Evidence map›Paper›PMID 42741758›Full record

ReviewDrugs in context2026

How to manage radioiodine-refractory thyroid cancer in the era of precision medicine.

Olga Karapanou, Grigoris Effraimidis, Marina Michalaki, Katerina Saltiki

Abstract readReview
In one paragraph

Review in Drugs in context, 2026. 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

4 authors.

Olga KarapanouEndocrine Department NIMTS Veterans' Hospital, Athens, Greece.
Grigoris EffraimidisFaculty of Medicine, School of Health Sciences, University of Thessaly, Larissa, Greece.
Marina MichalakiEndocrine Division, Faculty of Medicine, School of Health Science, University of Patras, Patras, Greece.
Katerina SaltikiEndocrine Unit, Department of Clinical Therapeutics, National and Kapodistrian University, Athens, Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Differentiated thyroid cancer has a favourable clinical course. However, a minority of patients with distant metastases lose the ability for radioiodine uptake. In case of refractoriness, the implementation of local therapies, that is radiofrequency/cryoablation or embolization, stabilizes metastasis and delays disease progression. A wait-and-see strategy can be a viable option in slow disease progression. On the other hand, in symptomatic patients with progressive disease, the alternative is systemic therapy with tyrosine kinase inhibitors. Three multi-kinase inhibitors have been approved for this indication: lenvatinib and sorafenib as a first-line option and cabozantinib as a second-line option. Next-generation sequencing allows identification of somatic genetic alterations in tumour tissue, some of which are druggable. Thus, additional selective inhibitors have been approved: larotrectinib and entrectinib for

Indexed as

local therapiesradioiodine refractoryredifferentiationsequential treatmenttargetable mutation

Identifiers

PMID42741758
PMCPMC13574234

What OpenQuestion holds

Textmetadata
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.