Evidence map›Paper›PMID 32638212›Full record

SynthesisEndocrine2020

Prevalence of and risk factors for hypothyroidism after hemithyroidectomy: a systematic review and meta-analysis.

Zhe Li, Yuxuan Qiu, Yuan Fei, Zhichao Xing, Jingqiang Zhu, Anping Su

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Endocrine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
3.8field-weighted citation impact, top 5% 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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 52 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Review
  13. Dynamic risk assessment in patients with differentiated thyroid cancer.Reviews in endocrine & metabolic disorders · 2024
    Review
  14. Article
  15. Operative Management of Thyroid Disease in Older Adults.Journal of the Endocrine Society · 2023
    Review
  16. Review
  17. Article
  18. Clinical Course of Early Postoperative Hypothyroidism Following Thyroid Lobectomy in Pediatrics.Thyroid : official journal of the American Thyroid Association · 2021
    Article
  19. Review
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 at 1 institution in 1 country.

Zhe Li *Department of Thyroid & Parathyroid Surgery, West China Hospital, Sichuan University, Chengdu, PR China.ORCID http://orcid.org/0000-0001-9613-4203
Yuxuan Qiu *Department of Thyroid & Parathyroid Surgery, West China Hospital, Sichuan University, Chengdu, PR China.
Yuan FeiDepartment of Thyroid & Parathyroid Surgery, West China Hospital, Sichuan University, Chengdu, PR China.
Zhichao XingDepartment of Thyroid & Parathyroid Surgery, West China Hospital, Sichuan University, Chengdu, PR China.
Jingqiang ZhuDepartment of Thyroid & Parathyroid Surgery, West China Hospital, Sichuan University, Chengdu, PR China.
Anping SuDepartment of Thyroid & Parathyroid Surgery, West China Hospital, Sichuan University, Chengdu, PR China. suanpingping@126.com.
Sichuan University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis systematic review and meta-analysis evaluated the prevalence of and risk factors for hypothyroidism following hemithyroidectomy as new evidence obtained in recent years warranted an update of previous meta-analyses.

methodsThe PubMed, Embase, and Cochrane Library databases were searched through November 1, 2019, for articles examining the hypothyroidism prevalence and risk factors after lobectomy. The prevalence rate, risk ratio (RR), weighted mean difference (WMD) and standardized mean difference (SMD) were assessed by conducting a meta-analysis of proportions, binary variables, and continuous variables, respectively, using random-effects models.

resultsFifty-one studies showed a pooled risk of 29.9% (95% confidence interval (CI), 24.6-35.2%) for hypothyroidism following hemithyroidectomy. Risk factors for the development of postoperative hypothyroidism included the female sex (RR, 1.169; 95% CI, 1.040-1.314; P = 0.009), a higher preoperative thyrotropin (TSH) level (RR, 2.955; 95% CI, 2.399-3.640; P = 0.000), a lower preoperative FT4 level (SMD, -0.818; 95% CI, -1.623--0.013; P = 0.047), concomitant lymphocyte infiltration (RR, 1.558; 95% CI, 1.203-2.018; P = 0.001), Hashimoto's thyroiditis (HT) (RR, 1.480; 95% CI, 1.192-1.838; P = 0.000), a lighter weight of the remaining gland (WMD, -2.740; 95% CI, -3.708--1.772; P = 0.000), and a right side lobectomy (RR, 1.404; 95% CI, 1.075-1.835; P = 0.013).

conclusionsHypothyroidism is a significant complication after lobectomy, and appropriate and personalized surgical strategies should be designed after a careful preoperative assessment based on the estimated risk of hypothyroidism and risk factors.

Indexed as

HypothyroidismFemaleHumansPrevalenceRisk FactorsThyroidectomyThyrotropinThyrotropinHemithyroidectomyHypothyroidismMeta-analysisPrevalenceRisk factor

Identifiers

PMID32638212
OpenAlexW3041558611

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.