Meta AnalysisID 2424

超声引导下经皮乙醇注射治疗甲状腺结节病变和颈部淋巴结转移

CRD42022338437

What is the safety, effectiveness and cost-effectiveness of percutaneous injection of ethanol guided ultrasonic thyroid nodular pathology and/or metastatic cervical adenopathies?

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Record Fields

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Meta Analysis Id
2424
Evidence Id
10982
Core Evidence Id
10982
Source Meta Analysis Id
2373
Herb2 Meta Analysis Id
HBMA002373
Crd Id
CRD42022338437
Title
Percutaneous injection of ethanol guided ultrasonic in thyroid nodular pathology and metastatic cervical lymphadenopathy
Review Question
What is the safety, effectiveness and cost-effectiveness of percutaneous injection of ethanol guided ultrasonic thyroid nodular pathology and/or metastatic cervical adenopathies?
Study Type Included
Systematic reviews, Randomized clinical Trial, full economic evaluations.
Condition Being Studied
Nodular thyroid pathology and/or metastatic cervical adenopathies.
Participant
Inclusion: patients of any age with nodular thyroid pathology and/or metastatic cervical adenopathies Exclusion: patients with different pathology that nodular thyroid and/or metastatic cervical adenopathies
Animal
Human Disease Modelled
Intervention
Application of enolization (percutaneous injection of ethanol guided ultrasound) for the treatment of thyroid nodules or metastatic cervical adenopathies
Comparator Control
Usual care (surgery) or percutaneous thermal procedure (laser, radiofrequency or microwave ablation)
Main Outcome
Volume reduction rate (VRR ≥ 50%)
Outcome Measure
Additional Outcome
Absence of Doppler signal in the treated nodule; Thyroglobulin < 1ng/dl in the puncture needle wash; Absence of neoplastic cellularity in puncture (Bethesda I); Mortality or survival; Adverse effects and complications (perceived pain, pressure discomfort, aesthetic, infection, total or partial loss of voice due to the involvement of the vocal cords, hypocalcemia); Recurrence of nodules; Malignancy of the nodules; Tolerability of the procedure; Levels of thyroglobulin, thyrotropin (TSH), thyroxine (T4) and triiodothyronine (T3), and blood calcium levels during the first 48 hours; Other clinical health outcomes: additional treatments; Patient self-perceived outcomes: health-related quality of life (HRQoL), other patient-reported outcomes (PROMs), or patient-reported experiences (PREMs). English Patient Reported Experience Measures); Socioeconomic effects (hospital stay, sick days); Cost and cost-effectiveness
Study Method
Cost effectiveness, Intervention, Systematic review
Keyword
Ethanol; Humans; Lymphadenopathy; Thyroid Nodule; Ultrasonics
Contact
Beatriz León Salas [email protected]
Organisational Affiliation
Evaluation Unit of Canary Island Health Service (SESCS) http://www.sescs.es
Funding Source
This work is supported by the Spanish Ministry of Health in the framework of the activities developed by the Spanish Network of Agencies for Health Technology Assessment for the National Health Service (RedETS)
Other Selection Criteria
Final Publication
Same Topic Review
Published Protocol
Review Type
Language
English
Country
Spain
Review Stage
Review Ongoing
First Submission Date
2022-06-08
Registration Date
2022-06-19
Anticipated Start Date
2022-03-15
Anticipated Completion Date
2022-12-31
Title Cn
超声引导下经皮乙醇注射治疗甲状腺结节病变和颈部淋巴结转移
Title En
Percutaneous injection of ethanol guided ultrasonic in thyroid nodular pathology and metastatic cervical lymphadenopathy
Bilingual Status
complete