Evidence map›Paper›PMID 33708540›Full record

ArticleGland surgery2021

Standardization of thyroid fine needle aspiration procedure and outcomes within an endocrine surgery department.

Mustafa Donmez, Husnu Aydin, Emin Kose, Bora Kahramangil, Ozgun Erten, Mehmet Gokceimam, Serkan Akbulut, Judy Jin, Vikram Krishnamurthy, Joyce Shin and 2 more

Open access · diamondAbstract read
In one paragraph

Article in Gland surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.3field-weighted citation impact, top 43% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Training Programs for Thyroid Biopsy and Ablation: A Systematic Review.Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists · 2026
    Pooled it
  2. Article
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

12 authors at 2 institutions in 1 country.

Mustafa DonmezDepartment of Endocrine Surgery, Cleveland Clinic, Cleveland, OH, USA.
Husnu AydinDepartment of Endocrine Surgery, Cleveland Clinic, Cleveland, OH, USA.
Emin KoseDepartment of Endocrine Surgery, Cleveland Clinic, Cleveland, OH, USA.
Bora KahramangilDepartment of General Surgery, Cleveland Clinic Florida, Weston, FL, USA.
Ozgun ErtenDepartment of Endocrine Surgery, Cleveland Clinic, Cleveland, OH, USA.
Mehmet GokceimamDepartment of Endocrine Surgery, Cleveland Clinic, Cleveland, OH, USA.
Serkan AkbulutDepartment of Endocrine Surgery, Cleveland Clinic, Cleveland, OH, USA.
Judy JinDepartment of Endocrine Surgery, Cleveland Clinic, Cleveland, OH, USA.
Vikram KrishnamurthyDepartment of Endocrine Surgery, Cleveland Clinic, Cleveland, OH, USA.
Joyce ShinDepartment of Endocrine Surgery, Cleveland Clinic, Cleveland, OH, USA.
Allan SipersteinDepartment of Endocrine Surgery, Cleveland Clinic, Cleveland, OH, USA.
Eren BerberDepartment of Endocrine Surgery, Cleveland Clinic, Cleveland, OH, USA.
Cleveland Clinic · USCleveland Clinic Florida · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFine needle aspiration (FNA) biopsy is an essential procedure for thyroid nodules. Although, the efficacy of surgeon-performed thyroid FNA biopsies has been demonstrated in the literature, there are insufficient data regarding how to establish an efficient program with a low insufficiency rate within a group practice.

methodsAn endocrine surgery thyroid FNA biopsy program was established in 2000 by one surgeon, with training of additional partners during fellowship and upon recruitment. The results within 18 years were analyzed. The FNA biopsies were performed by endocrine surgeons under ultrasound guidance without on-site pathologist review.

resultsA total of 5,469 FNA biopsies were performed by 7 surgeons. The total number of FNA biopsies performed by each surgeon varied between 291-1,378. FNA biopsies were performed in 2 passes using 22-gauge needles under constant suction. The overall insufficiency rate was 4.3%, with individual surgeon rates ranging between 2.7% and 7.2%. The insufficiency rate for the whole team ranged between 3.3% and 5% when examined in 5-year blocks.

conclusionsThis study shows that an establishment of a highly efficient thyroid FNA biopsy program within a group practice is possible with a structured endocrine surgical training and adoption of a standard technique.

Indexed as

endocrine surgeonfine needle biopsytechniqueThyroid

Identifiers

PMID33708540
PMCPMC7944063
OpenAlexW3132356614

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.