A Prospective Multicenter Study Examining the Relationship Between Thyroid Cancer Treatment Outcomes and the Presence of Autoimmune Thyroiditis Article Swipe
Simone De Leo
,
Silvia D'Elia
,
Giorgio Grani
,
Francesco Dondi
,
Francesco Bertagna
,
Efisio Puxeddu
,
Silvia Morelli
,
Alessandro Piovesan
,
Alice Nervo
,
Maria Chiara Zatelli
,
Irene Gagliardi
,
Maria Teresa Samà
,
Gianluca Aimaretti
,
Umberto Crocetti
,
Michela Massa
,
Maurilio Deandrea
,
Francesca Retta
,
Loredana Pagano
,
Mattia Rossi
,
Erica Solaroli
,
Luciano Pezzullo
,
Maria Grazia Chiofalo
,
Alfredo Pontecorvi
,
Celestino Pio Lombardi
,
Alessandro Antonelli
,
Armando Patrizio
,
Ilaria Messuti
,
Flavia Magri
,
Giovanna Spiazzi
,
Graziano Ceresini
,
Rocco Bruno
,
Clotilde Sparano
,
Marco Centanni
,
Anna Crescenzi
,
Giovanni Tallini
,
Vincenzo Marotta
,
Bruno Madeo
,
Caterina Mian
,
Sébastiano Filetti
,
Cosimo Durante
,
Laura Fugazzola
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1089/thy.2023.0052
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1089/thy.2023.0052
Background: There is some controversy on the potential relationship between autoimmune processes and clinicopathologic features as well as prognosis of differentiated thyroid cancer (DTC), and the evidence is limited by its largely retrospective nature. We examined the relationship between the presence of autoimmune thyroiditis (AT) and 1-year thyroid cancer treatment outcomes in a large multicenter study using prospectively collected data. Methods: We included data from consecutive DTC patients enrolled in the Italian Thyroid Cancer Observatory (ITCO) database (NCT04031339). We divided the groups according to the presence (AT) or absence (no autoimmune thyroiditis [noAT]) of associated AT. We used propensity score matching to compare the clinical features and outcomes between the two groups at 1-year follow-up. Results: We included data from 4233 DTC patients, including 3172 (75%) females. The American Thyroid Association (ATA) risk levels were as follows: 51% (2160/4233) low risk, 41.3% (1750/4233) intermediate risk, and 7.6% (323/4233) high risk. There were 1552 patients (36.7%) who had AT. Before propensity score matching, AT patients were significantly younger and had a smaller and bilateral tumor (p < 0.0001). Patients with AT more frequently fell into the low- and intermediate-risk categories, while the ATA high risk was more frequent among noAT patients (p = 0.004). After propensity score matching, patients with AT more frequently showed evidence of disease (structural/biochemical incomplete response) versus excellent/indeterminate response, compared with patients without AT (7.3% vs. 4.5%, p = 0.001), with an odds ratio of 1.86 ([confidence interval: 1.3-2.6], p = 0.0001). However, when considering only structural persistence as the outcome, no statistically significant differences were observed between patients with or without AT (3.4% vs. 2.7%, p = 0.35). The elevated risk associated with the ATA intermediate and high risk at diagnosis remained consistently statistically significant. Conclusions: In this large prospective series, biochemical persistence was more frequent, at 1-year follow-up, in AT patients. However, there was no significant association between the presence of AT and structural persistence of disease. These findings may be explained by the presence of a residual thyroid tissue.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1089/thy.2023.0052
- OA Status
- green
- Cited By
- 15
- References
- 26
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4386864003
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4386864003Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1089/thy.2023.0052Digital Object Identifier
- Title
-
A Prospective Multicenter Study Examining the Relationship Between Thyroid Cancer Treatment Outcomes and the Presence of Autoimmune ThyroiditisWork title
- Type
-
articleOpenAlex work type
- Language
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enPrimary language
- Publication year
-
2023Year of publication
- Publication date
-
2023-09-19Full publication date if available
- Authors
-
Simone De Leo, Silvia D'Elia, Giorgio Grani, Francesco Dondi, Francesco Bertagna, Efisio Puxeddu, Silvia Morelli, Alessandro Piovesan, Alice Nervo, Maria Chiara Zatelli, Irene Gagliardi, Maria Teresa Samà, Gianluca Aimaretti, Umberto Crocetti, Michela Massa, Maurilio Deandrea, Francesca Retta, Loredana Pagano, Mattia Rossi, Erica Solaroli, Luciano Pezzullo, Maria Grazia Chiofalo, Alfredo Pontecorvi, Celestino Pio Lombardi, Alessandro Antonelli, Armando Patrizio, Ilaria Messuti, Flavia Magri, Giovanna Spiazzi, Graziano Ceresini, Rocco Bruno, Clotilde Sparano, Marco Centanni, Anna Crescenzi, Giovanni Tallini, Vincenzo Marotta, Bruno Madeo, Caterina Mian, Sébastiano Filetti, Cosimo Durante, Laura FugazzolaList of authors in order
- Landing page
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https://doi.org/10.1089/thy.2023.0052Publisher landing page
- Open access
-
YesWhether a free full text is available
- OA status
-
greenOpen access status per OpenAlex
- OA URL
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https://hdl.handle.net/11585/964415Direct OA link when available
- Concepts
-
Medicine, Propensity score matching, Odds ratio, Internal medicine, Thyroid cancer, Confidence interval, Retrospective cohort study, Thyroiditis, Prospective cohort study, Cancer, ThyroidTop concepts (fields/topics) attached by OpenAlex
- Cited by
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15Total citation count in OpenAlex
- Citations by year (recent)
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2025: 5, 2024: 10Per-year citation counts (last 5 years)
- References (count)
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26Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.patients | 67, 153, 163, 199, 207, 224, 261 |
| abstract_inverted_index.presence | 40, 85, 314, 329 |
| abstract_inverted_index.remained | 285 |
| abstract_inverted_index.residual | 332 |
| abstract_inverted_index.(<i>p</i> | 174, 200 |
| abstract_inverted_index.1.3-2.6], | 241 |
| abstract_inverted_index.according | 82 |
| abstract_inverted_index.bilateral | 172 |
| abstract_inverted_index.collected | 58 |
| abstract_inverted_index.diagnosis | 284 |
| abstract_inverted_index.explained | 326 |
| abstract_inverted_index.frequent, | 299 |
| abstract_inverted_index.including | 123 |
| abstract_inverted_index.interval: | 240 |
| abstract_inverted_index.matching, | 161, 206 |
| abstract_inverted_index.patients, | 122 |
| abstract_inverted_index.patients. | 305 |
| abstract_inverted_index.potential | 7 |
| abstract_inverted_index.processes | 11 |
| abstract_inverted_index.prognosis | 18 |
| abstract_inverted_index.response) | 218 |
| abstract_inverted_index.response, | 221 |
| abstract_inverted_index.treatment | 49 |
| abstract_inverted_index.(323/4233) | 147 |
| abstract_inverted_index.associated | 94, 275 |
| abstract_inverted_index.autoimmune | 10, 42, 90 |
| abstract_inverted_index.follow-up, | 302 |
| abstract_inverted_index.follow-up. | 114 |
| abstract_inverted_index.frequently | 181, 211 |
| abstract_inverted_index.incomplete | 217 |
| abstract_inverted_index.propensity | 98, 159, 204 |
| abstract_inverted_index.structural | 249, 318 |
| abstract_inverted_index.(1750/4233) | 142 |
| abstract_inverted_index.(2160/4233) | 138 |
| abstract_inverted_index.Association | 130 |
| abstract_inverted_index.Observatory | 74 |
| abstract_inverted_index.association | 311 |
| abstract_inverted_index.biochemical | 295 |
| abstract_inverted_index.categories, | 188 |
| abstract_inverted_index.consecutive | 65 |
| abstract_inverted_index.considering | 247 |
| abstract_inverted_index.controversy | 4 |
| abstract_inverted_index.differences | 257 |
| abstract_inverted_index.multicenter | 54 |
| abstract_inverted_index.persistence | 250, 296, 319 |
| abstract_inverted_index.prospective | 293 |
| abstract_inverted_index.significant | 256, 310 |
| abstract_inverted_index.thyroiditis | 43, 91 |
| abstract_inverted_index.([confidence | 239 |
| abstract_inverted_index.consistently | 286 |
| abstract_inverted_index.intermediate | 143, 279 |
| abstract_inverted_index.relationship | 8, 37 |
| abstract_inverted_index.significant. | 288 |
| abstract_inverted_index.prospectively | 57 |
| abstract_inverted_index.retrospective | 32 |
| abstract_inverted_index.significantly | 165 |
| abstract_inverted_index.statistically | 255, 287 |
| abstract_inverted_index.(NCT04031339). | 77 |
| abstract_inverted_index.differentiated | 20 |
| abstract_inverted_index.clinicopathologic | 13 |
| abstract_inverted_index.intermediate-risk | 187 |
| abstract_inverted_index.<b><i>Methods:</i></b> | 60 |
| abstract_inverted_index.<b><i>Results:</i></b> | 115 |
| abstract_inverted_index.(structural/biochemical | 216 |
| abstract_inverted_index.excellent/indeterminate | 220 |
| abstract_inverted_index.<b><i>Background:</i></b> | 0 |
| abstract_inverted_index.<b><i>Conclusions:</i></b> | 289 |
| cited_by_percentile_year.max | 99 |
| cited_by_percentile_year.min | 98 |
| corresponding_author_ids | https://openalex.org/A5055208154 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 41 |
| corresponding_institution_ids | https://openalex.org/I189158943, https://openalex.org/I4210134201 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
| sustainable_development_goals[0].score | 0.8299999833106995 |
| sustainable_development_goals[0].display_name | Good health and well-being |
| citation_normalized_percentile.value | 0.93935911 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | True |