Evidence map›Paper›PMID 42905598›Full record

ArticleArchives of endocrinology and metabolism2026

Association of thyroid peroxidase antibodies with thyroid nodules and differentiated thyroid cancer in Graves' disease: a retrospective cohort study.

Elif Güneş, Mutlu Güneş, Muhammet İlker Kaya, Murat Yüksel, Sümeyye Meinet, Beyza Kibar, Nizameddin Koca, Gökhan Garip, Behiye Oral

Abstract read
In one paragraph

Article in Archives of endocrinology and metabolism, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

9 authors.

Elif GüneşDepartment of Endocrinology, Metabolism and Diabetes, Health Sciences University, Bursa State Hospital, Bursa, Turkey.ORCID 0000-0002-5441-2604
Mutlu GüneşDepartment of Endocrinology, Metabolism and Diabetes, Health Sciences University, Bursa Yuksek Ihtisas Training and Research Hospital, Bursa, Turkey.ORCID 0000-0001-9756-2285
Muhammet İlker KayaDepartment of Internal Medicine, Health Sciences University, Bursa State Hospital, Bursa, Turkey.ORCID 0000-0002-4078-2444
Murat YükselDepartment of Internal Medicine, Health Sciences University, Bursa State Hospital, Bursa, Turkey.ORCID 0009-0003-1144-3376
Sümeyye MeinetDepartment of Internal Medicine, Health Sciences University, Bursa State Hospital, Bursa, Turkey.ORCID 0000-0002-1535-0869
Beyza KibarBursa State Hospital Health Sciences University Department of Internal Medicine Bursa Turkey Department of Internal Medicine, Health Sciences University, Bursa State Hospital, Bursa, Turkey.ORCID 0009-0006-9589-3172
Nizameddin KocaBursa State Hospital Health Sciences University Department of Internal Medicine Bursa Turkey Department of Internal Medicine, Health Sciences University, Bursa State Hospital, Bursa, Turkey.ORCID 0000-0003-1457-4366
Gökhan GaripBursa State Hospital Department of General Surgery Bursa Turkey Department of General Surgery, Bursa State Hospital, Bursa, Turkey.ORCID 0000-0002-9163-2112
Behiye OralBursa State Hospital Department of Radiology Bursa Turkey Department of Radiology, Bursa State Hospital, Bursa, Turkey.ORCID 0000-0002-9952-4140

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveIn Graves' disease (GD), thyroid nodules are the principal determinant of differentiated thyroidcaneer(DTC); however, the predictors of nodules and DTC remain uncertain. The role of thyroid peroxidase antibodies (TPOAb) in this context is controversial. Hence, this study aimed to determine whether TPOAb status is associated with thyroid nodules and DTC in GD and to compare the prevalence of DTC across subtypes of hyperthyroid disease. SUBJECTS AND

methodsWe conducted a retrospective cohort study (September 2020-July 2023) including patients with GD (n = 577) and toxic nodular/multinodular goiter (TNG/ TMNG) (n = 216) who had available TPOAb measurements and thyroid ultrasonography. Within the GD cohort, multivariable logistic regression was used to assess associations of TPOAb titer with nodules and DTC.

resultsTPOAb positivity was more frequent in GD than in TNG/TMNG (60.4% vs. 7.4%, p < 0.001). Among GD patients, thyroid nodules were detected in 25.8% and were less frequent in TPOAb-positive patients compared with TPOAb-negative patients (8.3% vs. 52.6%, p < 0.001). Within GD, DTC was rare among those without nodular disease (0.93%) but substantially higher in nodular GD (14.1%, p < 0.001), exceeding the prevalence observed in TNG/TMNG (p = 0.009). TPOAb status further stratified DTC risk in GD: DTC was present in 1.15% of TPOAb-positive compared to 9.21% of TPOAb-negative patients (p < 0.001), with 84% of GD-associated DTCs arising in the TPOAb-negative subgroup. Regression analyses showed that TPOAb titer was independently associated with lower frequencies of both DTC and nodules in GD, whereas thyrotropin receptor antibodies levels showed no independent association.

conclusionIn GD, our study showed that TPOAb positivity was strongly associated with lower prevalence of thyroid nodules and DTC, whereas TPOAb-negative patients constitute a clinically relevant, higher-risk subgroup.

Indexed as

AutoantibodiesGraves DiseaseIodide PeroxidaseThyroid NeoplasmsThyroid NoduleAdultFemaleHumansMaleMiddle AgedRetrospective StudiesUltrasonographyanti-thyroid autoantibodiesAutoantibodiesIodide Peroxidaseautoimmune thyroid diseasedifferentiated thyroid cancerGraves' diseasehyperthyroidismthyroid nodulesthyroid peroxidase antibodies

Identifiers

PMID42905598
PMCPMC13689494

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.