Evidence map›Paper›PMID 26858014›Full record

GuidelineThyroid : official journal of the American Thyroid Association2016

American Thyroid Association Statement on Remote-Access Thyroid Surgery.

Eren Berber, Victor Bernet, Thomas J Fahey, Electron Kebebew, Ashok Shaha, Brendan C Stack, Michael Stang, David L Steward, David J Terris, American Thyroid Association Surgical Affairs Committee

Registry-linked trialAbstract readPractice GuidelineReview
In one paragraph

Guideline in Thyroid : official journal of the American Thyroid Association, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05263141 (Single-center, Prospective, Non-Randomized Control Clinical Trial of Retro-Auricular Single-Site Endoscopic Versus Open Surgery in Patients With Early Stage Papillary Thyroid Carcinoma), which is not on this map. Cited by 111 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
111citing papers in PubMed, 5 pooled it
22.3field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05263141 nacompletednot on this mapstarted 2022, after this paper: background citation

Single-center, Prospective, Non-Randomized Control Clinical Trial of Retro-Auricular Single-Site Endoscopic Versus Open Surgery in Patients With Early Stage Papillary Thyroid Carcinoma

TypeinterventionalSponsorSun Yat-sen UniversityRan2022 to 2024Enrolled80ConditionsPapillary Thyroid CarcinomaArmsretro-auricular single-site endoscopic thyroidectomy, traditional open surgery thyroidectomy
3 · Its place in the literature

Who cites it

111 citing papers in PubMed, 5 syntheses or guidelines pooled it, 240 citations in OpenAlex.

  1. [Progress in the application of robotic technology in thyroid surgery].Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2025
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  5. Transoral Endoscopic Thyroidectomy: A Systematic Review of the Practice So Far.JSLS : Journal of the Society of Laparoendoscopic Surgeons
    Pooled it
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51 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 6 institutions in 1 country.

Eren Berber1 Department of Endocrine Surgery, Cleveland Clinic , Cleveland, Ohio.
Victor Bernet2 Division of Endocrinology, Mayo Clinic , Jacksonville, Florida.
Thomas J Fahey3 Department of Endocrine Surgery, Weill Cornell Medical College/New York Presbyterian Hospital , New York, New York.
Electron Kebebew4 Endocrine Oncology Branch, National Cancer Institutes of Health , Bethesda, Maryland.
Ashok Shaha5 Department of Head and Neck Surgery, Memorial Sloan-Kettering Cancer Center , New York, New York.
Brendan C Stack6 Department of Otolaryngology-Head and Neck Surgery, University of Arkansas for Medical Sciences , Little Rock, Arkansas.
Michael Stang7 Division of Endocrine Surgery, University of Pittsburgh Medical Center , Pittsburgh, Pennsylvania.
David L Steward8 Department of Otolaryngology-Head and Neck Surgery, University Hospital , Cincinnati, Ohio.
David J Terris9 Department of Otolaryngology, Augusta University , Augusta, Georgia .
American Thyroid Association Surgical Affairs Committee
Augusta University · USCleveland Clinic · USMemorial Sloan Kettering Cancer Center · USUniversity of Arkansas for Medical Sciences · USUniversity of Pittsburgh Medical Center · USWinnMed · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

backgroundRemote-access techniques have been described over the recent years as a method of removing the thyroid gland without an incision in the neck. However, there is confusion related to the number of techniques available and the ideal patient selection criteria for a given technique. The aims of this review were to develop a simple classification of these approaches, describe the optimal patient selection criteria, evaluate the outcomes objectively, and define the barriers to adoption.

methodsA review of the literature was performed to identify the described techniques. A simple classification was developed. Technical details, outcomes, and the learning curve were described. Expert opinion consensus was formulated regarding recommendations for patient selection and performance of remote-access thyroid surgery.

resultsRemote-access thyroid procedures can be categorized into endoscopic or robotic breast, bilateral axillo-breast, axillary, and facelift approaches. The experience in the United States involves the latter two techniques. The limited data in the literature suggest long operative times, a steep learning curve, and higher costs with remote-access thyroid surgery compared with conventional thyroidectomy. Nevertheless, a consensus was reached that, in appropriate hands, it can be a viable option for patients with unilateral small nodules who wish to avoid a neck incision.

conclusionsRemote-access thyroidectomy has a role in a small group of patients who fit strict selection criteria. These approaches require an additional level of expertise, and therefore should be done by surgeons performing a high volume of thyroid and robotic surgery.

Indexed as

EndoscopyRobotic Surgical ProceduresSocieties, MedicalAxillaBreastClinical CompetenceConsensusCost-Benefit AnalysisFemaleHealth Care CostsHumansLearning CurveMalePatient SelectionRisk FactorsThyroidectomy

Identifiers

PMID26858014
PMCPMC4994052
OpenAlexW2302490905

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.