Evidence map›Paper›PMID 35434333›Full record

ArticleLaryngoscope investigative otolaryngology2022

Goiter surgery recommendations in sub-Saharan Africa in humanitarian cooperation.

José Gil Martinez, Miguel González, Quiteria Hernández, María Angeles Rodríguez, Nuria Torregrosa, Elena Gil, Pedro Antonio Cascales, Miguel Angel Delgado, Joan Sancho, Victor Lopez-Lopez and 1 more

Open access · goldAbstract read
In one paragraph

Article in Laryngoscope investigative otolaryngology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 21% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 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. Article
  3. Article
  4. 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

11 authors at 5 institutions in 1 country.

José Gil MartinezDepartment of General Surgery University Clinical Hospital Virgen de la Arrixaca Murcia Spain.ORCID https://orcid.org/0000-0002-5812-8889
Miguel GonzálezDepartment of General Surgery University Hospital Reina Sofia Murcia Spain.
Quiteria HernándezDepartment of General Surgery University Clinical Hospital Virgen de la Arrixaca Murcia Spain.
María Angeles RodríguezDepartment of Maxillofacial Surgery University Clinical Hospital Virgen de la Arrixaca Murcia Spain.
Nuria TorregrosaEndocrine Surgery Unit, Department of General Surgery General University Hospital Santa Lucía Cartagena Spain.
Elena GilDepartment of General Surgery University Clinical Hospital Virgen de la Arrixaca Murcia Spain.
Pedro Antonio CascalesDepartment of General Surgery University Clinical Hospital Virgen de la Arrixaca Murcia Spain.
Miguel Angel DelgadoEndocrine Surgery Unit, Department of General Surgery Getafe University Hospital Getafe Spain.
Joan SanchoEndocrine Surgery Unit, Department of General Surgery Consorci Parc de Salut Mar de Barcelona Barcelona Spain.
Victor Lopez-LopezDepartment of General Surgery University Clinical Hospital Virgen de la Arrixaca Murcia Spain.
Jose Manuel RodriguezEndocrine Surgery Unit, Department of General Surgery University Clinical Hospital Virgen de la Arrixaca Murcia Spain.
Hospital Universitario Virgen de la Arrixaca · ESHospital Reina Sofía de Murcia · ESHospital Universitario de Getafe · ESParc de Salut · ESSanta Lucía University General Hospital · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The standard treatment for endemic goiter is usually total thyroidectomy. In low- and middle-income countries, the management of thyroid disease, which is commonplace in fully developed countries, is not always possible. The purpose of this study is to establish a treatment algorithm to calculate the extent of thyroidectomy based on the risk factors of each patient. Methods: This is a retrospective observational study conducted during the period between 2017 and 2019. A total of 287 patients with thyroid pathology were treated in Maragua Hospital (Kenya). The results of surgical treatment were analyzed after the implementation of an individualized treatment protocol. Results: One hundred and sixty patients with different types of goiter underwent surgery: solitary nodule (54.4%), multi-nodular goiter (30.6%), diffuse goiter (10.6%), and intrathoracic goiter (3.8%). The techniques used were hemithyroidectomy (78.8%), Dunhill thyroidectomy (9.4%), bilateral subtotal thyroidectomy (6.9%), and total thyroidectomy (3.1%). There was no mortality. The surgical morbidity rate was 16% (only one major complication (3b)). Two cases of dysphonia were resolved in the first week. There were three cases of symptomatic hypocalcaemia, two of which resolved in the first week and the other of which was definitive. The follow-up at 6 months was 67%. The cancer rate found in the resection specimens was 5%. Discussion: The implementation of individualized surgical protocols for thyroid surgery in sub-Saharan Africa can improve outcomes. The cooperation projects can increase access to complex surgical treatment for patients with limited resources in low- and middle-income countries.

Indexed as

goiterhumanitarian cooperationsub‐Saharan Africathyroid surgery

Identifiers

PMID35434333
PMCPMC9008146
OpenAlexW4220978115

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.