Evidence map›Paper›PMID 36880798›Full record

ArticleAnnals of medicine2023

Parotid gland pleomorphic adenoma re-operations with regard to patient and surgeon satisfaction: what can be improved?

Ewelina Bartkowiak, Krzysztof Piwowarczyk, Jadzia Tin-Tsen Chou, Hanna Klimza, Małgorzata Wierzbicka

Open access · goldAbstract read
In one paragraph

Article in Annals of medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.0field-weighted citation impact, top 26% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
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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

5 authors at 1 institution in 1 country.

Ewelina BartkowiakDepartment of Otolaryngology and Laryngological Oncology, Poznan University of Medical Sciences, Poznan, Poland.ORCID 0000-0003-3351-0923
Krzysztof PiwowarczykDepartment of Phoniatry and Audiology, Poznan University of Medical Sciences, Poznan, Poland.ORCID 0000-0003-4800-8899
Jadzia Tin-Tsen ChouDepartment of Otolaryngology and Laryngological Oncology, Poznan University of Medical Sciences, Poznan, Poland.ORCID 0000-0003-4448-8768
Hanna KlimzaDepartment of Otolaryngology and Laryngological Oncology, Poznan University of Medical Sciences, Poznan, Poland.ORCID 0000-0002-2482-8596
Małgorzata WierzbickaDepartment of Otolaryngology and Laryngological Oncology, Poznan University of Medical Sciences, Poznan, Poland.ORCID 0000-0003-0006-6352
Poznan University of Medical Sciences · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSurgery, the treatment of choice for parotid pleomorphic adenoma (PA), is associated with facial nerve palsy and decreased quality of life. Re-operation for PA recurrence (rPA) significantly increases these risks and constitutes a dilemma for both patient and surgeon. Factors influencing the success of re-operation, as well as the self-reported satisfaction of both sides, have yet to be addressed in the literature. This study aims to improve upon the decision-making schedule in PA re-operations, based on patient expectations, imaging, and concordance with the first operative report (FOpR).

methodsSeventy-two rPAs treated in a single tertiary center were collected and analyzed. The FOpRs and pre-operative imaging were divided according to defined criteria into accurate and non-accurate categories. The re-operative field and course were categorized as anticipated or unanticipated. The re-operation was categorized as satisfactory or unsatisfactory for both the patient and the surgeon.

resultsThe accuracy of FOpRs and pre-operative imaging was 36.1% and 69.4%, respectively. Re-operative courses were: 36.1% anticipated and 63.9% unanticipated. The most frequently omitted data were: presence of satellite tumors (9.7%), and amount of removed parenchyma (9.7%). Variables that most commonly affected FOpR non-accuracy were: tumor size (Chi2(1)=59.92;

conclusionAccurate pre-operative imaging impacted surgeon satisfaction. The impact of the FOpR on re-operation technicalities and patient satisfaction was minor. Imaging precision should be improved to streamline the decision-making process of PA re-operation. This article proposes suggestions for a future decision-making algorithm as a starting point for a prospective study.Key messagesAccurate pre-operative imaging impacts both surgeon and patient satisfaction.There is no significant relationship between the accuracy of the first operative report and surgeon and patient satisfaction.There is a statistically significant relationship between patient and surgeon satisfaction.

Indexed as

Adenoma, PleomorphicSurgeonsHumansParotid GlandProspective StudiesQuality of LifeSalivary Gland Neoplasmscontrast-enhanced MR imagesfacial nerveoperative reportOral oncologypleomorphic adenomaquality of life

Identifiers

PMID36880798
PMCPMC10795636
OpenAlexW4323348242

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Registered trials

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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.