Evidence map›Paper›PMID 27186567›Full record

ArticleAnnals of surgical treatment and research2016

A comparative study of postoperative pain for open thyroidectomy versus bilateral axillo-breast approach robotic thyroidectomy using a self-reporting application for iPad.

Young Jun Chai, Junho Song, Jiyoung Kang, Jung-Woo Woo, Ra-Yeong Song, Hyungju Kwon, Su-Jin Kim, June Young Choi, Kyu Eun Lee

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In one paragraph

Article in Annals of surgical treatment and research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 10 pooled it
–field-weighted citation impact
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

30 citing papers in PubMed, 10 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Postoperative pain outcomes following thyroidectomy: a systematic review and network meta-analysis of various surgical approaches.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
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  7. Conversion rates in robotic thyroid surgery: A systematic review and meta-analysis.The international journal of medical robotics + computer assisted surgery : MRCAS · 2022
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  19. Endoscopic thyroidectomy using gasless axillary approach for low-risk papillary thyroid carcinoma.Zhejiang da xue xue bao. Yi xue ban = Journal of Zhejiang University. Medical sciences · 2021
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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

9 authors.

Young Jun ChaiDepartment of Surgery, Seoul Metropolitan Government-Seoul National University Boramae Medical Center, Seoul, Korea.; Cancer Research Institute, Seoul National University College of Medicine, Seoul, Korea.
Junho SongGraduate School of Convergence Science and Technology, Seoul National University, Suwon, Korea.
Jiyoung KangDepartment of Nursing, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.
Jung-Woo WooCancer Research Institute, Seoul National University College of Medicine, Seoul, Korea.; Department of Surgery, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.
Ra-Yeong SongCancer Research Institute, Seoul National University College of Medicine, Seoul, Korea.; Department of Surgery, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.
Hyungju KwonCancer Research Institute, Seoul National University College of Medicine, Seoul, Korea.; Department of Surgery, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.
Su-Jin KimCancer Research Institute, Seoul National University College of Medicine, Seoul, Korea.; Department of Surgery, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.
June Young ChoiDepartment of Surgery, Seoul National University Bundang Hospital, Seongnam, Korea.
Kyu Eun LeeCancer Research Institute, Seoul National University College of Medicine, Seoul, Korea.; Department of Surgery, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePostoperative pain for robotic thyroid surgeries including bilateral axillo-breast approach (BABA) has not been well studied. In this study, we have developed a self-reporting application (SRA) for iPad and prospectively collected pain scores from open thyroidectomy (OT) and BABA robotic thyroidectomy (RT) patients.

methodsFemale patients who underwent total thyroidectomy for papillary thyroid carcinoma were included. Patients recorded pain scores for throat, anterior neck, posterior neck, chest, and back on postoperative days 1, 2, and 3. Once discharged, on postoperative day 14, a survey was also conducted on satisfaction of SRA and cosmesis.

resultsA total of 54 patients were enrolled (27 BABA RT and 27 OT). There were no significant differences between the 2 groups in clinicopathological characteristics and postoperative complication rates. Postoperative pain scores at days 1, 2, 3, and 14 were not significantly different between the groups for throat, anterior neck, posterior neck, or back. Postoperative analgesic requirements were similar between the 2 groups. Wound satisfaction scores were significantly higher in the BABA RT group (BABA RT 7.4 vs. OT 5.7; P = 0.016). Satisfaction scores for the usefulness of SRA were above 7.2 for all four questionnaire items on the 10-point scale.

conclusionPostoperative pain for BABA RT is equivalent to OT but offers greater cosmetic satisfaction for patients. A mobile device application such as SRA may facilitate proper assessment and management of pain in postoperative patients.

Indexed as

BABABilateral axillo-breast approachiPADPostoperative painRobotic thyroidectomy

Identifiers

PMID27186567
PMCPMC4865700

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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.