ArticleWorld journal of surgery2014
Novel thyroidectomy difficulty scale correlates with operative times.
Article in World journal of surgery, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 48 citations in OpenAlex.
- The significance of Hashimoto's thyroiditis for postoperative complications of thyroid surgery: a systematic review and meta-analysis.Annals of the Royal College of Surgeons of England · 2021Pooled it
- Aligning perspectives: towards a standardized concept of "complexity" in thyroid surgery. An international web-based survey.Updates in surgery · 2026Article
- Serum-negative chronic thyroiditis: an insidious nosographic entity cause of hypothyroidism, goiter and difficult thyroidectomy.Endocrine · 2025Article
- Exploring Post-Thyroidectomy Hypocalcemia in the Background of Thyroiditis- A Comparative Study.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2025Article
- Nomogram for predicting difficult transoral and submental thyroidectomy: a retrospective model development and validation study with large-scale population.Surgical endoscopy · 2025Article
- Evaluation of Preoperative Factors as Predictors of Difficult Thyroidectomy: A Prospective Study.Cureus · 2025Article
- Analysis of preoperative influential factors and construction of a predictive nomogram of difficult thyroidectomy.BMC surgery · 2023Article
- Risk factors for difficult thyroidectomy and postoperative morbidity do not match: retrospective study from an endocrine surgery academic referral centre.Updates in surgery · 2022Article
- Safety and Feasibility of Robotic Transaxillary Thyroidectomy for Graves' Disease: A Retrospective Cohort Study.World journal of surgery · 2022Article
- Preoperative Serum Macrophage Migration Inhibitory Factor Level Correlates with Surgical Difficulty and Outcome in Patients with Autoimmune Thyroiditis.Journal of clinical medicine · 2021Article
- Efficacy and safety of preoperative preparation with Lugol's iodine solution in euthyroid patients with Graves' disease (LIGRADIS Trial): Study protocol for a multicenter randomized trial.Contemporary clinical trials communications · 2021Article
- Patient, thyroid, and surgeon related factors that make thyroidectomy difficult-cohort study.Annals of medicine and surgery (2012) · 2020Article
- Influence of Daily Variations in Individual Surgeon's Operative Time on Patient Outcomes.World journal of surgery · 2019Article
- An evaluation score of the difficulty of thyroidectomy considering operating time and preservation of recurrent laryngeal nerve.Updates in surgery · 2019Article
- May predictors of difficulty in thyroid surgery increase the incidence of complications? Prospective study with the proposal of a preoperative score.BMC surgery · 2019Article
- Impact of potassium iodide on thyroidectomy for Graves' disease: Implications for safety and operative difficulty.Surgery · 2018Article
- Comparison of Bilateral Axillo-Breast Approach Robotic Thyroidectomy with Open Thyroidectomy for Graves' Disease.World journal of surgery · 2016Article
- Substernal goiter: when is a sternotomy required?The Journal of surgical research · 2015Article
- Identifying predictors of a difficult thyroidectomy.The Journal of surgical research · 2014Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundThe aim of this study was to evaluate a new thyroidectomy difficulty scale (TDS) for its inter-rater agreement, correspondence with operative times, and correlation with complications.
methodsWe developed a four item, 20-point TDS. Following cases where two board-certified surgeons participated, each surgeon completed a TDS, blinded to the other's responses. Paired sets of TDS scores were compared. The relationship between operative time and TDS scores was analyzed with linear regression. Multiple regression evaluated the association of TDS scores and other clinical data with operative times.
resultsA total of 119 patients were scored using TDS. In this cohort, 22.7% suffered from hyperthyroidism, 37.8% experienced compressive symptoms, and 58.8% had cancer. The median total TDS score was 8, and both surgeons' total scores exhibited a high degree of correlation. Overall, 87.4% of the two raters' total scores were within one point of each other. Patients with hyperthyroidism received higher median scores than euthyroid patients (10 vs. 8, p < 0.01). Similarly, patients who suffered a complication had higher scores than those without complications (10 vs. 8, p = 0.04). TDS scores demonstrated a linear relation with operative times (R2 = 0.36, p < 0.01). Cases with a score of ≥14 took 41.0% longer compared to cases with scores of ≤5 (p < 0.01). In the multiple regression analysis, TDS scores independently predicted the operative time (p < 0.01).
conclusionThe TDS is an accurate tool whose scores correlate with more difficult thyroidectomies as measured by complications and operative times.
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