Evidence map›Paper›PMID 34456874›Full record

SynthesisFrontiers in endocrinology2021

Outcomes of Minimally Invasive Thyroid Surgery - A Systematic Review and Meta-Analysis.

Lisa H de Vries, Dilay Aykan, Lutske Lodewijk, Johanna A A Damen, Inne H M Borel Rinkes, Menno R Vriens

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Frontiers in endocrinology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed, 3 pooled it
13.2field-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.

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

54 citing papers in PubMed, 3 syntheses or guidelines pooled it, 99 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

6 authors at 2 institutions in 1 country.

Lisa H de VriesDepartment of Surgical Oncology and Endocrine Surgery, University Medical Center Utrecht, Utrecht, Netherlands.
Dilay AykanDepartment of Surgical Oncology and Endocrine Surgery, University Medical Center Utrecht, Utrecht, Netherlands.
Lutske LodewijkDepartment of Surgical Oncology and Endocrine Surgery, University Medical Center Utrecht, Utrecht, Netherlands.
Johanna A A DamenJulius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, Netherlands.
Inne H M Borel RinkesDepartment of Surgical Oncology and Endocrine Surgery, University Medical Center Utrecht, Utrecht, Netherlands.
Menno R VriensDepartment of Surgical Oncology and Endocrine Surgery, University Medical Center Utrecht, Utrecht, Netherlands.
University Medical Center Utrecht · NLUtrecht University · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Conventional thyroidectomy has been standard of care for surgical thyroid nodules. For cosmetic purposes different minimally invasive and remote-access surgical approaches have been developed. At present, the most used robotic and endoscopic thyroidectomy approaches are minimally invasive video assisted thyroidectomy (MIVAT), bilateral axillo-breast approach endoscopic thyroidectomy (BABA-ET), bilateral axillo-breast approach robotic thyroidectomy (BABA-RT), transoral endoscopic thyroidectomy Methods: A systematic search was conducted in Medline, Embase and Web of Science to identify original articles investigating operating time, length of hospital stay and complication rates regarding recurrent laryngeal nerve injury and hypocalcemia, of the different minimally invasive techniques. Results: Out of 569 identified manuscripts, 98 studies met the inclusion criteria. Most studies were retrospective in nature. The results of the systematic review varied. Thirty-one articles were included in the meta-analysis. Compared to the standard of care, the meta-analysis showed no significant difference in length of hospital stay, except a longer stay after BABA-ET. No significant difference in incidence of recurrent laryngeal nerve injury and hypocalcemia was seen. As expected, operating time was significantly longer for most minimally invasive techniques. Conclusions: This is the first comprehensive systematic review and meta-analysis comparing the eight most commonly used minimally invasive thyroid surgeries individually with standard of care. It can be concluded that minimally invasive techniques do not lead to more complications or longer hospital stay and are, therefore, not inferior to conventional thyroidectomy.

Indexed as

HumansMinimally Invasive Surgical ProceduresOperative TimePostoperative ComplicationsRobotic Surgical ProceduresStandard of CareThyroidectomyThyroid NeoplasmsThyroid NoduleTreatment Outcomebilateral axillo-breast approach endoscopic thyroidectomy (BABA-ET)bilateral axillo-breast approach robotic thyroidectomy (BABA-RT)gasless transaxillary endoscopic thyroidectomy (GTET)minimally invasive video assisted thyroidectomy (MIVAT)retro-auricular endoscopic thyroidectomy (RA-ET)retro-auricular robotic thyroidectomy (RA-RT)robot assisted transaxillary surgery (RATS)transoral endoscopic thyroidectomy via vestibular approach (TOETVA)

Identifiers

PMID34456874
PMCPMC8387875
OpenAlexW3187099364

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.