Factores de Riesgo Asociados al Cáncer Papilar de Tiroides en Adultos: Una Revisión Sistemática con Metaanálisis

: ilustraciones, gráficos, tablas ; 28 cm.

Autores:
Silva Meza, Esneider José
Porras Ríos, Yudy Alexandra
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Fecha de publicación:
2022
Institución:
Fundación Universitaria del Área Andina
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Repositorio Digital Areandina
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spa
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oai:digitk.areandina.edu.co:areandina/6274
Acceso en línea:
https://digitk.areandina.edu.co/handle/areandina/6274
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id RAreandin2_ee1854066b0a7e5f173e046f5f081799
oai_identifier_str oai:digitk.areandina.edu.co:areandina/6274
network_acronym_str RAreandin2
network_name_str Repositorio Digital Areandina
repository_id_str
dc.title.spa.fl_str_mv Factores de Riesgo Asociados al Cáncer Papilar de Tiroides en Adultos: Una Revisión Sistemática con Metaanálisis
title Factores de Riesgo Asociados al Cáncer Papilar de Tiroides en Adultos: Una Revisión Sistemática con Metaanálisis
spellingShingle Factores de Riesgo Asociados al Cáncer Papilar de Tiroides en Adultos: Una Revisión Sistemática con Metaanálisis
title_short Factores de Riesgo Asociados al Cáncer Papilar de Tiroides en Adultos: Una Revisión Sistemática con Metaanálisis
title_full Factores de Riesgo Asociados al Cáncer Papilar de Tiroides en Adultos: Una Revisión Sistemática con Metaanálisis
title_fullStr Factores de Riesgo Asociados al Cáncer Papilar de Tiroides en Adultos: Una Revisión Sistemática con Metaanálisis
title_full_unstemmed Factores de Riesgo Asociados al Cáncer Papilar de Tiroides en Adultos: Una Revisión Sistemática con Metaanálisis
title_sort Factores de Riesgo Asociados al Cáncer Papilar de Tiroides en Adultos: Una Revisión Sistemática con Metaanálisis
dc.creator.fl_str_mv Silva Meza, Esneider José
Porras Ríos, Yudy Alexandra
dc.contributor.advisor.none.fl_str_mv Arango Luque, Adriana
Correa Correa, Mario Ernesto
dc.contributor.author.none.fl_str_mv Silva Meza, Esneider José
Porras Ríos, Yudy Alexandra
description : ilustraciones, gráficos, tablas ; 28 cm.
publishDate 2022
dc.date.available.none.fl_str_mv 2022-04-03
2025-04-21T14:26:57Z
dc.date.issued.none.fl_str_mv 2022-03-15
dc.date.accessioned.none.fl_str_mv 2025-04-21T14:26:57Z
dc.type.none.fl_str_mv Trabajo de grado - Especialización
dc.type.content.none.fl_str_mv Text
dc.type.driver.none.fl_str_mv info:eu-repo/semantics/masterThesis
dc.type.redcol.none.fl_str_mv http://purl.org/redcol/resource_type/TM
dc.type.version.none.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.coarversion.none.fl_str_mv http://purl.org/coar/version/c_970fb48d4fbd8a85
status_str publishedVersion
dc.identifier.uri.none.fl_str_mv https://digitk.areandina.edu.co/handle/areandina/6274
url https://digitk.areandina.edu.co/handle/areandina/6274
dc.language.iso.none.fl_str_mv spa
language spa
dc.relation.references.none.fl_str_mv Consideraciones generales. - El texto debe estar redactado en el programa Microsoft Word®, con letra Arial, tamaño 10, e interlineado de espacio y medio (1,5 líneas). - En la revista se utiliza el Sistema Internacional de Unidades. - Los nombres científicos (familia, género, especies) deben ir en cursiva. - Las abreviaturas, siglas y acrónimos deben acompañar al nombre completo que representan cuando se mencionan por primera vez en el cuerpo del texto. Por ejemplo: Instituto Nacional para la Seguridad y Salud Ocupacional (NIOSH, por sus siglas en inglés). - En el texto del artículo, al referirse a dos autores, coloca los apellidos de ambos (p. ej. Gutiérrez y Cáceres). Al referirse a tres o más autores, señala el apellido del primer autor seguido del término et al. - Al pie de las tablas o las figuras, las llamadas deberán utilizar las letras del alfabeto español en minúscula y superíndice en orden ascendente. - Los valores de p deben tener tres cifras decimales; los estimadores estadísticos y las medidas de fuerza de asociación, dos cifras decimales; los porcentajes, una cifra decimal. En todos los casos se usará la coma decimal. - En las referencias bibliográficas se deberá incluir el doi de las publicaciones electrónicas (p. ej., doi: 10.17843/rpmesp.2021.382.6562). Tomado de: https://rpmesp.ins.gob.pe/index.php/rpmesp/pages/view/instrucciones
1. Nikiforov YE. Thyroid carcinoma: Molecular pathways and therapeutic targets. Modern Pathology [Internet]. 2008 [cited 2021 May 31];21(Suppl 2):S37–43. Available from: /pmc/articles/PMC2673022/ 2. Horn-Ross PL, Lichtensztajn DY, Clarke CA, Dosiou C, Oakley-Girvan I, Reynolds P, et al. Continued rapid increase in thyroid cancer incidence in California: Trends by patient, tumor, and neighborhood characteristics. Cancer Epidemiology Biomarkers and Prevention [Internet]. 2014 [cited 2021 May 31];23(6):1067–79. Available from: https://pubmed.ncbi.nlm.nih.gov/24842625/ 3. Seib CD, Sosa JA. Evolving Understanding of the Epidemiology of Thyroid Cancer. Vol. 48, Endocrinology and Metabolism Clinics of North America. W.B. Saunders; 2019. p. 23–35. 4. Zivaljevic V, Slijepcevic N, Paunovic I, Diklic A, Kalezic N, Marinkovic J, et al. Risk factors for anaplastic thyroid cancer. International Journal of Endocrinology [Internet]. 2014 [cited 2021 May 19];2014. Available from: /pmc/articles/PMC4052185/ 5. Besic N, Hocevar M, Zgajnar J. Lower incidence of anaplastic carcinoma after higher iodination of salt in slovenia. Thyroid [Internet]. 2010 Jun 1 [cited 2021 May 19];20(6):623–6. Available from: https://www.liebertpub.com/doi/abs/10.1089/thy.2009.0404 6. Patel KN, Yip L, Lubitz CC, Grubbs EG, Miller BS, Shen W, et al. The American association of endocrine surgeons guidelines for the definitive surgical management of thyroid disease in adults [Internet]. Vol. 271, Annals of Surgery. Lippincott Williams and Wilkins; 2020 [cited 2021 May 31]. p. E21–93. Available from: https://journals.lww.com/annalsofsurgery/Fulltext/2020/03000/The_American_Asso ciation_of_Endocrine_Surgeons.28.aspx 7. Cabanillas ME, McFadden DG, Durante C. Thyroid cancer [Internet]. Vol. 388, The Lancet. Lancet Publishing Group; 2016 [cited 2021 May 31]. p. 2783–95. Available from: https://pubmed.ncbi.nlm.nih.gov/27240885/ 8. la Vecchia C, Malvezzi M, Bosetti C, Garavello W, Bertuccio P, Levi F, et al. Thyroid cancer mortality and incidence: A global overview [Internet]. Vol. 136, International Journal of Cancer. Wiley-Liss Inc.; 2015 [cited 2021 May 31]. p. 2187– 95. Available from: https://onlinelibrary.wiley.com/doi/full/10.1002/ijc.29251 9. Arias-Ortiz NE, Guzmán-Gallego EA. Características Clínicas del Cáncer de Tiroides, en Manizales, Colombia. 2008-2015. Rev Peru Med Exp Salud Publica
[Internet]. 2008 Sep 24 [cited 2021 May 31];37(2):287–91. Available from: https://doi.org/10.17843/rpmesp.2020.372.4892 10. Guillermo Salgado A, Vásquez B, del Sol M. Stereology of the human thyroid gland. International Journal of Morphology [Internet]. 2011 [cited 2021 Jun 9];29(2):562–7. Available from: http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717- 95022011000200044&lng=es&nrm=iso&tlng=e 11. Policeni BA, Smoker WRK, Reede DL. Anatomy and Embryology of the Thyroid and Parathyroid Glands. Seminars in Ultrasound, CT and MRI. 2012 Apr 1;33(2):104–14. 12. Mohebati A, Shaha AR. Anatomy of thyroid and parathyroid glands and neurovascular relations [Internet]. Vol. 25, Clinical Anatomy. Clin Anat; 2012 [cited 2021 Jun 9]. p. 19–31. Available from: https://pubmed.ncbi.nlm.nih.gov/21800365/ 13. Nilsson M, Fagman H. Development of the thyroid gland [Internet]. Vol. 144, Development (Cambridge). Company of Biologists Ltd; 2017 [cited 2021 May 13]. p. 2123–40. Available from: https://pubmed.ncbi.nlm.nih.gov/28634271/ 14. Cooper GM. The Development and Causes of Cancer. 2000 [cited 2021 Jun 12]; Available from: https://www.ncbi.nlm.nih.gov/books/NBK9963/ 15. What Is Cancer? - National Cancer Institute [Internet]. [cited 2021 Jun 12]. Available from: https://www.cancer.gov/about-cancer/understanding/what-iscancer#definition 16. Wang LH, Wu CF, Rajasekaran N, Shin YK. Loss of tumor suppressor gene function in human cancer: An overview [Internet]. Vol. 51, Cellular Physiology and Biochemistry. S. Karger AG; 2019 [cited 2021 Jun 27]. p. 2647–93. Available from: www.karger.com/cpbwww.karger.com/cpb 17. Bashyam MD, Animireddy S, Bala P, Naz A, George SA. The Yin and Yang of cancer genes [Internet]. Vol. 704, Gene. Elsevier B.V.; 2019 [cited 2021 Jun 27]. p. 121–33. Available from: https://pubmed.ncbi.nlm.nih.gov/30980945/ 18. Kitahara CM, Sosa JA. The changing incidence of thyroid cancer [Internet]. Vol. 12, Nature Reviews Endocrinology. Nature Publishing Group; 2016 [cited 2021 May 19]. p. 646–53. Available from: https://www.nature.com/articles/nrendo.2016.110 19. Thomas D, Friedman S, Lin RY. Thyroid stem cells: Lessons from normal development and thyroid cancer [Internet]. Vol. 15, Endocrine-Related Cancer. NIH Public Access; 2008 [cited 2021 May 14]. p. 51–8. Available from: /pmc/articles/PMC2673699/
20. Chmielik E, Rusinek D, Oczko-Wojciechowska M, Jarzab M, Krajewska J, Czarniecka A, et al. Heterogeneity of Thyroid Cancer. Pathobiology [Internet]. 2018 May 1 [cited 2021 May 18];85(1–2):117–29. Available from: www.karger.com/pat 21. Spielman DB, Badhey A, Kadakia S, Inman JC, Ducic Y. Rare Thyroid Malignancies: an Overview for the Oncologist. Clinical Oncology [Internet]. 2017 May 1 [cited 2021 Jun 12];29(5):298–306. Available from: https://pubmed.ncbi.nlm.nih.gov/28242165/ 22. Giuffrida D, Gharib H. Anaplastic thyroid carcinoma: Current diagnosis and treatment [Internet]. Vol. 11, Annals of Oncology. Ann Oncol; 2000 [cited 2021 Jun 12]. p. 1083–9. Available from: https://pubmed.ncbi.nlm.nih.gov/11061600/ 23. Bible KC, Kebebew E, Brierley J, Brito JP, Cabanillas ME, Clark TJ, et al. 2021 American Thyroid Association Guidelines for Management of Patients with Anaplastic Thyroid Cancer [Internet]. Vol. 31, Thyroid. Mary Ann Liebert Inc.; 2021 [cited 2021 May 19]. p. 337–86. Available from: www.liebertpub.com 24. Mao J, Zhang Q, Zhang H, Zheng K, Wang R, Wang G. Risk Factors for Lymph Node Metastasis in Papillary Thyroid Carcinoma: A Systematic Review and MetaAnalysis. Frontiers in Endocrinology [Internet]. 2020 May 15 [cited 2022 Mar 7];11:265. Available from: /pmc/articles/PMC7242632/ 25. Hunsaker JC, Hoffman G. Papillary Thyroid Carcinoma: An Autobiographical Case Report. Cureus [Internet]. 2022 Feb 24 [cited 2022 Mar 7];14(2). Available from: /pmc/articles/PMC8882045/ 26. Dizbay Sak S. Variants of papillary thyroid carcinoma: Multiple faces of a familiar tumor. Turk Patoloji Dergisi. 2015 Aug 24;31:34–47. 27. Park JY, Kim WY, Hwang TS, Lee SS, Kim H, Han HS, et al. BRAF and RAS mutations in follicular variants of papillary thyroid carcinoma. Endocr Pathol [Internet]. 2013 Jun [cited 2022 Mar 8];24(2):69–76. Available from: https://pubmed.ncbi.nlm.nih.gov/23625203/ 28. Agrawal N, Akbani R, Aksoy BA, Ally A, Arachchi H, Asa SL, et al. Integrated Genomic Characterization of Papillary Thyroid Carcinoma. Cell. 2014 Oct 23;159(3):676–90. 29. Adeniran AJ, Zhu Z, Gandhi M, Steward DL, Fidler JP, Giordano TJ, et al. Correlation between genetic alterations and microscopic features, clinical manifestations, and prognostic characteristics of thyroid papillary carcinomas. American Journal of Surgical Pathology [Internet]. 2006 Feb [cited 2022 Mar 7];30(2):216–22. Available from: https://journals.lww.com/ajsp/Fulltext/2006/02000/Correlation_Between_Genetic_A lterations_and.10.aspx
30. Mazzaferri EL. Management of low-risk differentiated thyroid cancer. Endocr Pract [Internet]. 2007 [cited 2022 Mar 8];13(5):498–512. Available from: https://pubmed.ncbi.nlm.nih.gov/17872353/ 31. Horn-Ross PL, Canchola AJ, Ma H, Reynolds P, Bernstein L. Hormonal Factors and the Risk of Papillary Thyroid Cancer in the California Teachers Study Cohort. Cancer Epidemiol Biomarkers Prev [Internet]. 2011 Aug [cited 2022 Mar 9];20(8):1751. Available from: /pmc/articles/PMC3288117/ 32. Miao H, Liu X, Li J, Zhang L, Zhao Y, Liu S, et al. Associations of urinary phthalate metabolites with risk of papillary thyroid cancer. Chemosphere. 2020 Feb 1;241:125093. 33. Xu L, Li G, Wei Q, El-Naggar AK, Sturgis EM. Family History of Cancer and Risk of Sporadic Differentiated Thyroid Carcinoma. Cancer [Internet]. 2012 Mar 1 [cited 2022 Mar 9];118(5):1228. Available from: /pmc/articles/PMC3208119/ 34. Harari A, Endo B, Nishimoto S, Ituarte PHG, Yeh MW. Risk of advanced papillary thyroid cancer in obese patients. Arch Surg [Internet]. 2012 Sep [cited 2022 Mar 9];147(9):805–11. Available from: https://pubmed.ncbi.nlm.nih.gov/22914989/ 35. Oberman B, Khaku A, Camacho F, Goldenberg D. Relationship between obesity, diabetes and the risk of thyroid cancer. American Journal of Otolaryngology. 2015 Jul 1;36(4):535–41. 36. Eissa MS, Abdellateif MS, Elesawy YF, Shaarawy S, Al-Jarhi UM. Obesity and Waist Circumference are Possible Risk Factors for Thyroid Cancer: Correlation with Different Ultrasonography Criteria. Cancer Manag Res [Internet]. 2020 [cited 2022 Apr 24];12:6077–89. Available from: https://pubmed.ncbi.nlm.nih.gov/32801859/ 37. Estrada-Florez AP, Bohórquez ME, Sahasrabudhe R, Prieto R, Lott P, Duque CS, et al. Clinical features of Hispanic thyroid cancer cases and the role of known genetic variants on disease risk. Medicine (United States) [Internet]. 2016 Aug 1 [cited 2020 Sep 25];95(32). Available from: /pmc/articles/PMC4985291/?report=abstract 38. Institute for Health Metrics and Evaluation (IHME). GBD Compare Data Visualization. [Internet]. Seattle, WA: IHME, University of Washington. 2020 [cited 2022 May 23]. Available from: https://vizhub.healthdata.org/gbd-compare/ 39. Truong T, Baron-Dubourdieu D, Rougier Y, Guénel P. Role of dietary iodine and cruciferous vegetables in thyroid cancer: a countrywide case-control study in New Caledonia. Cancer Causes & Control [Internet]. 2010 Aug [cited 2022 Mar 9];21(8):1183. Available from: /pmc/articles/PMC3496161/ 40. Almquist M, Johansen D, Björge T, Ulmer H, Lindkvist B, Stocks T, et al. Metabolic factors and risk of thyroid cancer in the Metabolic syndrome and Cancer project
(Me-Can). Cancer Causes Control [Internet]. 2011 May [cited 2022 Mar 9];22(5):743–51. Available from: https://pubmed.ncbi.nlm.nih.gov/21380729/ 41. Navarro Silvera SA, Miller AB, Rohan TE. Risk factors for thyroid cancer: a prospective cohort study. Int J Cancer [Internet]. 2005 Sep 1 [cited 2022 Mar 9];116(3):433–8. Available from: https://pubmed.ncbi.nlm.nih.gov/15818623/ 42. Economides A, Giannakou K, Mamais I, Economides PA, Papageorgis P. Association Between Aggressive Clinicopathologic Features of Papillary Thyroid Carcinoma and Body Mass Index: A Systematic Review and Meta-Analysis. Frontiers in Endocrinology [Internet]. 2021 Jun 30 [cited 2022 Mar 9];12. Available from: /pmc/articles/PMC8279812/ 43. Cuervo Martínez JA, Osorio Luz K, Romero Rojas AE, Olaya Morales N. Caracterización clínica e histopatológica del carcinoma papilar de tiroides en el instituto nacional de cancerología E.S.E., bogotá-colombia durante los años 2006 a 2012. Revista Colombiana de Cancerología. 2013 Dec 1;17(4):188. 44. Ospina M ML. Observatorio Nacional de Cáncer Colombia. Revista Facultad Nacional de Salud Pública [Internet]. 2015 Jun 1 [cited 2021 May 19];33(2):262–76. Available from: http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S0120- 386X2015000200013&lng=en&nrm=iso&tlng=es 45. Centro Cochrane Iberoamericano traductores. Manual Cochrane de revisiones sistemáticas de intervenciones, versión 5.1.0 [Internet]. [cited 2022 Apr 23]. Available from: https://www.cochrane.es/?q=es/node/269. 46. Wells G, Shea B, O´Connell D, Peterson J, Welch V, Losos M, et al. The NewcastleOttawa Scale (NOS) for assessing the quality of nonrandomised studies in metaanalyses [Internet]. [cited 2022 Apr 23]. Available from: http://www.ohri.ca/programs/clinical_epidemiology/oxford.asp 47. Manterola C, Otzen T. Los Sesgos en Investigación Clínica Bias in Clinical Research. Int J Morphol. 2015;33(3):1156–64. 48. Manterola C, Astudillo P, Arias E, Claros N. Systematic Reviews of the Literature: What Should be Known About Them. Cirugía Española (English Edition) [Internet]. 2013 Mar 1 [cited 2022 Apr 23];91(3):149–55. Available from: https://www.elsevier.es/en-revista-cirugia-espanola-english-edition--436-articulosystematic-reviews-literature-what-should-S2173507713000914 49. Felson DT. Bias in meta-analytic research. Journal of Clinical Epidemiology [Internet]. 1992 Aug 1 [cited 2022 Apr 23];45(8):885–92. Available from: http://www.jclinepi.com/article/089543569290072U/fulltext
50. García-Perdomo HA. Conceptos fundamentales de las revisiones sistemáticas/metaanálisis. Urología Colombiana [Internet]. 2015 Apr 1 [cited 2022 Apr 23];24(1):28–34. Available from: https://www.elsevier.es/es-revista-urologiacolombiana-398-articulo-conceptos-fundamentales-revisiones-sistematicasmetaanalisis-S0120789X15000076 51. Oliveros H. La heterogeneidad en los metaanálisis, ¿es nuestra mejor aliada? Revista Colombiana de Anestesiología [Internet]. 2015 Jul 1 [cited 2022 Apr 23];43(3):176– 8. Available from: https://www.elsevier.es/es-revista-revista-colombianaanestesiologia-341-articulo-la-heterogeneidad-metaanalisis-es-nuestraS012033471500060X 52. Delgado-Rodríguez M, Sillero-Arenas M. Systematic review and meta-analysis. Medicina Intensiva. 2018 Oct 1;42(7):444–53. 53. Resolución 8430 de 1993 - Colombia [Internet]. [cited 2022 May 25]. Available from: https://www.redjurista.com/Documents/resolucion_8430_de_1993.aspx#/ 54. Page M, McKenzie J, Bossuyt P, Boutron I, Hoffmann T, Mulrow C. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. [cited 2022 Apr 23]; Available from: http://www.prismastatement.org/PRISMAStatement/FlowDiagram.aspx 55. Abdel-Rahman O. Prediagnostic BMI and thyroid cancer incidence in the PLCO trial. https://doi.org/102217/fon-2019-0292 [Internet]. 2019 Oct 24 [cited 2022 Apr 23];15(30):3451–6. Available from: https://www.futuremedicine.com/doi/abs/10.2217/fon-2019-0292 56. Ahn D, Heo SJ, Park JH, Kim JH, Sohn JH, Park JY, et al. Clinical relationship between Hashimoto’s thyroiditis and papillary thyroid cancer. http://dx.doi.org/103109/0284186X2011602109 [Internet]. 2011 Nov [cited 2022 Apr 23];50(8):1228–34. Available from: https://www.tandfonline.com/doi/abs/10.3109/0284186X.2011.602109 57. Apostolou K, Zivaljevic V, Tausanovic K, Zoric G, Chelidonis G, Slijepcevic N, et al. Prevalence and risk factors for thyroid cancer in patients with multinodular goitre. BJS Open [Internet]. 2021 Mar 5 [cited 2022 Apr 23];5(2). Available from: https://academic.oup.com/bjsopen/article/5/2/zraa014/6054049 58. Bae MJ, Kim SS, Kim WJ, Yi YS, Jeon YK, Kim BH, et al. High prevalence of papillary thyroid cancer in Korean women with insulin resistance. Head & Neck [Internet]. 2016 Jan 1 [cited 2022 Apr 23];38(1):66–71. Available from: https://onlinelibrary.wiley.com/doi/full/10.1002/hed.23848
59. Bushnik T, Evans WK. Sociodemographic characteristics associated with thyroid cancer risk in Canada. Health Rep [Internet]. 2018 [cited 2022 Apr 23];29(10):3–11. Available from: https://pubmed.ncbi.nlm.nih.gov/30329144/ 60. Cash SW, Ma H, Horn-Ross PL, Reynolds P, Canchola AJ, Sullivan-Halley J, et al. Recreational physical activity and risk of papillary thyroid cancer among women in the California Teachers Study. Cancer Epidemiology. 2013 Feb 1;37(1):46–53. 61. Clarke CA, Reynolds P, Oakley-Girvan I, Lee E, Lu Y, Yang J, et al. Indicators of microbial-rich environments and the development of papillary thyroid cancer in the California Teachers Study. Cancer Epidemiology. 2015 Aug 1;39(4):548–53. 62. Handelsman RS, Alvarez AL, Picado O, Farrá JC, Lew JI. Inverse Relationship of BMI to TSH and Risk of Papillary Thyroid Cancer in Surgical Patients. Journal of Surgical Research [Internet]. 2019 Dec 1 [cited 2022 Apr 23];244:96–101. Available from: http://www.journalofsurgicalresearch.com/article/S0022480419304044/fulltext 63. Horn-Ross PL, Canchola AJ, Ma H, Reynolds P, Bernstein L. Hormonal Factors and the Risk of Papillary Thyroid Cancer in the California Teachers Study Cohort. Cancer Epidemiol Biomarkers Prev [Internet]. 2011 Aug [cited 2022 Apr 23];20(8):1751. Available from: /pmc/articles/PMC3288117/ 64. Huang F, Cong W, Xiao J, Zhou Y, Gong M, Sun J, et al. Association between excessive chronic iodine exposure and the occurrence of papillary thyroid carcinoma. Oncology Letters [Internet]. 2020 Nov 1 [cited 2022 Apr 23];20(5). Available from: /pmc/articles/PMC7479532/ 65. Kabat GC, Kim MY, Wactawski-Wende J, Rohan TE. Smoking and alcohol consumption in relation to risk of thyroid cancer in postmenopausal women. Cancer Epidemiology. 2012 Aug 1;36(4):335–40. 66. Kim KW, Park YJ, Kim EH, Park SY, Park DJ, Ahn SH, et al. Elevated risk of papillary thyroid cancer in Korean patients with Hashimoto’s thyroiditis. Head Neck [Internet]. 2011 May [cited 2022 Apr 23];33(5):691–5. Available from: https://pubmed.ncbi.nlm.nih.gov/21484918/ 67. Kwon H, Chang Y, Cho A, Ahn J, Park SE, Park CY, et al. Metabolic Obesity Phenotypes and Thyroid Cancer Risk: A Cohort Study. Thyroid [Internet]. 2019 Mar 1 [cited 2022 Apr 23];29(3):349–58. Available from: https://www.liebertpub.com/doi/full/10.1089/thy.2018.0327 68. Little MP, Lim H, Friesen MC, Preston DL, Doody MM, Sigurdson AJ, et al. Assessment of thyroid cancer risk associated with radiation dose from personal diagnostic examinations in a cohort study of US radiologic technologists, followed
1983–2014. BMJ Open [Internet]. 2018 May 1 [cited 2022 Apr 23];8(5):e021536. Available from: https://bmjopen.bmj.com/content/8/5/e021536 69. Ludvigsson JF, Lebwohl B, Kämpe O, Murray JA, Green PH, Ekbom A. Risk of Thyroid Cancer in a Nationwide Cohort of Patients with Biopsy-Verified Celiac Disease. Thyroid [Internet]. 2013 Aug 1 [cited 2022 Apr 23];23(8):971. Available from: /pmc/articles/PMC3752514/ 70. Prokopakis EP, Kaprana A, Karatzanis A, Velegrakis GA, Melissas J, Chalkiadakis G. Association between the increase in incidence of papillary thyroid carcinoma in Crete and exposure to radioactive agents. Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale [Internet]. 2018 Aug 1 [cited 2022 Apr 23];38(4):310–5. Available from: https://pubmed.ncbi.nlm.nih.gov/29498716/ 71. Sado J, Kitamura T, Sobue T, Sawada N, Iwasaki M, Sasazuki S, et al. Risk of thyroid cancer in relation to height, weight, and body mass index in Japanese individuals: a population‐based cohort study. Cancer Medicine [Internet]. 2018 May 1 [cited 2022 Apr 23];7(5):2200. Available from: /pmc/articles/PMC5943544/ 72. Sen A, Tsilidis KK, Allen NE, Rinaldi S, Appleby PN, Almquist M, et al. Baseline and lifetime alcohol consumption and risk of differentiated thyroid carcinoma in the EPIC study. British Journal of Cancer 2015 113:5 [Internet]. 2015 Aug 27 [cited 2022 Apr 23];113(5):840–7. Available from: https://www.nature.com/articles/bjc2015280 73. Son H, Lee H, Kang K, Lee I. The risk of thyroid cancer and obesity: A nationwide population-based study using the Korea National Health Insurance Corporation cohort database. Surgical Oncology. 2018 Jun 1;27(2):166–71. 74. Sonu IS, Blonski W, Lin MV, Lewis J, Aberra F, Lichtenstein GR. Papillary thyroid cancer and inflammatory bowel disease: Is there a relationship? World Journal of Gastroenterology : WJG [Internet]. 2013 [cited 2022 Apr 23];19(7):1079. Available from: /pmc/articles/PMC3581995/ 75. Stansifer KJ, Guynan JF, Wachal BM, Smith RB. Modifiable Risk Factors and Thyroid Cancer. Otolaryngology-Head and Neck Surgery [Internet]. 2015 Dec 30 [cited 2022 Apr 23];152(3):432–7. Available from: https://journals.sagepub.com/doi/10.1177/0194599814564537?url_ver=Z39.88- 2003&rfr_id=ori%3Arid%3Acrossref.org&rfr_dat=cr_pub++0pubmed 76. Sun LM, Chung LM, Lin CL, Kao CH. Uterine Fibroids Increase the Risk of Thyroid Cancer. International Journal of Environmental Research and Public Health [Internet]. 2020 Jun 1 [cited 2022 Apr 23];17(11). Available from: /pmc/articles/PMC7312070
77. Weeks KS, Kahl AR, Lynch CF, Charlton ME. Racial/Ethnic Differences in Thyroid Cancer Incidence in the United States, 2007-2014. Cancer [Internet]. 2018 Apr 1 [cited 2022 Apr 23];124(7):1483. Available from: /pmc/articles/PMC5867235/ 78. Xu H, Pang Y, Li X, Zha B, He T, Ding H. Monocyte to high‐density lipoprotein cholesterol ratio as an independent risk factor for papillary thyroid carcinoma. Journal of Clinical Laboratory Analysis [Internet]. 2021 Nov 1 [cited 2022 Apr 23];35(11). Available from: /pmc/articles/PMC8605115/ 79. Zamora-Ros R, Rinaldi S, Biessy C, Tjønneland A, Halkjær J, Fournier A, et al. Reproductive and menstrual factors and risk of differentiated thyroid carcinoma: the EPIC study. Int J Cancer [Internet]. 2015 Mar 1 [cited 2022 Apr 23];136(5):1218– 27. Available from: https://pubmed.ncbi.nlm.nih.gov/25041790/ 80. Zhang D, Jones RR, James P, Kitahara CM, Xiao Q. Associations between artificial light at night and risk for thyroid cancer: A large US cohort study. Cancer [Internet]. 2021 May 1 [cited 2022 Apr 23];127(9):1448–58. Available from: https://onlinelibrary.wiley.com/doi/full/10.1002/cncr.33392 81. Zhang D, Jones RR, James P, Kitahara CM, Xiao Q. Associations between artificial light at night and risk for thyroid cancer: A large US cohort study. Cancer. 2021 May 1;127(9):1448–58. 82. Clarke CA, Reynolds P, Oakley-Girvan I, Lee E, Lu Y, Yang J, et al. Indicators of microbial-rich environments and the development of papillary thyroid cancer in the California Teachers Study. Cancer Epidemiol. 2015 Aug 1;39(4):548–53. 83. Hidalgo DS. Descripción de una cohorte de pacientes diagnosticados con Cáncer Papilar de Tiroides en Bogotá durante el periodo de 1993 a 2011. [Internet]. Bogota; 2021 [cited 2022 May 25]. Available from: http://hdl.handle.net/20.500.12495/6372 84. Williams RR. Breast and Thyroid Cancer and malignant melanoma promoted by alcohol-induced pituitary secretion of prolactine, T.S.H., and M.S.H. The Lancet [Internet]. 1976 May 8 [cited 2022 Apr 24];307(7967):996–9. Available from: http://www.thelancet.com/article/S0140673676918651/fulltext 85. Mack W, Preston-M S, Dal Maso L, Galanti R. A pooled analysis of case-control studies of thyroid cancer: Cigarette smoking and consumption of alcohol, coffee, and tea. Cancer Causes & Control [Internet]. 2003 Oct [cited 2022 Apr 28];14(8). Available from: https://www.proquest.com/docview/213062107 86. Meinhold CL, Park Y, Stolzenberg-Solomon RZ, Hollenbeck AR, Schatzkin A, Berrington De Gonzalez A. Alcohol intake and risk of thyroid cancer in the NIHAARP Diet and Health Study. British Journal of Cancer 2009 101:9 [Internet]. 2009 Sep 29 [cited 2022 Apr 24];101(9):1630–4. Available from: https://www.nature.com/articles/6605337
87. Allen NE, Beral V, Casabonne D, Kan SW, Reeves GK, Brown A, et al. Moderate alcohol intake and cancer incidence in women. J Natl Cancer Inst [Internet]. 2009 Mar [cited 2022 Apr 24];101(5):296–305. Available from: https://pubmed.ncbi.nlm.nih.gov/19244173/ 88. Iribarren C, Haselkorn T, Tekawa IS, Friedman GD. Cohort study of thyroid cancer in a San Francisco Bay area population. Int J Cancer [Internet]. 2001 Sep 1 [cited 2022 Apr 24];93(5):745–50. Available from: https://pubmed.ncbi.nlm.nih.gov/11477590/ 89. la Vecchia C, Ron E, Franceschi S, Dal Maso L, Mark SD, Chatenoud L, et al. A pooled analysis of case-control studies of thyroid cancer. Oral contraceptives, menopausal replacement therapy and other female hormones. Cancer Causes & Control 1999 10:2 [Internet]. 1999 [cited 2022 Apr 24];10(2):157–66. Available from: https://link-springercom.proxy.bidig.areandina.edu.co/article/10.1023/A:1008832513932 90. Preston-Martin S, Jin F, Duda MJ, Mack WJ. A case-control study of thyroid cancer in women under age 55 in Shanghai (People’s Republic of China). Cancer Causes Control [Internet]. 1993 Sep [cited 2022 Apr 24];4(5):431–40. Available from: https://pubmed.ncbi.nlm.nih.gov/8218875/ 91. Memon A, Darif M, Al-Saleh K, Suresh A. Epidemiology of reproductive and hormonal factors in thyroid cancer: evidence from a case-control study in the Middle East. Int J Cancer [Internet]. 2002 Jan 1 [cited 2022 Apr 24];97(1):82–9. Available from: https://pubmed.ncbi.nlm.nih.gov/11774247/ 92. Navarro Silvera SA, Miller AB, Rohan TE. Risk factors for thyroid cancer: a prospective cohort study. Int J Cancer [Internet]. 2005 Sep 1 [cited 2022 Apr 24];116(3):433–8. Available from: https://pubmed.ncbi.nlm.nih.gov/15818623/ 93. Rossing MA, Voigt LF, Wicklund KG, Williams M, Daling JR. Use of exogenous hormones hormones and risk of papillary thyroid cancer (Washington, United States). Cancer Causes Control [Internet]. 1998 [cited 2022 Apr 24];9(3):341–9. Available from: https://pubmed.ncbi.nlm.nih.gov/9684714/ 94. Shin S, Sawada N, Saito E, Yamaji T, Iwasaki M, Shimazu T, et al. Menstrual and reproductive factors in the risk of thyroid cancer in Japanese women: the Japan Public Health Center-Based Prospective Study. Eur J Cancer Prev [Internet]. 2018 [cited 2022 Apr 24];27(4):361–9. Available from: https://pubmed.ncbi.nlm.nih.gov/28118209/ 95. Kim KN, Hwang Y, Kim KH, Lee KE, Park YJ, Kim S jin, et al. Adolescent overweight and obesity and the risk of papillary thyroid cancer in adulthood: a largescale case-control study. Scientific Reports 2020 10:1 [Internet]. 2020 Mar 19 [cited
2022 Apr 24];10(1):1–9. Available from: https://www.nature.com/articles/s41598- 020-59245-3 96. Hwang Y, Lee KE, Park YJ, Kim SJ, Kwon H, Park DJ, et al. Annual Average Changes in Adult Obesity as a Risk Factor for Papillary Thyroid Cancer: A LargeScale Case-Control Study. Medicine [Internet]. 2016 Mar 4 [cited 2022 Apr 24];95(9). Available from: https://pubmed.ncbi.nlm.nih.gov/26945379/ 97. Keum N, Greenwood DC, Lee DH, Kim R, Aune D, Ju W, et al. Adult weight gain and adiposity-related cancers: a dose-response meta-analysis of prospective observational studies. J Natl Cancer Inst [Internet]. 2015 Feb 1 [cited 2022 Apr 24];107(2). Available from: https://pubmed.ncbi.nlm.nih.gov/25757865/ 98. Suzuki T, Matsuo K, Hasegawa Y, Hiraki A, Kawase T, Tanaka H, et al. Anthropometric factors at age 20 years and risk of thyroid cancer. Cancer Causes Control [Internet]. 2008 Dec [cited 2022 Apr 24];19(10):1233–42. Available from: https://pubmed.ncbi.nlm.nih.gov/18618280/ 99. Kitahara CM, Gamborg M, de González AB, Sørensen TIA, Baker JL. Childhood height and body mass index were associated with risk of adult thyroid cancer in a large cohort study. Cancer Res [Internet]. 2014 Jan 1 [cited 2022 Apr 24];74(1):235– 42. Available from: https://pubmed.ncbi.nlm.nih.gov/24247722/ 100. Faure E, Soutelo MJ, Fritz MC, Martin A, Musri Y, Lufti R. Asociación entre índice de masa corporal y agresividad del carcinoma papilar de tiroides. [cited 2022 Apr 24]; Available from: http://www.scielo.org.ar/scielo.php?script=sci_arttext&pid=S0025- 76802018000300001&lng=es&nrm=iso 101. Kitahara CM, Platz EA, Beane Freeman LE, Hsing AW, Linet MS, Park Y, et al. Obesity and thyroid cancer risk among U.S. men and women: a pooled analysis of five prospective studies. Cancer Epidemiol Biomarkers Prev [Internet]. 2011 Mar [cited 2022 Apr 24];20(3):464–72. Available from: https://pubmed.ncbi.nlm.nih.gov/21266520/ 102. Paes JE, Hua K, Nagy R, Kloos RT, Jarjoura D, Ringel MD. The relationship between body mass index and thyroid cancer pathology features and outcomes: a clinicopathological cohort study. J Clin Endocrinol Metab [Internet]. 2010 [cited 2022 Apr 24];95(9):4244–50. Available from: https://pubmed.ncbi.nlm.nih.gov/20519347/ 103. Mijović T, How J, Pakdaman M, Rochon L, Gologan O, Hier MP, et al. Body mass index in the evaluation of thyroid cancer risk. Thyroid [Internet]. 2009 [cited 2022 Apr 24];19(5):467–72. Available from: https://pubmed.ncbi.nlm.nih.gov/19415996/
104. Liu Y, Li C, Zhao W, Wang Y. Hashimoto’s Thyroiditis is an Important Risk Factor of Papillary Thyroid Microcarcinoma in Younger Adults. Hormone and metabolic research = Hormon- und Stoffwechselforschung = Hormones et metabolisme [Internet]. 2017 Oct 1 [cited 2022 Apr 24];49(10):732–8. Available from: https://pubmed.ncbi.nlm.nih.gov/28859207/ 105. Lun Y, Wu X, Xia Q, Han Y, Zhang X, Liu Z, et al. Hashimoto’s thyroiditis as a risk factor of papillary thyroid cancer may improve cancer prognosis. Otolaryngol Head Neck Surg [Internet]. 2013 Mar [cited 2022 Apr 24];148(3):396–402. Available from: https://pubmed.ncbi.nlm.nih.gov/23300224/ 106. Kilfoy BA, Devesa SS, Ward MH, Zhang Y, Rosenberg PS, Holford TR, et al. Gender is an age-specific effect modifier for papillary cancers of the thyroid gland. Cancer Epidemiol Biomarkers Prev [Internet]. 2009 Apr [cited 2022 Apr 24];18(4):1092. Available from: /pmc/articles/PMC2667567/ 107. Kauffmann RM, Hamner JB, Ituarte PHG, Yim JH. Age greater than 60 years portends a worse prognosis in patients with papillary thyroid cancer: should there be three age categories for staging? BMC Cancer [Internet]. 2018 Mar 22 [cited 2022 Apr 24];18(1). Available from: https://pubmed.ncbi.nlm.nih.gov/29566662/ 108. Myung SK, Lee CW, Lee J, Kim J, Kim HS. Risk Factors for Thyroid Cancer: A Hospital-Based Case-Control Study in Korean Adults. Cancer Res Treat [Internet]. 2017 [cited 2022 Apr 24];49(1):70–8. Available from: https://pubmed.ncbi.nlm.nih.gov/27338034/
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spelling Arango Luque, AdrianaCorrea Correa, Mario ErnestoSilva Meza, Esneider JoséPorras Ríos, Yudy Alexandra2025-04-21T14:26:57Z2022-04-032025-04-21T14:26:57Z2022-03-15https://digitk.areandina.edu.co/handle/areandina/6274: ilustraciones, gráficos, tablas ; 28 cm.El documento presentado es un trabajo de investigación de maestría en epidemiología realizado en Colombia en 2022. Su objetivo principal es identificar los factores de riesgo asociados al cáncer papilar de tiroides en adultos mediante una revisión sistemática y metaanálisis de estudios observacionales publicados entre 2011 y 2021. Los autores exploraron diversas bases de datos y literatura gris para sintetizar la evidencia existente sobre este tema. El estudio detalla la metodología utilizada para la selección y análisis de los artículos, incluyendo la evaluación de la calidad metodológica y el control de sesgos. Finalmente, presenta los resultados del metaanálisis para varios factores de riesgo, ofreciendo conclusiones sobre su asociación con el desarrollo de cáncer papilar de tiroides.Tabla de contenido genérica Consideraciones generales.-- Pregunta de investigación.-- Objetivo de investigación.-- Justificación.-- Marco referencial.-- Metodología.-- Resultados.-- Conclusiones.-- Recomendaciones.-- Bibliografía.: ilustraciones, gráficos, tablas ; 28 cm.EspecializaciónEspecialista en Epidemiología79 Paginasapplication/pdfspaFundación Universitaria del AreandinacolombiaFacultad de Ciencias de la Salud y del DeporteEspecialización en EpidemiologíaTexto general de licencia/copyright EL AUTOR-ESTUDIANTE, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto, la obra es de su exclusiva autoría y tiene la titularidad sobre la misma. PARÁGRAFO: en caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL ESTUDIANTE-AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la Fundación Universitaria del Área Andina actúa como un tercero de buena fe.https://creativecommons.org/licenses/by-nc-nd/4.0/Atribución-NoComercial-SinDerivadas 4.0 Internacional (CC BY-NC-ND 4.0)info:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2Factores de Riesgo Asociados al Cáncer Papilar de Tiroides en Adultos: Una Revisión Sistemática con MetaanálisisTrabajo de grado - EspecializaciónTextinfo:eu-repo/semantics/masterThesishttp://purl.org/redcol/resource_type/TMinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/version/c_970fb48d4fbd8a85Consideraciones generales. - El texto debe estar redactado en el programa Microsoft Word®, con letra Arial, tamaño 10, e interlineado de espacio y medio (1,5 líneas). - En la revista se utiliza el Sistema Internacional de Unidades. - Los nombres científicos (familia, género, especies) deben ir en cursiva. - Las abreviaturas, siglas y acrónimos deben acompañar al nombre completo que representan cuando se mencionan por primera vez en el cuerpo del texto. Por ejemplo: Instituto Nacional para la Seguridad y Salud Ocupacional (NIOSH, por sus siglas en inglés). - En el texto del artículo, al referirse a dos autores, coloca los apellidos de ambos (p. ej. Gutiérrez y Cáceres). Al referirse a tres o más autores, señala el apellido del primer autor seguido del término et al. - Al pie de las tablas o las figuras, las llamadas deberán utilizar las letras del alfabeto español en minúscula y superíndice en orden ascendente. - Los valores de p deben tener tres cifras decimales; los estimadores estadísticos y las medidas de fuerza de asociación, dos cifras decimales; los porcentajes, una cifra decimal. En todos los casos se usará la coma decimal. - En las referencias bibliográficas se deberá incluir el doi de las publicaciones electrónicas (p. ej., doi: 10.17843/rpmesp.2021.382.6562). Tomado de: https://rpmesp.ins.gob.pe/index.php/rpmesp/pages/view/instrucciones1. Nikiforov YE. Thyroid carcinoma: Molecular pathways and therapeutic targets. Modern Pathology [Internet]. 2008 [cited 2021 May 31];21(Suppl 2):S37–43. Available from: /pmc/articles/PMC2673022/ 2. Horn-Ross PL, Lichtensztajn DY, Clarke CA, Dosiou C, Oakley-Girvan I, Reynolds P, et al. Continued rapid increase in thyroid cancer incidence in California: Trends by patient, tumor, and neighborhood characteristics. Cancer Epidemiology Biomarkers and Prevention [Internet]. 2014 [cited 2021 May 31];23(6):1067–79. Available from: https://pubmed.ncbi.nlm.nih.gov/24842625/ 3. Seib CD, Sosa JA. Evolving Understanding of the Epidemiology of Thyroid Cancer. Vol. 48, Endocrinology and Metabolism Clinics of North America. W.B. Saunders; 2019. p. 23–35. 4. Zivaljevic V, Slijepcevic N, Paunovic I, Diklic A, Kalezic N, Marinkovic J, et al. Risk factors for anaplastic thyroid cancer. International Journal of Endocrinology [Internet]. 2014 [cited 2021 May 19];2014. Available from: /pmc/articles/PMC4052185/ 5. Besic N, Hocevar M, Zgajnar J. Lower incidence of anaplastic carcinoma after higher iodination of salt in slovenia. Thyroid [Internet]. 2010 Jun 1 [cited 2021 May 19];20(6):623–6. Available from: https://www.liebertpub.com/doi/abs/10.1089/thy.2009.0404 6. Patel KN, Yip L, Lubitz CC, Grubbs EG, Miller BS, Shen W, et al. The American association of endocrine surgeons guidelines for the definitive surgical management of thyroid disease in adults [Internet]. Vol. 271, Annals of Surgery. Lippincott Williams and Wilkins; 2020 [cited 2021 May 31]. p. E21–93. Available from: https://journals.lww.com/annalsofsurgery/Fulltext/2020/03000/The_American_Asso ciation_of_Endocrine_Surgeons.28.aspx 7. Cabanillas ME, McFadden DG, Durante C. Thyroid cancer [Internet]. Vol. 388, The Lancet. Lancet Publishing Group; 2016 [cited 2021 May 31]. p. 2783–95. Available from: https://pubmed.ncbi.nlm.nih.gov/27240885/ 8. la Vecchia C, Malvezzi M, Bosetti C, Garavello W, Bertuccio P, Levi F, et al. Thyroid cancer mortality and incidence: A global overview [Internet]. Vol. 136, International Journal of Cancer. Wiley-Liss Inc.; 2015 [cited 2021 May 31]. p. 2187– 95. Available from: https://onlinelibrary.wiley.com/doi/full/10.1002/ijc.29251 9. Arias-Ortiz NE, Guzmán-Gallego EA. Características Clínicas del Cáncer de Tiroides, en Manizales, Colombia. 2008-2015. Rev Peru Med Exp Salud Publica[Internet]. 2008 Sep 24 [cited 2021 May 31];37(2):287–91. Available from: https://doi.org/10.17843/rpmesp.2020.372.4892 10. Guillermo Salgado A, Vásquez B, del Sol M. Stereology of the human thyroid gland. International Journal of Morphology [Internet]. 2011 [cited 2021 Jun 9];29(2):562–7. Available from: http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717- 95022011000200044&lng=es&nrm=iso&tlng=e 11. Policeni BA, Smoker WRK, Reede DL. Anatomy and Embryology of the Thyroid and Parathyroid Glands. Seminars in Ultrasound, CT and MRI. 2012 Apr 1;33(2):104–14. 12. Mohebati A, Shaha AR. Anatomy of thyroid and parathyroid glands and neurovascular relations [Internet]. Vol. 25, Clinical Anatomy. Clin Anat; 2012 [cited 2021 Jun 9]. p. 19–31. Available from: https://pubmed.ncbi.nlm.nih.gov/21800365/ 13. Nilsson M, Fagman H. Development of the thyroid gland [Internet]. Vol. 144, Development (Cambridge). Company of Biologists Ltd; 2017 [cited 2021 May 13]. p. 2123–40. Available from: https://pubmed.ncbi.nlm.nih.gov/28634271/ 14. Cooper GM. The Development and Causes of Cancer. 2000 [cited 2021 Jun 12]; Available from: https://www.ncbi.nlm.nih.gov/books/NBK9963/ 15. What Is Cancer? - National Cancer Institute [Internet]. [cited 2021 Jun 12]. Available from: https://www.cancer.gov/about-cancer/understanding/what-iscancer#definition 16. Wang LH, Wu CF, Rajasekaran N, Shin YK. Loss of tumor suppressor gene function in human cancer: An overview [Internet]. Vol. 51, Cellular Physiology and Biochemistry. S. Karger AG; 2019 [cited 2021 Jun 27]. p. 2647–93. Available from: www.karger.com/cpbwww.karger.com/cpb 17. Bashyam MD, Animireddy S, Bala P, Naz A, George SA. The Yin and Yang of cancer genes [Internet]. Vol. 704, Gene. Elsevier B.V.; 2019 [cited 2021 Jun 27]. p. 121–33. Available from: https://pubmed.ncbi.nlm.nih.gov/30980945/ 18. Kitahara CM, Sosa JA. The changing incidence of thyroid cancer [Internet]. Vol. 12, Nature Reviews Endocrinology. Nature Publishing Group; 2016 [cited 2021 May 19]. p. 646–53. Available from: https://www.nature.com/articles/nrendo.2016.110 19. Thomas D, Friedman S, Lin RY. Thyroid stem cells: Lessons from normal development and thyroid cancer [Internet]. Vol. 15, Endocrine-Related Cancer. NIH Public Access; 2008 [cited 2021 May 14]. p. 51–8. Available from: /pmc/articles/PMC2673699/20. Chmielik E, Rusinek D, Oczko-Wojciechowska M, Jarzab M, Krajewska J, Czarniecka A, et al. Heterogeneity of Thyroid Cancer. Pathobiology [Internet]. 2018 May 1 [cited 2021 May 18];85(1–2):117–29. Available from: www.karger.com/pat 21. Spielman DB, Badhey A, Kadakia S, Inman JC, Ducic Y. Rare Thyroid Malignancies: an Overview for the Oncologist. Clinical Oncology [Internet]. 2017 May 1 [cited 2021 Jun 12];29(5):298–306. Available from: https://pubmed.ncbi.nlm.nih.gov/28242165/ 22. Giuffrida D, Gharib H. Anaplastic thyroid carcinoma: Current diagnosis and treatment [Internet]. Vol. 11, Annals of Oncology. Ann Oncol; 2000 [cited 2021 Jun 12]. p. 1083–9. Available from: https://pubmed.ncbi.nlm.nih.gov/11061600/ 23. Bible KC, Kebebew E, Brierley J, Brito JP, Cabanillas ME, Clark TJ, et al. 2021 American Thyroid Association Guidelines for Management of Patients with Anaplastic Thyroid Cancer [Internet]. Vol. 31, Thyroid. Mary Ann Liebert Inc.; 2021 [cited 2021 May 19]. p. 337–86. Available from: www.liebertpub.com 24. Mao J, Zhang Q, Zhang H, Zheng K, Wang R, Wang G. Risk Factors for Lymph Node Metastasis in Papillary Thyroid Carcinoma: A Systematic Review and MetaAnalysis. Frontiers in Endocrinology [Internet]. 2020 May 15 [cited 2022 Mar 7];11:265. Available from: /pmc/articles/PMC7242632/ 25. Hunsaker JC, Hoffman G. Papillary Thyroid Carcinoma: An Autobiographical Case Report. Cureus [Internet]. 2022 Feb 24 [cited 2022 Mar 7];14(2). Available from: /pmc/articles/PMC8882045/ 26. Dizbay Sak S. Variants of papillary thyroid carcinoma: Multiple faces of a familiar tumor. Turk Patoloji Dergisi. 2015 Aug 24;31:34–47. 27. Park JY, Kim WY, Hwang TS, Lee SS, Kim H, Han HS, et al. BRAF and RAS mutations in follicular variants of papillary thyroid carcinoma. Endocr Pathol [Internet]. 2013 Jun [cited 2022 Mar 8];24(2):69–76. Available from: https://pubmed.ncbi.nlm.nih.gov/23625203/ 28. Agrawal N, Akbani R, Aksoy BA, Ally A, Arachchi H, Asa SL, et al. Integrated Genomic Characterization of Papillary Thyroid Carcinoma. Cell. 2014 Oct 23;159(3):676–90. 29. Adeniran AJ, Zhu Z, Gandhi M, Steward DL, Fidler JP, Giordano TJ, et al. Correlation between genetic alterations and microscopic features, clinical manifestations, and prognostic characteristics of thyroid papillary carcinomas. American Journal of Surgical Pathology [Internet]. 2006 Feb [cited 2022 Mar 7];30(2):216–22. Available from: https://journals.lww.com/ajsp/Fulltext/2006/02000/Correlation_Between_Genetic_A lterations_and.10.aspx30. Mazzaferri EL. Management of low-risk differentiated thyroid cancer. Endocr Pract [Internet]. 2007 [cited 2022 Mar 8];13(5):498–512. Available from: https://pubmed.ncbi.nlm.nih.gov/17872353/ 31. Horn-Ross PL, Canchola AJ, Ma H, Reynolds P, Bernstein L. Hormonal Factors and the Risk of Papillary Thyroid Cancer in the California Teachers Study Cohort. Cancer Epidemiol Biomarkers Prev [Internet]. 2011 Aug [cited 2022 Mar 9];20(8):1751. Available from: /pmc/articles/PMC3288117/ 32. Miao H, Liu X, Li J, Zhang L, Zhao Y, Liu S, et al. Associations of urinary phthalate metabolites with risk of papillary thyroid cancer. Chemosphere. 2020 Feb 1;241:125093. 33. Xu L, Li G, Wei Q, El-Naggar AK, Sturgis EM. Family History of Cancer and Risk of Sporadic Differentiated Thyroid Carcinoma. Cancer [Internet]. 2012 Mar 1 [cited 2022 Mar 9];118(5):1228. Available from: /pmc/articles/PMC3208119/ 34. Harari A, Endo B, Nishimoto S, Ituarte PHG, Yeh MW. Risk of advanced papillary thyroid cancer in obese patients. Arch Surg [Internet]. 2012 Sep [cited 2022 Mar 9];147(9):805–11. Available from: https://pubmed.ncbi.nlm.nih.gov/22914989/ 35. Oberman B, Khaku A, Camacho F, Goldenberg D. Relationship between obesity, diabetes and the risk of thyroid cancer. American Journal of Otolaryngology. 2015 Jul 1;36(4):535–41. 36. Eissa MS, Abdellateif MS, Elesawy YF, Shaarawy S, Al-Jarhi UM. Obesity and Waist Circumference are Possible Risk Factors for Thyroid Cancer: Correlation with Different Ultrasonography Criteria. Cancer Manag Res [Internet]. 2020 [cited 2022 Apr 24];12:6077–89. Available from: https://pubmed.ncbi.nlm.nih.gov/32801859/ 37. Estrada-Florez AP, Bohórquez ME, Sahasrabudhe R, Prieto R, Lott P, Duque CS, et al. Clinical features of Hispanic thyroid cancer cases and the role of known genetic variants on disease risk. Medicine (United States) [Internet]. 2016 Aug 1 [cited 2020 Sep 25];95(32). Available from: /pmc/articles/PMC4985291/?report=abstract 38. Institute for Health Metrics and Evaluation (IHME). GBD Compare Data Visualization. [Internet]. Seattle, WA: IHME, University of Washington. 2020 [cited 2022 May 23]. Available from: https://vizhub.healthdata.org/gbd-compare/ 39. Truong T, Baron-Dubourdieu D, Rougier Y, Guénel P. Role of dietary iodine and cruciferous vegetables in thyroid cancer: a countrywide case-control study in New Caledonia. Cancer Causes & Control [Internet]. 2010 Aug [cited 2022 Mar 9];21(8):1183. Available from: /pmc/articles/PMC3496161/ 40. Almquist M, Johansen D, Björge T, Ulmer H, Lindkvist B, Stocks T, et al. Metabolic factors and risk of thyroid cancer in the Metabolic syndrome and Cancer project(Me-Can). Cancer Causes Control [Internet]. 2011 May [cited 2022 Mar 9];22(5):743–51. Available from: https://pubmed.ncbi.nlm.nih.gov/21380729/ 41. Navarro Silvera SA, Miller AB, Rohan TE. Risk factors for thyroid cancer: a prospective cohort study. Int J Cancer [Internet]. 2005 Sep 1 [cited 2022 Mar 9];116(3):433–8. Available from: https://pubmed.ncbi.nlm.nih.gov/15818623/ 42. Economides A, Giannakou K, Mamais I, Economides PA, Papageorgis P. Association Between Aggressive Clinicopathologic Features of Papillary Thyroid Carcinoma and Body Mass Index: A Systematic Review and Meta-Analysis. Frontiers in Endocrinology [Internet]. 2021 Jun 30 [cited 2022 Mar 9];12. Available from: /pmc/articles/PMC8279812/ 43. Cuervo Martínez JA, Osorio Luz K, Romero Rojas AE, Olaya Morales N. Caracterización clínica e histopatológica del carcinoma papilar de tiroides en el instituto nacional de cancerología E.S.E., bogotá-colombia durante los años 2006 a 2012. Revista Colombiana de Cancerología. 2013 Dec 1;17(4):188. 44. Ospina M ML. Observatorio Nacional de Cáncer Colombia. Revista Facultad Nacional de Salud Pública [Internet]. 2015 Jun 1 [cited 2021 May 19];33(2):262–76. Available from: http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S0120- 386X2015000200013&lng=en&nrm=iso&tlng=es 45. Centro Cochrane Iberoamericano traductores. Manual Cochrane de revisiones sistemáticas de intervenciones, versión 5.1.0 [Internet]. [cited 2022 Apr 23]. Available from: https://www.cochrane.es/?q=es/node/269. 46. Wells G, Shea B, O´Connell D, Peterson J, Welch V, Losos M, et al. The NewcastleOttawa Scale (NOS) for assessing the quality of nonrandomised studies in metaanalyses [Internet]. [cited 2022 Apr 23]. Available from: http://www.ohri.ca/programs/clinical_epidemiology/oxford.asp 47. Manterola C, Otzen T. Los Sesgos en Investigación Clínica Bias in Clinical Research. Int J Morphol. 2015;33(3):1156–64. 48. Manterola C, Astudillo P, Arias E, Claros N. Systematic Reviews of the Literature: What Should be Known About Them. Cirugía Española (English Edition) [Internet]. 2013 Mar 1 [cited 2022 Apr 23];91(3):149–55. Available from: https://www.elsevier.es/en-revista-cirugia-espanola-english-edition--436-articulosystematic-reviews-literature-what-should-S2173507713000914 49. Felson DT. Bias in meta-analytic research. Journal of Clinical Epidemiology [Internet]. 1992 Aug 1 [cited 2022 Apr 23];45(8):885–92. Available from: http://www.jclinepi.com/article/089543569290072U/fulltext50. García-Perdomo HA. Conceptos fundamentales de las revisiones sistemáticas/metaanálisis. Urología Colombiana [Internet]. 2015 Apr 1 [cited 2022 Apr 23];24(1):28–34. Available from: https://www.elsevier.es/es-revista-urologiacolombiana-398-articulo-conceptos-fundamentales-revisiones-sistematicasmetaanalisis-S0120789X15000076 51. Oliveros H. La heterogeneidad en los metaanálisis, ¿es nuestra mejor aliada? Revista Colombiana de Anestesiología [Internet]. 2015 Jul 1 [cited 2022 Apr 23];43(3):176– 8. Available from: https://www.elsevier.es/es-revista-revista-colombianaanestesiologia-341-articulo-la-heterogeneidad-metaanalisis-es-nuestraS012033471500060X 52. Delgado-Rodríguez M, Sillero-Arenas M. Systematic review and meta-analysis. Medicina Intensiva. 2018 Oct 1;42(7):444–53. 53. Resolución 8430 de 1993 - Colombia [Internet]. [cited 2022 May 25]. Available from: https://www.redjurista.com/Documents/resolucion_8430_de_1993.aspx#/ 54. Page M, McKenzie J, Bossuyt P, Boutron I, Hoffmann T, Mulrow C. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. [cited 2022 Apr 23]; Available from: http://www.prismastatement.org/PRISMAStatement/FlowDiagram.aspx 55. Abdel-Rahman O. Prediagnostic BMI and thyroid cancer incidence in the PLCO trial. https://doi.org/102217/fon-2019-0292 [Internet]. 2019 Oct 24 [cited 2022 Apr 23];15(30):3451–6. Available from: https://www.futuremedicine.com/doi/abs/10.2217/fon-2019-0292 56. Ahn D, Heo SJ, Park JH, Kim JH, Sohn JH, Park JY, et al. Clinical relationship between Hashimoto’s thyroiditis and papillary thyroid cancer. http://dx.doi.org/103109/0284186X2011602109 [Internet]. 2011 Nov [cited 2022 Apr 23];50(8):1228–34. Available from: https://www.tandfonline.com/doi/abs/10.3109/0284186X.2011.602109 57. Apostolou K, Zivaljevic V, Tausanovic K, Zoric G, Chelidonis G, Slijepcevic N, et al. Prevalence and risk factors for thyroid cancer in patients with multinodular goitre. BJS Open [Internet]. 2021 Mar 5 [cited 2022 Apr 23];5(2). Available from: https://academic.oup.com/bjsopen/article/5/2/zraa014/6054049 58. Bae MJ, Kim SS, Kim WJ, Yi YS, Jeon YK, Kim BH, et al. High prevalence of papillary thyroid cancer in Korean women with insulin resistance. Head & Neck [Internet]. 2016 Jan 1 [cited 2022 Apr 23];38(1):66–71. Available from: https://onlinelibrary.wiley.com/doi/full/10.1002/hed.2384859. Bushnik T, Evans WK. Sociodemographic characteristics associated with thyroid cancer risk in Canada. Health Rep [Internet]. 2018 [cited 2022 Apr 23];29(10):3–11. Available from: https://pubmed.ncbi.nlm.nih.gov/30329144/ 60. Cash SW, Ma H, Horn-Ross PL, Reynolds P, Canchola AJ, Sullivan-Halley J, et al. Recreational physical activity and risk of papillary thyroid cancer among women in the California Teachers Study. Cancer Epidemiology. 2013 Feb 1;37(1):46–53. 61. Clarke CA, Reynolds P, Oakley-Girvan I, Lee E, Lu Y, Yang J, et al. Indicators of microbial-rich environments and the development of papillary thyroid cancer in the California Teachers Study. Cancer Epidemiology. 2015 Aug 1;39(4):548–53. 62. Handelsman RS, Alvarez AL, Picado O, Farrá JC, Lew JI. Inverse Relationship of BMI to TSH and Risk of Papillary Thyroid Cancer in Surgical Patients. Journal of Surgical Research [Internet]. 2019 Dec 1 [cited 2022 Apr 23];244:96–101. Available from: http://www.journalofsurgicalresearch.com/article/S0022480419304044/fulltext 63. Horn-Ross PL, Canchola AJ, Ma H, Reynolds P, Bernstein L. Hormonal Factors and the Risk of Papillary Thyroid Cancer in the California Teachers Study Cohort. Cancer Epidemiol Biomarkers Prev [Internet]. 2011 Aug [cited 2022 Apr 23];20(8):1751. Available from: /pmc/articles/PMC3288117/ 64. Huang F, Cong W, Xiao J, Zhou Y, Gong M, Sun J, et al. Association between excessive chronic iodine exposure and the occurrence of papillary thyroid carcinoma. Oncology Letters [Internet]. 2020 Nov 1 [cited 2022 Apr 23];20(5). Available from: /pmc/articles/PMC7479532/ 65. Kabat GC, Kim MY, Wactawski-Wende J, Rohan TE. Smoking and alcohol consumption in relation to risk of thyroid cancer in postmenopausal women. Cancer Epidemiology. 2012 Aug 1;36(4):335–40. 66. Kim KW, Park YJ, Kim EH, Park SY, Park DJ, Ahn SH, et al. Elevated risk of papillary thyroid cancer in Korean patients with Hashimoto’s thyroiditis. Head Neck [Internet]. 2011 May [cited 2022 Apr 23];33(5):691–5. Available from: https://pubmed.ncbi.nlm.nih.gov/21484918/ 67. Kwon H, Chang Y, Cho A, Ahn J, Park SE, Park CY, et al. Metabolic Obesity Phenotypes and Thyroid Cancer Risk: A Cohort Study. Thyroid [Internet]. 2019 Mar 1 [cited 2022 Apr 23];29(3):349–58. Available from: https://www.liebertpub.com/doi/full/10.1089/thy.2018.0327 68. Little MP, Lim H, Friesen MC, Preston DL, Doody MM, Sigurdson AJ, et al. Assessment of thyroid cancer risk associated with radiation dose from personal diagnostic examinations in a cohort study of US radiologic technologists, followed1983–2014. BMJ Open [Internet]. 2018 May 1 [cited 2022 Apr 23];8(5):e021536. Available from: https://bmjopen.bmj.com/content/8/5/e021536 69. Ludvigsson JF, Lebwohl B, Kämpe O, Murray JA, Green PH, Ekbom A. Risk of Thyroid Cancer in a Nationwide Cohort of Patients with Biopsy-Verified Celiac Disease. Thyroid [Internet]. 2013 Aug 1 [cited 2022 Apr 23];23(8):971. Available from: /pmc/articles/PMC3752514/ 70. Prokopakis EP, Kaprana A, Karatzanis A, Velegrakis GA, Melissas J, Chalkiadakis G. Association between the increase in incidence of papillary thyroid carcinoma in Crete and exposure to radioactive agents. Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale [Internet]. 2018 Aug 1 [cited 2022 Apr 23];38(4):310–5. Available from: https://pubmed.ncbi.nlm.nih.gov/29498716/ 71. Sado J, Kitamura T, Sobue T, Sawada N, Iwasaki M, Sasazuki S, et al. Risk of thyroid cancer in relation to height, weight, and body mass index in Japanese individuals: a population‐based cohort study. Cancer Medicine [Internet]. 2018 May 1 [cited 2022 Apr 23];7(5):2200. Available from: /pmc/articles/PMC5943544/ 72. Sen A, Tsilidis KK, Allen NE, Rinaldi S, Appleby PN, Almquist M, et al. Baseline and lifetime alcohol consumption and risk of differentiated thyroid carcinoma in the EPIC study. British Journal of Cancer 2015 113:5 [Internet]. 2015 Aug 27 [cited 2022 Apr 23];113(5):840–7. Available from: https://www.nature.com/articles/bjc2015280 73. Son H, Lee H, Kang K, Lee I. The risk of thyroid cancer and obesity: A nationwide population-based study using the Korea National Health Insurance Corporation cohort database. Surgical Oncology. 2018 Jun 1;27(2):166–71. 74. Sonu IS, Blonski W, Lin MV, Lewis J, Aberra F, Lichtenstein GR. Papillary thyroid cancer and inflammatory bowel disease: Is there a relationship? World Journal of Gastroenterology : WJG [Internet]. 2013 [cited 2022 Apr 23];19(7):1079. Available from: /pmc/articles/PMC3581995/ 75. Stansifer KJ, Guynan JF, Wachal BM, Smith RB. Modifiable Risk Factors and Thyroid Cancer. Otolaryngology-Head and Neck Surgery [Internet]. 2015 Dec 30 [cited 2022 Apr 23];152(3):432–7. Available from: https://journals.sagepub.com/doi/10.1177/0194599814564537?url_ver=Z39.88- 2003&rfr_id=ori%3Arid%3Acrossref.org&rfr_dat=cr_pub++0pubmed 76. Sun LM, Chung LM, Lin CL, Kao CH. Uterine Fibroids Increase the Risk of Thyroid Cancer. International Journal of Environmental Research and Public Health [Internet]. 2020 Jun 1 [cited 2022 Apr 23];17(11). Available from: /pmc/articles/PMC731207077. Weeks KS, Kahl AR, Lynch CF, Charlton ME. Racial/Ethnic Differences in Thyroid Cancer Incidence in the United States, 2007-2014. Cancer [Internet]. 2018 Apr 1 [cited 2022 Apr 23];124(7):1483. Available from: /pmc/articles/PMC5867235/ 78. Xu H, Pang Y, Li X, Zha B, He T, Ding H. Monocyte to high‐density lipoprotein cholesterol ratio as an independent risk factor for papillary thyroid carcinoma. Journal of Clinical Laboratory Analysis [Internet]. 2021 Nov 1 [cited 2022 Apr 23];35(11). Available from: /pmc/articles/PMC8605115/ 79. Zamora-Ros R, Rinaldi S, Biessy C, Tjønneland A, Halkjær J, Fournier A, et al. Reproductive and menstrual factors and risk of differentiated thyroid carcinoma: the EPIC study. Int J Cancer [Internet]. 2015 Mar 1 [cited 2022 Apr 23];136(5):1218– 27. Available from: https://pubmed.ncbi.nlm.nih.gov/25041790/ 80. Zhang D, Jones RR, James P, Kitahara CM, Xiao Q. Associations between artificial light at night and risk for thyroid cancer: A large US cohort study. Cancer [Internet]. 2021 May 1 [cited 2022 Apr 23];127(9):1448–58. Available from: https://onlinelibrary.wiley.com/doi/full/10.1002/cncr.33392 81. Zhang D, Jones RR, James P, Kitahara CM, Xiao Q. Associations between artificial light at night and risk for thyroid cancer: A large US cohort study. Cancer. 2021 May 1;127(9):1448–58. 82. Clarke CA, Reynolds P, Oakley-Girvan I, Lee E, Lu Y, Yang J, et al. Indicators of microbial-rich environments and the development of papillary thyroid cancer in the California Teachers Study. Cancer Epidemiol. 2015 Aug 1;39(4):548–53. 83. Hidalgo DS. Descripción de una cohorte de pacientes diagnosticados con Cáncer Papilar de Tiroides en Bogotá durante el periodo de 1993 a 2011. [Internet]. Bogota; 2021 [cited 2022 May 25]. Available from: http://hdl.handle.net/20.500.12495/6372 84. Williams RR. Breast and Thyroid Cancer and malignant melanoma promoted by alcohol-induced pituitary secretion of prolactine, T.S.H., and M.S.H. The Lancet [Internet]. 1976 May 8 [cited 2022 Apr 24];307(7967):996–9. Available from: http://www.thelancet.com/article/S0140673676918651/fulltext 85. Mack W, Preston-M S, Dal Maso L, Galanti R. A pooled analysis of case-control studies of thyroid cancer: Cigarette smoking and consumption of alcohol, coffee, and tea. Cancer Causes & Control [Internet]. 2003 Oct [cited 2022 Apr 28];14(8). Available from: https://www.proquest.com/docview/213062107 86. Meinhold CL, Park Y, Stolzenberg-Solomon RZ, Hollenbeck AR, Schatzkin A, Berrington De Gonzalez A. Alcohol intake and risk of thyroid cancer in the NIHAARP Diet and Health Study. British Journal of Cancer 2009 101:9 [Internet]. 2009 Sep 29 [cited 2022 Apr 24];101(9):1630–4. Available from: https://www.nature.com/articles/660533787. Allen NE, Beral V, Casabonne D, Kan SW, Reeves GK, Brown A, et al. Moderate alcohol intake and cancer incidence in women. J Natl Cancer Inst [Internet]. 2009 Mar [cited 2022 Apr 24];101(5):296–305. Available from: https://pubmed.ncbi.nlm.nih.gov/19244173/ 88. Iribarren C, Haselkorn T, Tekawa IS, Friedman GD. Cohort study of thyroid cancer in a San Francisco Bay area population. Int J Cancer [Internet]. 2001 Sep 1 [cited 2022 Apr 24];93(5):745–50. Available from: https://pubmed.ncbi.nlm.nih.gov/11477590/ 89. la Vecchia C, Ron E, Franceschi S, Dal Maso L, Mark SD, Chatenoud L, et al. A pooled analysis of case-control studies of thyroid cancer. Oral contraceptives, menopausal replacement therapy and other female hormones. Cancer Causes & Control 1999 10:2 [Internet]. 1999 [cited 2022 Apr 24];10(2):157–66. Available from: https://link-springercom.proxy.bidig.areandina.edu.co/article/10.1023/A:1008832513932 90. Preston-Martin S, Jin F, Duda MJ, Mack WJ. A case-control study of thyroid cancer in women under age 55 in Shanghai (People’s Republic of China). Cancer Causes Control [Internet]. 1993 Sep [cited 2022 Apr 24];4(5):431–40. Available from: https://pubmed.ncbi.nlm.nih.gov/8218875/ 91. Memon A, Darif M, Al-Saleh K, Suresh A. Epidemiology of reproductive and hormonal factors in thyroid cancer: evidence from a case-control study in the Middle East. Int J Cancer [Internet]. 2002 Jan 1 [cited 2022 Apr 24];97(1):82–9. Available from: https://pubmed.ncbi.nlm.nih.gov/11774247/ 92. Navarro Silvera SA, Miller AB, Rohan TE. Risk factors for thyroid cancer: a prospective cohort study. Int J Cancer [Internet]. 2005 Sep 1 [cited 2022 Apr 24];116(3):433–8. Available from: https://pubmed.ncbi.nlm.nih.gov/15818623/ 93. Rossing MA, Voigt LF, Wicklund KG, Williams M, Daling JR. Use of exogenous hormones hormones and risk of papillary thyroid cancer (Washington, United States). Cancer Causes Control [Internet]. 1998 [cited 2022 Apr 24];9(3):341–9. Available from: https://pubmed.ncbi.nlm.nih.gov/9684714/ 94. Shin S, Sawada N, Saito E, Yamaji T, Iwasaki M, Shimazu T, et al. Menstrual and reproductive factors in the risk of thyroid cancer in Japanese women: the Japan Public Health Center-Based Prospective Study. Eur J Cancer Prev [Internet]. 2018 [cited 2022 Apr 24];27(4):361–9. Available from: https://pubmed.ncbi.nlm.nih.gov/28118209/ 95. Kim KN, Hwang Y, Kim KH, Lee KE, Park YJ, Kim S jin, et al. Adolescent overweight and obesity and the risk of papillary thyroid cancer in adulthood: a largescale case-control study. Scientific Reports 2020 10:1 [Internet]. 2020 Mar 19 [cited2022 Apr 24];10(1):1–9. Available from: https://www.nature.com/articles/s41598- 020-59245-3 96. Hwang Y, Lee KE, Park YJ, Kim SJ, Kwon H, Park DJ, et al. Annual Average Changes in Adult Obesity as a Risk Factor for Papillary Thyroid Cancer: A LargeScale Case-Control Study. Medicine [Internet]. 2016 Mar 4 [cited 2022 Apr 24];95(9). Available from: https://pubmed.ncbi.nlm.nih.gov/26945379/ 97. Keum N, Greenwood DC, Lee DH, Kim R, Aune D, Ju W, et al. Adult weight gain and adiposity-related cancers: a dose-response meta-analysis of prospective observational studies. J Natl Cancer Inst [Internet]. 2015 Feb 1 [cited 2022 Apr 24];107(2). Available from: https://pubmed.ncbi.nlm.nih.gov/25757865/ 98. Suzuki T, Matsuo K, Hasegawa Y, Hiraki A, Kawase T, Tanaka H, et al. Anthropometric factors at age 20 years and risk of thyroid cancer. Cancer Causes Control [Internet]. 2008 Dec [cited 2022 Apr 24];19(10):1233–42. Available from: https://pubmed.ncbi.nlm.nih.gov/18618280/ 99. Kitahara CM, Gamborg M, de González AB, Sørensen TIA, Baker JL. Childhood height and body mass index were associated with risk of adult thyroid cancer in a large cohort study. Cancer Res [Internet]. 2014 Jan 1 [cited 2022 Apr 24];74(1):235– 42. Available from: https://pubmed.ncbi.nlm.nih.gov/24247722/ 100. Faure E, Soutelo MJ, Fritz MC, Martin A, Musri Y, Lufti R. Asociación entre índice de masa corporal y agresividad del carcinoma papilar de tiroides. [cited 2022 Apr 24]; Available from: http://www.scielo.org.ar/scielo.php?script=sci_arttext&pid=S0025- 76802018000300001&lng=es&nrm=iso 101. Kitahara CM, Platz EA, Beane Freeman LE, Hsing AW, Linet MS, Park Y, et al. Obesity and thyroid cancer risk among U.S. men and women: a pooled analysis of five prospective studies. Cancer Epidemiol Biomarkers Prev [Internet]. 2011 Mar [cited 2022 Apr 24];20(3):464–72. Available from: https://pubmed.ncbi.nlm.nih.gov/21266520/ 102. Paes JE, Hua K, Nagy R, Kloos RT, Jarjoura D, Ringel MD. The relationship between body mass index and thyroid cancer pathology features and outcomes: a clinicopathological cohort study. J Clin Endocrinol Metab [Internet]. 2010 [cited 2022 Apr 24];95(9):4244–50. Available from: https://pubmed.ncbi.nlm.nih.gov/20519347/ 103. Mijović T, How J, Pakdaman M, Rochon L, Gologan O, Hier MP, et al. Body mass index in the evaluation of thyroid cancer risk. Thyroid [Internet]. 2009 [cited 2022 Apr 24];19(5):467–72. Available from: https://pubmed.ncbi.nlm.nih.gov/19415996/104. Liu Y, Li C, Zhao W, Wang Y. Hashimoto’s Thyroiditis is an Important Risk Factor of Papillary Thyroid Microcarcinoma in Younger Adults. Hormone and metabolic research = Hormon- und Stoffwechselforschung = Hormones et metabolisme [Internet]. 2017 Oct 1 [cited 2022 Apr 24];49(10):732–8. Available from: https://pubmed.ncbi.nlm.nih.gov/28859207/ 105. Lun Y, Wu X, Xia Q, Han Y, Zhang X, Liu Z, et al. Hashimoto’s thyroiditis as a risk factor of papillary thyroid cancer may improve cancer prognosis. Otolaryngol Head Neck Surg [Internet]. 2013 Mar [cited 2022 Apr 24];148(3):396–402. Available from: https://pubmed.ncbi.nlm.nih.gov/23300224/ 106. Kilfoy BA, Devesa SS, Ward MH, Zhang Y, Rosenberg PS, Holford TR, et al. Gender is an age-specific effect modifier for papillary cancers of the thyroid gland. Cancer Epidemiol Biomarkers Prev [Internet]. 2009 Apr [cited 2022 Apr 24];18(4):1092. Available from: /pmc/articles/PMC2667567/ 107. Kauffmann RM, Hamner JB, Ituarte PHG, Yim JH. Age greater than 60 years portends a worse prognosis in patients with papillary thyroid cancer: should there be three age categories for staging? BMC Cancer [Internet]. 2018 Mar 22 [cited 2022 Apr 24];18(1). Available from: https://pubmed.ncbi.nlm.nih.gov/29566662/ 108. Myung SK, Lee CW, Lee J, Kim J, Kim HS. Risk Factors for Thyroid Cancer: A Hospital-Based Case-Control Study in Korean Adults. Cancer Res Treat [Internet]. 2017 [cited 2022 Apr 24];49(1):70–8. 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