Meta AnalysisID 4608

对已接受甲状腺切除术和放射性碘治疗的分化型甲状腺癌患者,测量甲状腺球蛋白和甲状腺球蛋白抗体(伴或不伴放射性同位素扫描)以评估残留或复发疾病的临床和成本效果

CRD42021282429

For people who have had thyroidectomy and radioactive iodine for differentiated thyroid cancer, what is the clinical and cost effectiveness of measuring thyroglobulin and thyroglobulin antibodies (with or without radiois

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Record Fields

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Meta Analysis Id
4608
Evidence Id
13166
Core Evidence Id
13166
Source Meta Analysis Id
4575
Herb2 Meta Analysis Id
HBMA004575
Crd Id
CRD42021282429
Title
The clinical and cost effectiveness of measuring thyroglobulin and thyroglobulin antibodies (with or without radioisotope scans) to assess residual or recurrent disease, for people who have had thyroidectomy and radioactive iodine treatment for differentiated thyroid cancer
Review Question
For people who have had thyroidectomy and radioactive iodine for differentiated thyroid cancer, what is the clinical and cost effectiveness of measuring thyroglobulin and thyroglobulin antibodies (with or without radioisotope scans) to assess residual or recurrent disease?
Study Type Included
• Systematic reviews • RCTs Non-randomised studies will be excluded.
Condition Being Studied
Thyroid Cancer
Participant
Inclusion: People aged 16 or over who have had thyroidectomy and radioactive iodine treatment for differentiated thyroid cancer. People will need to have had their first assessment with thyroglobulin between 3 and 6 months after ablation. If <3 months or 6 months -1 year, downgrading for population indirectness will occur. Exclusion: Children under 16 First thyroglobulin assessment >1 year post-ablation
Animal
Human Disease Modelled
Intervention
• Measurement of thyroglobulin and thyroglobulin antibodies with radioisotope scans • Measurement of thyroglobulin and thyroglobulin antibodies without radioisotope scans • Measurement of thyroglobulin and thyroglobulin antibodies without clear indication of radioisotope scans (in terms of description in paper)
Comparator Control
Each other Usual care (except thyroglobulin) / Ultrasound [Therefore, this question attempts to ask two questions in one: 1) whether thyroglobulin measurement is useful compared to usual care or ultrasound, and 2) whether radioisotope scans affect this usefulness (if any)?]
Main Outcome
• mortality • quality of life • local cancer progression • incidence of distant metastases • detection of residual disease or detection of recurrent disease when no residual disease seen Time of follow up: longest available Measures of effect Relative risks for the binary outcomes and mean difference for quality of life
Outcome Measure
Additional Outcome
Study Method
Intervention, Meta-analysis, Systematic review
Keyword
Adenocarcinoma; Autoantibodies; Cost-Benefit Analysis; Humans; Iodine Radioisotopes; Radionuclide Imaging; Thyroglobulin; Thyroid Function Tests; Thyroid Neoplasms; Thyroidectomy; anti-thyroglobulin
Contact
Mark Perry [email protected]
Organisational Affiliation
National Guideline Centre
Funding Source
NICE
Other Selection Criteria
Final Publication
Same Topic Review
Published Protocol
Review Type
Language
English
Country
England
Review Stage
Review Ongoing
First Submission Date
2021-09-29
Registration Date
2021-10-01
Anticipated Start Date
2021-09-30
Anticipated Completion Date
2021-10-30
Title Cn
对已接受甲状腺切除术和放射性碘治疗的分化型甲状腺癌患者,测量甲状腺球蛋白和甲状腺球蛋白抗体(伴或不伴放射性同位素扫描)以评估残留或复发疾病的临床和成本效果
Title En
The clinical and cost effectiveness of measuring thyroglobulin and thyroglobulin antibodies (with or without radioisotope scans) to assess residual or recurrent disease, for people who have had thyroidectomy and radioactive iodine treatment for differentiated thyroid cancer
Bilingual Status
complete