Endocrine oncology

Elevated Preoperative TPO Ab Titers Decrease Risk for Differentiated Thyroid Cancer (DTC) in a Linear Fashion: A Retrospective Analysis of 1635 Cases

J Clin Endocrinol MetabPublished Retrospective cohort study

Main finding · DTCResult — go to the resultOdds ratio 0.64 CI 0.52–0.80

Authors' conclusion

Higher TPO-Ab titers appear protective against DTC in our large multicenter cohort of patients who underwent thyroidectomies. Rising preoperative TPO-Abs titers conferred linearly increasing protection against DTC.

Study context

Population
Individuals who underwent thyroidectomies at 4 sites (USA: 1 clinic, 2000–2013; Greece: 3 clinics, 2007–2021) with preoperative thyroid peroxidase antibodies (TPO-Abs) titers availableof 8461 surgery cases
Participants
1,635 individuals
Exposure
TPO+ vs TPO−
  • TPO+n = 540
  • TPO-n = 1,095reference
Outcome
DTC on surgical pathology
Methodological detailsmulticentre
  • Multicentre

Main finding

DTC

Odds ratio

0.64

CI 0.52–0.80

P < 0.0001

Events by group

TPO+vs TPO-
OR 0.64 (CI 0.52–0.80); P < 0.0001

As reported in the abstract

Observational data: associations, not effects.

Further findings

DTC frequency by TPO-Abs titer

TPO-Abs <10 IU/mL
59.3%
TPO-Abs <34 IU/mL
47.4%
TPO-Abs 34 to 100 IU/mL
42.6%
TPO-Abs 100 to 500 IU/mL
32.0%
TPO-Abs >1000 IU/mL
19.4%
Linear trend, P
P less than .0001
  • Rising TPO-Abs titers conferred protection against DTC in a linear fashion

Original publication

Elevated Preoperative TPO Ab Titers Decrease Risk for DTC in a Linear Fashion: A Retrospective Analysis of 1635 Cases. J Clin Endocrinol Metab. Published 14 July 2023. doi:10.1210/clinem/dgad408

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