Evidence map›Paper›PMID 33779362›Full record

SynthesisThe Journal of international medical research2021

Risk factors for postoperative hypocalcaemia after thyroidectomy: A systematic review and meta-analysis.

Zhimei Chen, Qiyuan Zhao, Jinlei Du, Ya Wang, Rongrong Han, Caijuan Xu, Xiaofang Chen, Min Shu

Registry-linked trialOpen access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in The Journal of international medical research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05117853 (The Use of Autofluorescence and Indocyanine Green to Avoid Hypocalcemia After Total Thyroidectomy), which is not on this map. Cited by 38 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 5 pooled it
8.6field-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.

NCT05117853 phase3unknown statusnot on this map

The Use of Autofluorescence and Indocyanine Green to Avoid Hypocalcemia After Total Thyroidectomy: A Randomized Clinical Trial

TypeinterventionalSponsorOnze Lieve Vrouw HospitalRan2021 to 2025Enrolled300ConditionsThyroid Disease, Hypoparathyroidism PostproceduralArmsAutofluorescent detection + Injection of indocyanine green, Gold standard of visual identification and evaluation of viability of the parathyroid glands.
3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 5 syntheses or guidelines pooled it, 57 citations in OpenAlex.

  1. Surgical approaches to the management of the intrathoracic goiter - A systematic review.Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale · 2025
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Impact of Intraoperative Interventions on Hypocalcemia Post-Total Thyroidectomy: A Meta-Analysis.Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale
    Pooled it
  6. Trial
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  8. Article
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  12. Review
  13. Article
  14. Preoperative vitamin D administration does not affect rates of post-thyroidectomy hypocalcaemia.Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale · 2025
    Article
  15. Article
  16. Article
  17. Article
  18. Effect of Histamine-2 Receptor Antagonists on Hypocalcemia after Thyroidectomy: A Retrospective Cohort Study and Sensitivity Analysis.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2025
    Article
  19. Article
  20. Impact of thyroid volume on serum ionized calcium and PTH levels after total thyroidectomy.Sao Paulo medical journal = Revista paulista de medicina · 2025
    Observational
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

8 authors at 2 institutions in 1 country.

Zhimei ChenDepartment of Nursing, Second Affiliated Hospital of Zhejiang University, Hangzhou, Zhejiang Province, China.ORCID https://orcid.org/0000-0002-6133-7163
Qiyuan ZhaoDepartment of Nursing, School of Medicine, Huzhou University, Huzhou, Zhejiang Province, China.
Jinlei DuDepartment of Nursing, School of Medicine, Huzhou University, Huzhou, Zhejiang Province, China.
Ya WangDepartment of Nursing, School of Medicine, Huzhou University, Huzhou, Zhejiang Province, China.
Rongrong HanDepartment of Nursing, School of Medicine, Huzhou University, Huzhou, Zhejiang Province, China.
Caijuan XuDepartment of Nursing, Second Affiliated Hospital of Zhejiang University, Hangzhou, Zhejiang Province, China.
Xiaofang ChenDepartment of Nursing, School of Medicine, Huzhou University, Huzhou First People's Hospital, Huzhou, Zhejiang Province, China.
Min ShuDepartment of Nursing, School of Medicine, Huzhou University, Huzhou, Zhejiang Province, China.
Huzhou University · CNSecond Affiliated Hospital of Zhejiang University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveA meta-analysis to investigate the risk factors for postoperative hypocalcaemia after thyroidectomy in adult patients.

methodsA systematic search of publications in the electronic databases (PubMed®, The Cochrane Library, Web of Science, OVID and Embase®) from inception to June 2020 was conducted. Screening of titles, abstracts and full texts and data extraction were independently performed by two authors. The OR was selected as the pooled estimate.

resultsThe analysis included 23 studies. Twelve significant risk factors for postoperative hypocalcaemia were identified: hypoparathyroidism, OR 5.58; total thyroidectomy, OR 3.59; hypomagnesaemia, OR 2.85; preoperative vitamin D deficiency, OR 2.32; female sex, OR 1.49; thyroid malignancy, OR 1.85; thyroiditis, OR 1.48; substernal multinodular goitres, OR 1.70; parathyroidectomy, OR 1.58; central compartment neck dissection, OR 1.17; modified radical neck dissection, OR 1.57; and central neck dissection, OR 1.54.

conclusionsThis meta-analysis provides moderate-to-high quality evidence that the 12 risk factors were predictive of postoperative hypocalcaemia, which should be monitored closely before thyroidectomy.

Indexed as

HypocalcemiaHypoparathyroidismAdultFemaleHumansNeck DissectionPostoperative ComplicationsRisk FactorsThyroidectomyhypocalcaemiameta-analysisprevalencerisk factorThyroid

Identifiers

PMID33779362
PMCPMC8010841
OpenAlexW3144592441

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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Registered trials

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.