Evidence map›Paper›PMID 30949895›Full record

SynthesisJournal of cancer survivorship : research and practice2019

Cognitive functioning in thyroid cancer survivors: a systematic review and meta-analysis.

Omar Saeed, Lori J Bernstein, Rouhi Fazelzad, Mary Samuels, Lynn A Burmeister, Lehana Thabane, Shereen Ezzat, David P Goldstein, Jennifer Jones, Anna M Sawka

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Journal of cancer survivorship : research and practice, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 16% of its field
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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Psychological Outcomes in Adolescent and Young Adult Cancer Survivors.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2024
    Review
  7. Brain Fog in Hypothyroidism: What Is It, How Is It Measured, and What Can Be Done About It.Thyroid : official journal of the American Thyroid Association · 2022
    Review
  8. The Development and Evaluation of a Patient Educational Resource for Cancer-Related Cognitive Dysfunction.Journal of cancer education : the official journal of the American Association for Cancer Education · 2022
    Article
  9. Article
  10. Article
  11. Article
  12. Review
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 at 6 institutions in 3 countries.

Omar SaeedDivision of Endocrinology, St. Michael's Hospital, Toronto, Canada.
Lori J BernsteinDepartment of Supportive Care and Department of Psychiatry, University Health Network and University of Toronto, Toronto, Canada.
Rouhi FazelzadPrincess Margaret Cancer Centre, University Health Network Library and Information Services, Toronto, Canada.
Mary SamuelsDivision of Endocrinology, Diabetes and Clinical Nutrition, Oregon Health and Science University, Portland, OR, USA.
Lynn A BurmeisterDivision of Diabetes, Endocrinology, and Metabolism, University of Minnesota, Minneapolis, MN, USA.
Lehana ThabaneDepartment of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada.
Shereen EzzatDepartment of Endocrine Oncology, Princess Margaret Cancer Centre and University of Toronto, Toronto, Canada.
David P GoldsteinDepartment of Otolaryngology, Head and Neck Surgery, University Health Network and University of Toronto, Toronto, Canada.
Jennifer JonesDepartment of Supportive Care and Department of Psychiatry, University Health Network and University of Toronto, Toronto, Canada.
Anna M SawkaDivision of Endocrinology, University of Toronto, Toronto, Canada. sawkaam@yahoo.com.ORCID 0000-0003-4152-5578
University Health Network · CAImpact · CAOregon Health & Science University · USSt. Michael's Hospital · CAUniversity of Minnesota · USUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSome thyroid cancer (TC) survivors experience cognitive symptoms. PURPOSE: The purpose of this study is to perform a systematic literature review and meta-analysis comparing cognitive performance in TC survivors to controls.

methodsWe performed a seven-database electronic search and hand-search. We performed duplicate independent reviews and data abstraction. Random effects meta-analyses reported standardized mean differences (SMDs) with 95% confidence intervals (CIs), where a negative value implies worse performance in the TC group.

resultsWe reviewed 1174 unique citations and 10 full-text papers. We included seven studies of 241 treated TC survivors and 273 controls. Cognitive function was statistically significantly worse in TC survivors in the following domains: Attention and Concentration (Digit Span Forwards) SMD - 0.37 (95% CI - 0.62, - 0.13, p = 0.003, four studies), Speed of Processing (Trail Making A) SMD - 0.36 (95% CI - 0.66, - 0.05, p = 0.022, four studies), and Language (Controlled Oral Word Association [COWAT]-Categories) SMD - 0.97 (95% - 1.31, - 0.64, p < 0.001, two studies). Executive Function results varied: COWAT-Letters SMD - 0.60 (95% CI - 0.94, - 0.27, p < 0.001, two studies), Digit Span Backwards SMD - 0.40 (95% CI - 0.64, - 0.15, p = 0.002, four studies), and Trail Making B test SMD - 0.20 (95% CI - 0.51, 0.10, p = 0.191, four studies). Statistical heterogeneity limited the COWAT-Categories and Digit Span Backwards meta-analyses.

conclusionsCognitive function was worse in TC survivors in multiple domains. Limitations included few studies, potential confounding, and lack of prospective data. IMPLICATIONS FOR CANCER SURVIVORS: TC survivors may experience impairments in cognitive function and should report cognitive concerns to healthcare practitioners.

Indexed as

CognitionHumansNeuropsychological TestsProspective StudiesThyroid NeoplasmsCancer survivorshipMeta-analysisNeurocognitive functionSystematic reviewThyroid cancer

Identifiers

PMID30949895
OpenAlexW2933554354

What Socratic 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 Socratic graph.