Evidence map›Paper›PMID 28364157›Full record

ArticleSurgical endoscopy2017

Increased identification of parathyroid glands using near infrared light during thyroid and parathyroid surgery.

Jorge Falco, Fernando Dip, Pablo Quadri, Martin de la Fuente, Marcos Prunello, Raúl J Rosenthal

2 registry-linked trialsAbstract read
PubMed Publisher
In one paragraph

Article in Surgical endoscopy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 51 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 3 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.

NCT04745793 terminatednot on this mapstarted 2021, after this paper: background citation

Precise Recognition With Enhanced Vision of Endocrine Neck Targets

TypeobservationalSponsorIHU StrasbourgRan2021 to 2021Enrolled54ConditionsThyroid Diseases, Parathyroid DiseasesArmsHyperspectral and Fluobeam acquisition
NCT05573828 narecruitingnot on this mapstarted 2022, after this paper: background citation

Usefulness of ICG Angiography-Guided Thyroidectomy for Preserving Parathyroid Function. GuiArte Multicentric Randomized Study.

TypeinterventionalSponsorHospital Universitari de BellvitgeRan2022 to 2025Enrolled394ConditionsIatrogenic HypocalcemiaArmsICG angiography to show vascular map of parathyroid glands
3 · Its place in the literature

Who cites it

51 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Fluorescent Imaging in Thyroid Surgery to Preserve Parathyroid Function: A Systematic Review and Meta-Analysis.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2026
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  4. Effect of near infrared autofluorescence guided total thyroidectomy on postoperative hypoparathyroidism: a randomized clinical trial.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 · 2023
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  17. The Utility of Near-Infrared Autofluorescence for Parathyroid Gland Identification During Thyroid Surgery: A Single-Center Experience.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2023
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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

6 authors.

Jorge FalcoHospital de Clínicas "José de San Martín", University of Buenos Aires, Buenos Aires, Argentina.
Fernando DipHospital de Clínicas "José de San Martín", University of Buenos Aires, Buenos Aires, Argentina.
Pablo QuadriHospital de Clínicas "José de San Martín", University of Buenos Aires, Buenos Aires, Argentina.
Martin de la FuenteHospital de Clínicas "José de San Martín", University of Buenos Aires, Buenos Aires, Argentina.
Marcos PrunelloNational University of Rosario Santa Fe, Rosario, Argentina.
Raúl J RosenthalDepartment of General Surgery and The Bariatric and Metabolic Institute, Cleveland Clinic Florida, 2950 Cleveland Clinic Boulevard, Weston, FL, 33331, USA. rosentr@ccf.org.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundParathyroid gland (PG) identification during thyroid and parathyroid surgery is challenging. Accidental parathyroidectomy increases the rate of postoperative hypocalcaemia. Recently, autofluorescence with near infrared light (NIRL) has been described for PG visualization. The aim of this study is to analyze the increased rate of visualization of PGs with the use of NIRL compared to white light (WL). MATERIALS AND

methodsAll patients undergoing thyroid and parathyroid surgery were included in this study. PGs were identified with both NIRL and WL by experienced head and neck surgeons. The number of PGs identified with NIRL and WL were compared. The identification of PGs was correlated to age, sex, and histopathological diagnosis.

resultsSeventy-four patients were included in the study. The mean age was 48.4 (SD ±13.5) years old. Mean PG fluorescence intensity (47.60) was significantly higher compared to the thyroid gland (22.32) and background (9.27) (p < 0.0001). The mean number of PGs identified with NIRL and WL were 3.7 and 2.5 PG, respectively (p < 0.001). The difference in the number of PGs identified with NIRL and WL and fluorescence intensity was not related to age, sex, or histopathological diagnosis, with the exception of the diagnosis of thyroiditis, in which there was a significant increase in the number of PGs visualized with NIRL (p = 0.026).

conclusionThe use of NIRL for PG visualization significantly increased the number of PGs identified during thyroid and parathyroid surgery, and the differences in fluorescent intensity among PGs, thyroid glands, and background were not affected by age, sex, and histopathological diagnosis.

Indexed as

ParathyroidectomySpectroscopy, Near-InfraredThyroidectomyAdultFemaleHumansIntraoperative PeriodMaleMiddle AgedNeckParathyroid GlandsRetrospective StudiesThyroid GlandTreatment OutcomeEndocrine surgeryFluorescenceParathyroid gland autofluorescenceParathyroid gland identificationParathyroid surgeryThyroid surgery

Identifiers

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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.