC diagnosis. MAIN OUTCOME MEASURE(S): Association between parity and DTC risk evaluated by logistic regression, adjusted for socioeconomic status, TSH levels, oral contraceptive use, and autoimmune thyroid diseases.

resultsThe median age at DTC diagnosis was 39 years; 60% of participants were Jewish and 40% were Arab. Baseline characteristics were comparable, except for higher rates of autoimmune thyroid diseases in cases: Hashimoto thyroiditis (9.7% vs 1.8%, P < .001) and Graves' disease (6.3% vs 2.7%, P = .005). Parity was associated with increased DTC risk starting at 4 deliveries (OR = 1.70, 95% CI: 1.051-2.741, P = .030), with the highest risk at 6 or more (odds ratio = 1.89; 95% CI, 1.052-3.393; P = .033). This association was largely driven by Arab women, who had significantly higher grand multiparity rates (62.6% vs 13.4%; median 5 vs 3 deliveries; P < .001).

conclusionHigh parity, primarily among Arab women, was associated with increased DTC risk, with significance observed at 4 or more deliveries.

Indexed as

ParityThyroid NeoplasmsAdultCase-Control StudiesFemaleHumansMiddle AgedPregnancyRisk FactorsYoung Adultdifferentiated thyroid cancermultiparitypapillary thyroid carcinomaparity

Identifiers

PMID41284731
PMCPMC13099211

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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.