Evidence map›Paper›PMID 41800228›Full record

ArticleMayo Clinic proceedings. Innovations, quality & outcomes2026

Microwave Ablation Versus Thyroid Lobectomy for Solitary cT1aN0M0 Papillary Thyroid Carcinoma: A Prospective Multicenter Cohort Study.

Jianping Dou, Lin Zheng, Zhiyu Han, Ying Che, Shurong Wang, Zhibin Cong, Ying Hao, Ying Zhou, Shengnan Huo, Ping Liang

Registry-linked trialAbstract read
In one paragraph

Article in Mayo Clinic proceedings. Innovations, quality & outcomes, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04197960 (A Prospective Multicenter Study to Compare the Therapeutic Outcomes of Microwave Ablation With Surgical Resection for Micropapillary Thyroid Carcinoma), which is not on this map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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.

NCT04197960 nacompletednot on this map

A Prospective Multicenter Study to Compare the Therapeutic Outcomes of Microwave Ablation With Surgical Resection for Micropapillary Thyroid Carcinoma

TypeinterventionalSponsorChinese PLA General HospitalRan2019 to 2022Enrolled973ConditionsPapillary Thyroid CarcinomaArmsMicrowave ablation, Surgical resection
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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.

Jianping DouDepartment of oncology, Chinese PLA General Hospital, Beijing, China.
Lin ZhengDepartment of oncology, Chinese PLA General Hospital, Beijing, China.
Zhiyu HanDepartment of oncology, Chinese PLA General Hospital, Beijing, China.
Ying CheDepartment of Ultrasound, The First Affiliated Hospital of Dalian Medical University, Dalian, China.
Shurong WangDepartment of Medical Ultrasound, Yantai Affiliated Hospital, Binzhou Medical University, Shandong, China.
Zhibin CongDepartment of Electrodiagnosis, the Affiliated Hospital to Changchun University of Traditional Chinese Medicine, Changchun, China.
Ying HaoDepartment of Ultrasound, Mudanjiang Cancer Hospital, Heilongjiang Province, China.
Ying ZhouDepartment of Surgery, Hebei Provincial Hospital of Traditional Chinese Medicine, Shijiazhuang, China.
Shengnan HuoDepartment of Thyroid, Handan Hangang Hospital, Hebei Handan, China.
Ping LiangDepartment of oncology, Chinese PLA General Hospital, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To determine whether thermal ablation could serve as an alternative to surgery in solitary clinically node-uninvolved papillary thyroid carcinoma ≤1 cm (cT1aN0M0 PTC). Patients and Methods: This comparative study was performed across 12 tertiary hospitals and enrolled patients from December 1, 2019 to December 31, 2020. A total of 895 patients with cT1aN0M0 PTC were enrolled and assigned to either the microwave ablation (MWA) group or the surgery group after multidisciplinary consultation. Primary outcomes, including the disease progression, tumor volume changes, complications, and postoperative quality of life, were compared. Subgroup analyses and multimode analysis were performed. Results: Total of 444 patients in the MWA group and 439 in the surgery group were included in the final analysis. The disease progression rate was 1.14% in the surgery group and 2.48% in the MWA group with a mean follow-up of 42 months. The noninferiority of MWA to surgery was not statistically significant ( Conclusion: The MWA achieved noninferior clinical efficacy compared with thyroid lobectomy for cT1aN0M0 PTC, with faster recovery, lower cost, and fewer anxiety-related concerns. The MWA may serve as a de-escalation treatment option for patients seeking nonsurgical treatment. Trial Registration: Clinicaltrials.gov Identifier: NCT04197960.

Identifiers

PMID41800228
PMCPMC12962082

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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.