Evidence map›Paper›PMID 36028654›Full record

ArticleUpdates in surgery2022

Mapping complications in thyroid surgery: statistical data are useful for medico-legal management of a recurrent safety issue.

Martina Padovano, Matteo Scopetti, Raoul Tomassi, Federico Manetti, Stefano D'Errico, Alessandro Santurro, Giorgio De Toma, Paola Frati, Paolo Miccoli, Vittorio Fineschi

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PubMed Full text at PMC Publisher
In one paragraph

Article in Updates in surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. 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

10 authors.

Martina PadovanoDepartment of Anatomical, Histological, Forensic and Orthopaedic Sciences, Sapienza University of Rome, 00185, Rome, Italy.ORCID http://orcid.org/0000-0003-2452-7926
Matteo ScopettiDepartment of Medical, Surgical Sciences and Translational Medicine, Sapienza University of Rome, 00189, Rome, Italy.ORCID http://orcid.org/0000-0002-7259-3090
Raoul TomassiDepartment of Anatomical, Histological, Forensic and Orthopaedic Sciences, Sapienza University of Rome, 00185, Rome, Italy.
Federico ManettiDepartment of Anatomical, Histological, Forensic and Orthopaedic Sciences, Sapienza University of Rome, 00185, Rome, Italy.ORCID http://orcid.org/0000-0002-8047-6193
Stefano D'ErricoDepartment of Medicine, Surgery and Health, University of Trieste, 34149, Trieste, Italy.ORCID http://orcid.org/0000-0003-3689-0001
Alessandro SanturroDepartment of Medicine, Surgery and Dentistry, University of Salerno, 84081, Salerno, Italy. asanturro@unisa.it.ORCID http://orcid.org/0000-0001-5491-3719
Giorgio De TomaDepartment of Surgery, Sapienza University of Rome, 00161, Rome, Italy.ORCID http://orcid.org/0000-0002-9768-8651
Paola FratiDepartment of Anatomical, Histological, Forensic and Orthopaedic Sciences, Sapienza University of Rome, 00185, Rome, Italy.ORCID http://orcid.org/0000-0002-0358-7965
Paolo MiccoliDepartment of Surgical, Medical, Molecular Pathology and Critical Area, University of Pisa, 56126, Pisa, Italy.
Vittorio FineschiDepartment of Anatomical, Histological, Forensic and Orthopaedic Sciences, Sapienza University of Rome, 00185, Rome, Italy.ORCID http://orcid.org/0000-0002-1686-3236

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Quality of care assessment is a crucial tool for patient safety implementation. Litigation relating to thyroid surgery is one of the most represented sectors also due to the continuous increase in the number of thyroid interventions. Given the incidence of the problem, the present study aims to outline an operational methodology for risk mapping and litigation management in thyroid surgery. The study was conducted through the analysis of data collected at Umberto I General Hospital in Rome from 2007 to 2018. All thyroid surgery claims were included and, subsequently, a descriptive statistical analysis of the categorical variables was performed with the representation of frequencies in absolute terms and as a percentage. The results obtained show that in 94% of cases (44 cases) the reported event consists of incorrect treatment. The most frequent adverse events were identified in unilateral or bilateral recurrent nerve lesions (31; 70%); incomplete removal of the thyroid gland (6; 14%), post-surgical hypoparathyroidism (4; 9%), aesthetic damage secondary to surgical scars (2; 5%), dental avulsion during intubation maneuvers (1; 2%). The experience derived from the risk mapping through management of thyroid claims proved it to be a reactive tool of considerable importance in clinical governance. The promotion of measures aimed at improving the satisfaction of some critical parameters identified in the litigation management activity such as adherence to the indications for surgery, the preoperative diagnostic path, and the adequacy of the surgical report allows to further implement the quality of care in the surgical treatment of thyroid pathology.

Indexed as

Patient SafetyThyroid GlandHumansThyroidectomyLitigation managementPatient safetyQuality of health careRisk mappingThyroid claimsThyroid surgery

Identifiers

PMID36028654
PMCPMC9481495

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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.