Evidence map›Paper›PMID 32404116›Full record

ArticleWorld journal of surgical oncology2020

Effects of active localization and vascular preservation of inferior parathyroid glands in central neck dissection for papillary thyroid carcinoma.

Dawei Hou, Haie Xu, Bing Yuan, Jianhui Liu, Yibing Lu, Ming Liu, Zhuyin Qian

Open access · goldAbstract read
In one paragraph

Article in World journal of surgical oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.0field-weighted citation impact, top 13% 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

16 citing papers in PubMed, 20 citations in OpenAlex.

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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

7 authors at 2 institutions in 1 country.

Dawei HouDepartment of General Surgery, The Second Affiliated Hospital of Nanjing Medical University, 121 Jiangjiayuan Street, Gulou District, Nanjing, 210011, NO, China.
Haie XuThe School of Public Health, Nanjing Medical University, Nanjing, 211166, China.
Bing YuanDepartment of General Surgery, The Second Affiliated Hospital of Nanjing Medical University, 121 Jiangjiayuan Street, Gulou District, Nanjing, 210011, NO, China.
Jianhui LiuDepartment of General Surgery, The Second Affiliated Hospital of Nanjing Medical University, 121 Jiangjiayuan Street, Gulou District, Nanjing, 210011, NO, China.
Yibing LuDepartment of Endocrinology, The Second Affiliated Hospital of Nanjing Medical University, Nanjing, 210011, China.
Ming LiuDepartment of Medical Information and Data, The Second Affiliated Hospital of Nanjing Medical University, Nanjing, 210011, China.
Zhuyin QianDepartment of General Surgery, The Second Affiliated Hospital of Nanjing Medical University, 121 Jiangjiayuan Street, Gulou District, Nanjing, 210011, NO, China. zhuyin_qian66@163.com.
Second Affiliated Hospital of Nanjing Medical University · CNNanjing Medical University · CN

Funding

Key R & D plan (Social Development) project of Jiangsu Provincial Science and Technology Department No.BE201572
6 · The paper itself

Abstract

backgroundThe purpose of present study is to assess the effects of active localization and vascular preservation of inferior parathyroid glands in central neck dissection (CND) for papillary thyroid carcinoma (PTC).

methodsA classification of IPGs according to their location and vascular features was developed, and, based on this classification, a CND procedure was designed, and IPGs and their vascular were actively localized and strategically preserved. A total of 197 patients with PTC who underwent a total thyroidectomy and concomitant CND were enrolled. Eighty-nine patients with traditional meticulous fascia dissection were allocated to group A, and 108 patients with active location and vascular preservation of IPGs were allocated to group B. Those with inferior parathyroid glands auto-transplantation in each group were assigned as group At (18) and group Bt (12). Variables including serum intact parathyroid hormone (PTH), total calcium, the incidence of transient, and permanent hypoparathyroidism were studied.

resultsCompared with group A, serum intact PTH (P < 0.001) and total calcium levels (P < 0.05) in group B significantly improved on the first postoperative day, and the incidence of transient hypoparathyroidism significantly dropped in group B (P < 0.001). A total of 170 patients in the two groups had complete follow-up data. The incidence of permanent hypoparathyroidism significantly decreased in group B, from 8.8% to 1.0% (P = 0.017). However, there were no significant differences in all variables between group Bt and group At.

conclusionActive location and vascular preservation of inferior parathyroid glands effectively protected the function of IPGs in CND for PTC.

Indexed as

AdultFemaleFollow-Up StudiesHumansHypoparathyroidismIncidenceMaleMiddle AgedNeck DissectionOrgan Sparing TreatmentsParathyroid GlandsParathyroid HormonePostoperative ComplicationsPostoperative PeriodPrognosisRetrospective StudiesParathyroid HormoneBlood vessel preservationLymph node excisionNeck dissectionParathyroid glandsThyroid cancer, Papillary

Identifiers

PMID32404116
PMCPMC7222446
OpenAlexW3027883700

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LicenceCC BY
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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.