{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T03:23:44Z","timestamp":1793157824088,"version":"4.5.0"},"reference-count":84,"publisher":"Public Library of Science (PLoS)","issue":"6","license":[{"start":{"date-parts":[[2022,6,16]],"date-time":"2022-06-16T00:00:00Z","timestamp":1655337600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To assess association between Hashimoto thyroiditis (HT) and clinical outcomes of papillary thyroid carcinoma (PTC).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec002\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Databases including Pubmed, Embase, Cochrane Library, and Web of Science were searched. Weighed mean differences (WMDs) and odds ratios (ORs) were used to evaluate association between HT and clinical outcomes of PTC, and the effect size was represented by 95% confidence intervals (CIs). Heterogeneity test was performed for each indicator. If the heterogeneity statistic I\n                      <jats:sup>2<\/jats:sup>\n                      \u226550%, random-effects model analysis was carried out, otherwise, fixed-effect model analysis was performed. Sensitivity analysis was performed for all outcomes, and publication bias was tested by Begg\u2019s test.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec003\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Totally 47,237 patients in 65 articles were enrolled in this study, of which 12909 patients with HT and 34328 patients without HT. Our result indicated that PTC patients with HT tended to have lower risks of lymph node metastasis (OR: 0.787, 95%CI: 0.686\u20130.903,\n                      <jats:italic>P<\/jats:italic>\n                      = 0.001), distant metastasis (OR: 0.435, 95%CI: 0.279\u20130.676,\n                      <jats:italic>P<\/jats:italic>\n                      &lt;0.001), extrathyroidal extension (OR: 0.745, 95%CI: 0.657\u20130.845,\n                      <jats:italic>P<\/jats:italic>\n                      &lt;0.001), recurrence (OR: 0.627, 95%CI: 0.483\u20130.813,\n                      <jats:italic>P<\/jats:italic>\n                      &lt;0.001), vascular invasion (OR: 0.718, 95%CI: 0.572\u20130.901,\n                      <jats:italic>P<\/jats:italic>\n                      = 0.004), and a better 20-year survival rate (OR: 1.396, 95%CI: 1.109\u20131.758,\n                      <jats:italic>P<\/jats:italic>\n                      = 0.005) while had higher risks of multifocality (OR: 1.245, 95%CI: 1.132\u20131.368,\n                      <jats:italic>P<\/jats:italic>\n                      &lt;0.001), perineural infiltration (OR: 1.922, 95%CI: 1.195\u20133.093,\n                      <jats:italic>P<\/jats:italic>\n                      = 0.007), and bilaterality (OR: 1.394, 95%CI: 1.118\u20131.739,\n                      <jats:italic>P<\/jats:italic>\n                      = 0.003).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec004\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>PTC patients with HT may have favorable clinicopathologic characteristics, compared to PTCs without HT. More prospective studies are needed to further elucidate this relationship.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1371\/journal.pone.0269995","type":"journal-article","created":{"date-parts":[[2022,6,16]],"date-time":"2022-06-16T13:35:39Z","timestamp":1655386539000},"page":"e0269995","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":36,"title":["Association between Hashimoto thyroiditis and clinical outcomes of papillary thyroid carcinoma: A meta-analysis"],"prefix":"10.1371","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6374-1103","authenticated-orcid":true,"given":"Qizhi","family":"Tang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Weiyu","family":"Pan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liangyue","family":"Peng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2022,6,16]]},"reference":[{"issue":"12","key":"pone.0269995.ref001","doi-asserted-by":"crossref","first-page":"656","DOI":"10.1016\/j.tem.2014.09.001","article-title":"Hashimoto\u2019s thyroiditis and papillary thyroid cancer: are they immunologically linked?","volume":"25","author":"M Ehlers","year":"2014","journal-title":"Trends in endocrinology and metabolism: TEM."},{"issue":"4","key":"pone.0269995.ref002","doi-asserted-by":"crossref","first-page":"473","DOI":"10.3803\/EnM.2018.33.4.473","article-title":"Associations between Hashimoto Thyroiditis and Clinical Outcomes of Papillary Thyroid Cancer: A Meta-Analysis of Observational Studies.","volume":"33","author":"S Moon","year":"2018","journal-title":"Endocrinology and metabolism (Seoul, Korea)."},{"key":"pone.0269995.ref003","first-page":"205","volume-title":"Hashimoto\u2019s Thyroiditis","author":"W.M. 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