Evidence map›Paper›PMID 32789681›Full record

ArticleWorld journal of surgery2020

Endoscopic versus Conventional Thyroid Surgery: A Comparison of Quality of Life, Cosmetic Outcomes and Overall Patient Satisfaction with Treatment.

Goonj Johri, Gyan Chand, Anjali Mishra, Sabaretnam Mayilvaganan, Gaurav Agarwal, Amit Agarwal, Saroj Kanta Mishra

Abstract read
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In one paragraph

Article in World journal of surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 3 pooled it
5.7field-weighted citation impact, top 3% 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

23 citing papers in PubMed, 3 syntheses or guidelines pooled it, 47 citations in OpenAlex.

  1. Pooled it
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  4. [An exploration of safety and feasibility of transoral vestibular endoscopy in the treatment of thyroid malignant tumors].Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2023
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  14. Comparison of the endoscopic thyroidectomyFrontiers in oncology · 2023
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Goonj JohriDepartment of Breast and Endocrine Surgery, Kalinga Institute of Medical Sciences, Bhubaneswar, 751024, India. goonjjohri@gmail.com.
Gyan ChandDepartment of Endocrine Surgery, SGPGIMS, Lucknow, India.
Anjali MishraDepartment of Endocrine Surgery, SGPGIMS, Lucknow, India.
Sabaretnam MayilvagananDepartment of Endocrine Surgery, SGPGIMS, Lucknow, India.
Gaurav AgarwalDepartment of Endocrine Surgery, SGPGIMS, Lucknow, India.
Amit AgarwalDepartment of Endocrine Surgery, SGPGIMS, Lucknow, India.
Saroj Kanta MishraDepartment of Endocrine Surgery, SGPGIMS, Lucknow, India.
Centre of Biomedical Research · INSanjay Gandhi Post Graduate Institute of Medical Sciences · INAll India Institute of Medical Sciences Bhubaneswar · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOur aim was to investigate whether the surgical approach, i.e. endoscopic (ET) versus conventional/open thyroidectomy (ConT), contributes towards the improvement in quality of life (QoL), cosmetic outcomes and overall patient satisfaction with treatment.

methodsWe conducted a prospective study (October 2016-August 2018) consisting of patients undergoing hemithyroidectomy for euthyroid, non-malignant solitary thyroid nodules (STNs). Patients were divided into two groups: Group I (ET)-41 patients and Group II (ConT)-52 patients. ET was performed via bilateral-axillo breast approach (BABA). A thyroid disease-specific questionnaire "ThyPRO-39hin" was used to evaluate pre- and post-operative QoL. Visual analogue scale (VAS) was used for post-operative pain. Cosmetic satisfaction, paraesthesia and overall satisfaction with treatment were evaluated using Likert-type verbal response scales. Pre- and post-operative scores (>6 months) were compared, and p value < 0.05 was considered significant.

resultsMean age (p = 0.26), gender distribution (p = 0.07), mean tumour size (p = 0.74) and preoperative scores of QoL were comparable between the two groups. Post-operatively scores of symptom domain (p = 0.03), tiredness (p = 0.03), impaired social life (p = 0.03), cosmetic complaints (p =  < 0.001) and overall QoL (p =  < 0.001) were significantly better in Group I. Also, post-operative pain perception at first follow-up visit (p = 0.001) was lower in patients undergoing ET/Group I, with higher scar satisfaction scores (p =  < 0.001) and overall satisfaction with treatment (p =  < 0.001). Post-operative paraesthesia perception was comparable (p = 0.06) amongst the two groups.

conclusionIn this cohort study, patients undergoing endoscopic thyroid surgery reported superior post-operative QoL, cosmetic and overall satisfaction with treatment as compared to conventional/open thyroidectomy.

Indexed as

Patient SatisfactionQuality of LifeAdultCohort StudiesEndoscopyFemaleGoiter, NodularHumansMaleMiddle AgedProspective StudiesThyroidectomyThyroid NoduleTreatment Outcome

Identifiers

PMID32789681
OpenAlexW3048912909

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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.