Evidence map›Paper›PMID 30965665›Full record

ArticleJournal of clinical medicine2019

Current Practice of Surgery for Benign Goitre-An Analysis of the Prospective DGAV StuDoQ|Thyroid Registry.

Detlef K Bartsch, Cornelia Dotzenrath, Christian Vorländer, Andreas Zielke, Theresia Weber, Heinz J Buhr, Carsten Klinger, Kerstin Lorenz, The StuDoQ/Thyroid Study The StuDoQ/Thyroid Study Group

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 4 pooled it
9.9field-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.

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

35 citing papers in PubMed, 4 syntheses or guidelines pooled it, 68 citations in OpenAlex.

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  9. Thyroid Cancer: Epidemiology, Diagnosis, and Treatment.Deutsches Arzteblatt international · 2026
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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 at 6 institutions in 1 country.

Detlef K BartschDepartment of Visceral-, Thoracic- and Vascular Surgery, Philipps-University Marburg, 35043 Marburg, Germany. bartsch@med.uni-marburg.de.
Cornelia DotzenrathDepartment of Endocrine Surgery, Helios University Hospital Wuppertal, 42283 Wuppertal, Germany. cornelia.dotzenrath@helios-kliniken.de.
Christian VorländerDepartment General and Endocrine Surgery, Bürgerhospital Frankfurt/Main, 60318 Frankfurt, Germany. c.vorlaender@buergerhospital-ffm.de.
Andreas ZielkeDepartment of Endocrine Surgery, Diakonie-Klinikum Stuttgart, 70176 Stuttgart, Germany. andreas.zielke@diak-stuttgart.de.
Theresia WeberDepartment of Endocrine Surgery, Katholisches Klinikum Mainz, 55131 Mainz, Germany. t-weber@kkmainz.de.
Heinz J BuhrGerman Society of General and Visceral Surgery (DGAV), 10117 Berlin, Germany. hbuhr@dgav.de.
Carsten KlingerGerman Society of General and Visceral Surgery (DGAV), 10117 Berlin, Germany. carsten.klinger@dgav.de.
Kerstin LorenzDepartment of Visceral-, Vascular and Endocrine Surgery, University Medical Centre Halle, 06120 Halle, Germany. kerstin.lorenz@uk-halle.de.
The StuDoQ/Thyroid Study The StuDoQ/Thyroid Study Group
German Society of Surgery · DEBürgerhospital Frankfurt am Main · DEDiakonie-Klinikum Stuttgart · DEHelios Universitätsklinikum Wuppertal · DEPhilipps University of Marburg · DEUniversity of Applied Sciences Mainz · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo evaluate the current indications, resection strategies and short-term outcomes of surgery for benign goitre in a country with endemic goitre.

methodsData of patients who underwent surgery for benign goitre were retrieved from the prospective StuDoQ/Thyroid registry and retrospectively analysed regarding the patient's demographics, indications for surgery, surgical procedures, histology, and perioperative outcomes.

resultsIn a 15-month period, 12,888 patients from 83 departments underwent thyroid resections for benign conditions. Main indications for surgery were exclusion of malignancy (68%), compression symptoms (20.7%) and hyperthyroidism (9.7%). Preoperative fine needle aspiration cytology was performed in only 12.2% of patients with the indication "exclusion of malignancy". Thyroidectomy (49.8%) or hemithyroidectomy (36.9%) were performed in 86.7% of patients. Minimally invasive or alternative surgical techniques were applied in only 2.2%. Intraoperative neuromonitoring was used in 98.4% of procedures, in 97.5% of patients at least one parathyroid gland was visualized, and in 15.3% of patients parathyroid tissue was autografted, respectively. The rates of unilateral and bilateral transient recurrent nerve palsy were 3.6% and 0.07% of nerves at risk, the rate of transitory hypoparathyroidism was 15.3%. The rates of postoperative bleeding and wound infections requiring reoperation were 1.4% and 0.07%, respectively.

conclusionsThe indication "exclusion of malignancy" is made too liberally, and there is a strong attitude to perform complete thyroid resections. Postoperative hypoparathyroidism is the major complication after surgery for benign thyroid disease, thus requiring more awareness.

Indexed as

hypoparathyroidismindicationrecurrent laryngeal nerve palsyregistrythyroid resection

Identifiers

PMID30965665
PMCPMC6517925
OpenAlexW2938560222

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.