Evidence map›Paper›PMID 37794384›Full record

ArticleBMC surgery2023

Efficacy of four different hemostatic agents in thyroid surgery in reducing the amount of post-operative fluid collection.

Thomas von Ahnen, Martin von Ahnen, Sonja Militz-Müller, Anna Süß, Josefine Schardey, Stefan Schopf, Hans-Martin Schardey, Ulrich Wirth

Abstract read
In one paragraph

Article in BMC surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. The impact of 4DryField PH on hemostasis and postoperative drain placement in thyroid surgery.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2025
    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

8 authors.

Thomas von AhnenKrankenhaus Agatharied GmbH, Hausham, Germany. vonahnen2002@yahoo.de.
Martin von AhnenKrankenhaus Agatharied GmbH, Hausham, Germany.
Sonja Militz-MüllerKrankenhaus Agatharied GmbH, Hausham, Germany.
Anna SüßKrankenhaus Agatharied GmbH, Hausham, Germany.
Josefine SchardeyLudwig-Maximilians-Universität München, München, Germany.
Stefan SchopfRoMed Klinik Bad Aibling, Bad Aibling, Germany.
Hans-Martin SchardeyKrankenhaus Agatharied GmbH, Hausham, Germany.
Ulrich WirthLudwig-Maximilians-Universität München, München, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposesPostoperative bleeding remains a life-threatening complication in thyroid surgery. The aim was to assess the efficacy of four different hemostatic agents, Collagen-Fibrinogen-Thrombin Patch (CFTP) in two sizes (3 × 2.5 cm and 9.5 × 4.8 cm), polysaccharide particles (1 g) and Cellulose Gauze (2.5 × 5 cm) on postoperative drainage volume (DV) compared to a control group.

methodsWe included from October 2007 until Mai 2011, 150 patients (30 per group) for this monocentric, retrospective case-controlled study. Patients were scheduled for a hemithyroidectomy or thyroidectomy. The primary endpoint was the postoperative DV within the first 24 h, secondary the incidence of adverse events.

resultsThere were no difference in demographic parameters. The mean DV (± SD) was 51.15 (± 36.86) ml in the control, 50.65 (± 42.79) ml in small (3 × 2.5 cm), 25.38 (± 23.99) ml in large CFTP (9.5 × 4.8 cm), 53.11 (± 39.48) ml in the polysaccharide particles and 48.94 (± 30.59) ml in the cellulose gauze group. DV was significantly reduced with the large CFTP (p < 0.05) compared to all other groups. There were no adverse events.

conclusionsWe were able to demonstrate a significant reduction in the DV for the large CFTP group compared to the other collectives. Although this as being associated with not inconsiderable costs and we would only recommend its use for high-risk patients only.

Indexed as

HemostaticsThyroid GlandCelluloseFibrinogenHumansPolysaccharidesRetrospective StudiesThrombinCelluloseFibrinogenHemostaticsPolysaccharidesThrombinDrainage volumeHemostatic agentsPostoperative bleedingThyroid surgery

Identifiers

PMID37794384
PMCPMC10552291

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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.