Evidence map›Paper›PMID 27054033›Full record

ArticleAnnals of medicine and surgery (2012)2016

Evaluation of the minimally invasive parathyroidectomy in patients with primary hyperparathyroidism: A retrospective cohort study.

Sayoko Toriie, Takeki Sugimoto, Norihiro Hokimoto, Taku Funakoshi, Maho Ogawa, Toyokazu Oki, Ken Dabanaka, Tsutomu Namikawa, Akihiro Sakurai, Kazuhiro Hanazaki

Open access · diamondAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Annals of medicine and surgery (2012), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 40% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Observational
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 2 institutions in 1 country.

Sayoko ToriieDepartment of Surgery, Kochi Medical School, Kochi University, Japan.
Takeki SugimotoDepartment of Surgery, Kochi Medical School, Kochi University, Japan.
Norihiro HokimotoDepartment of Surgery, Kochi Medical School, Kochi University, Japan.
Taku FunakoshiDepartment of Surgery, Kochi Medical School, Kochi University, Japan.
Maho OgawaDepartment of Surgery, Kochi Medical School, Kochi University, Japan.
Toyokazu OkiDepartment of Surgery, Kochi Medical School, Kochi University, Japan.
Ken DabanakaDepartment of Surgery, Kochi Medical School, Kochi University, Japan.
Tsutomu NamikawaDepartment of Surgery, Kochi Medical School, Kochi University, Japan.
Akihiro SakuraiDepartment of Genetic Medicine, Sapporo Medical University, Japan.
Kazuhiro HanazakiDepartment of Surgery, Kochi Medical School, Kochi University, Japan.
Kōchi University · JPSapporo Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAn accurate differential diagnosis between single adenoma (SA) and multiglandular disease (MGD) remains difficult in Technetium-99m sestamibi scintigraphy (MIBI)-negative patients with primary hyperparathyroidism (PHPT). The aim of the present study was to evaluate the minimally invasive parathyroidectomy (MIP) in patients with PHPT.

methodsClinical records of 48 patients who underwent neck exploration between November 2002 and June 2012 in Kochi Medical School Hospital were reviewed retrospectively to identify candidates that underwent for MIP which was defined as the selective removal of a SA using less invasive surgery.

resultsThe preoperative detection rate of lesions using ultrasonography, MIBI, computed tomography, and magnetic resonance imaging was 90%, 83%, 76%, and 55%, respectively. Although all 39 patients in the MIBI-positive group were diagnosed with an SA and subsequently underwent curative MIP, 3 patients in MIBI-negative group (n = 6) were MGD, who underwent neck exploration. Preoperative mean intact parathyroid hormone (419 pg/ml vs. 149 pg/ml; P < 0.01) and alkaline phosphatase levels (746 U/l vs. 277 U/l; P < 0.01) were significantly higher in the SA than MGD group.

conclusionsIn MIBI-negative patients with indications for surgery, MIP should not be carried out without a clear localization of SA, or in MGD.

Indexed as

HypercalcemiaMinimally invasive parathyroidectomy (MIP)Primary hyperparathyroidism (PHPT)Tc-99m sestamibi scintigraphy

Identifiers

PMID27054033
PMCPMC4802411
OpenAlexW2295989699

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

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.