Evidence map›Paper›PMID 27510155›Full record

ArticleDer Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen2017

[Complications after thyroid gland operations in Germany : A routine data analysis of 66,902 AOK patients].

M Maneck, C Dotzenrath, H Dralle, C Fahlenbrach, R Paschke, T Steinmüller, E Tusch, E Jeschke, C Günster

Abstract read
PubMed Publisher
In one paragraph

Article in Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
4.1field-weighted citation impact, top 6% 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

14 citing papers in PubMed, 30 citations in OpenAlex.

  1. Observational
  2. The impact of 4DryField PH on hemostasis and postoperative drain placement in thyroid surgery.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 · 2025
    Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Review
  9. Accreditation of endocrine surgery units.Langenbeck's archives of surgery · 2019
    Review
  10. Article
  11. Article
  12. Review
  13. Review
  14. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 7 institutions in 1 country.

M ManeckWissenschaftliches Institut der AOK, Rosenthaler Str. 31, 10178, Berlin, Deutschland. Matthias.Maneck@wido.bv.aok.de.
C DotzenrathKlinik für Endokrine Chirurgie, Helios Klinikum Wuppertal, Wuppertal, Deutschland.
H DralleUniversitätsklinik für Allgemein-, Viszeral- und Gefäßchirurgie, Universitätsklinikum Halle (Saale), Halle (Saale), Deutschland.
C FahlenbrachAOK-Bundesverband, Berlin, Deutschland.
R PaschkeKlinik für Endokrinologie und Nephrologie, Universität Leipzig, Leipzig, Deutschland.
T SteinmüllerZentrum für Endokrine Chirurgie, DRK Kliniken Berlin/Westend, Berlin, Deutschland.
E TuschMedizinischer Dienst der Krankenversicherung Berlin-Brandenburg, Berlin, Deutschland.
E JeschkeWissenschaftliches Institut der AOK, Rosenthaler Str. 31, 10178, Berlin, Deutschland.
C GünsterWissenschaftliches Institut der AOK, Rosenthaler Str. 31, 10178, Berlin, Deutschland.
Wissenschaftliches Institut der AOK · DEBundesverband Glaukom-Selbsthilfe · DEDRK Kliniken Berlin · DEGerman Society of Medical Intensive Care and Emergency Medicine · DEHelios Universitätsklinikum Wuppertal · DELeipzig University · DEUniversity Hospital in Halle · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRoutine data from hospitals in the public healthcare system allow the analysis of large patient datasets without generating additional documentation efforts for hospitals. This study reports the frequencies of postoperative complications after thyroid surgery based on routine nationwide data. Moreover, volume-outcome relationships were investigated. MATERIAL AND

methodsNationwide routine data from insured patients of the Local Health Insurance Fund (AOK) who underwent thyroid surgery between 2008 and 2010 were analyzed. Complications were determined based on indicators for permanent vocal cord palsy, re-bleeding with re-operations and wound infections with specific treatment. The effect of hospital volumes (volume quintiles) on the indicators was determined by multivariate logistic regression.

resultsA total of 66,902 thyroid gland operations were identified. The overall frequency of permanent vocal cord palsy was 1.5 %, re-bleeding 1.8 % and wound infections 0.4 %. In the four lowest case volume categories the risk of permanent vocal cord palsy was significantly higher compared to the highest case volume hospitals (odds ratio 1.5, 1.7, 1.7 and 2.2, respectively).

conclusionThis study represents the reality of healthcare for thyroid surgery in Germany. Additionally, it was determined that the risk for permanent vocal cord palsy after thyroid gland operations decreased with increasing case volumes of hospitals.

Indexed as

Data Interpretation, StatisticalAdultAgedFemaleGermanyHospitals, High-VolumeHospitals, Low-VolumeHumansMaleMiddle AgedMultivariate AnalysisOdds RatioPostoperative ComplicationsPostoperative HemorrhageReoperationSurgical Wound InfectionBenign goiterComplicationsRoutine dataThyroid surgeryVolume outcome

Identifiers

PMID27510155
OpenAlexW2523875436

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.