Evidence map›Paper›PMID 34795638›Full record

ArticleFrontiers in endocrinology2021

Practice Patterns and Learning Curve in Transoral Endoscopic Thyroidectomy Vestibular Approach With Neuromonitoring.

Ting-Chun Kuo, Quan-Yang Duh, Yi-Chia Wang, Chieh-Wen Lai, Kuen-Yuan Chen, Ming-Tsan Lin, Ming-Hsun Wu

Open access · goldAbstract read
In one paragraph

Article 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 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
4.6field-weighted citation impact, top 4% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Learning Curves in Robotic Thyroid Surgery: A Systematic Review Comparing Transoral, Axillary, and Facelift Approaches.Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale
    Pooled it
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  15. [Effectiveness of transoral endoscopic thyroid surgery for lymph node dissection in the central region of thyroid cancer].Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2022
    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

7 authors at 3 institutions in 2 countries.

Ting-Chun KuoDepartment of Surgery, National Taiwan University Hospital, Taipei, Taiwan.
Quan-Yang DuhDepartment of Surgery, Section of Endocrine Surgery, University of California San Francisco, San Francisco, CA, United States.
Yi-Chia WangDepartment of Anesthesiology, National Taiwan University Hospital, Taipei, Taiwan.
Chieh-Wen LaiDepartment of Surgery, Buddhist Tzu Chi General Hospital, Taipei, Taiwan.
Kuen-Yuan ChenDepartment of Surgery, National Taiwan University Hospital, Taipei, Taiwan.
Ming-Tsan LinDepartment of Surgery, National Taiwan University Hospital, Taipei, Taiwan.
Ming-Hsun WuDepartment of Surgery, National Taiwan University Hospital, Taipei, Taiwan.
National Taiwan University Hospital · TWBuddhist Tzu Chi General Hospital · TWUniversity of California, San Francisco · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Intraoperative neuromonitoring has not been routinely applied in early experience with the transoral endoscopic thyroidectomy vestibular approach (TOETVA). Because the preparation and surgical interventions are much different from conventional thyroidectomies, most endocrine surgeons willing to adapt to TOETVA lack access to information regarding the practice pattern and proficiency in the learning curve. We aimed to investigate the outcomes and to define the learning curve for TOETVA in this study. Methods: A retrospective analysis was used on patients who underwent TOETVA at our hospital between December 2016 and July 2019. The cumulative sum graphic model was used to implement the learning curve as a surrogate for procedural proficiency. Results: The 119 patients had a mean age of 44.65 years and a mean body mass index of 22.49 k/m Conclusions: The learning curve of TOETVA with neuromonitoring is 35 cases. With the accumulation of proficiency, the indications will expand. Step-by-step improvements from the experience of each case can reduce procedure-related complications.

Indexed as

Learning CurvePractice Patterns, Physicians'AdultAnesthesiaEndoscopyFemaleHumansIntraoperative Neurophysiological MonitoringMaleMiddle AgedMouthOperative TimeRetrospective StudiesThyroidectomyTreatment OutcomeYoung Adultendoscopic thyroidectomylearning curveneuromonitoringthyroid cancerthyroidectomythyroid nodule

Identifiers

PMID34795638
PMCPMC8594485
OpenAlexW3206313694

What OpenQuestion holds

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LicenceCC BY
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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.