Evidence map›Paper›PMID 38317783›Full record

ArticleOTO open

Preoperative Serum Albumin as Predictor of Outcomes After Thyroidectomy.

Bao Yue Sciscent, Hanel Watkins Eberly, F Jeffrey Lorenz, Nguyen Truong, David Goldenberg, Neerav Goyal

Abstract read
In one paragraph

Article in OTO open. 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
–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

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

  1. 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

6 authors.

Bao Yue SciscentDepartment of Otolaryngology-Head and Neck Surgery Penn State Milton S. Hershey Medical Center and Penn State College of Medicine Hershey Pennsylvania USA.
Hanel Watkins EberlyDepartment of Otolaryngology-Head and Neck Surgery Penn State Milton S. Hershey Medical Center and Penn State College of Medicine Hershey Pennsylvania USA.
F Jeffrey LorenzDepartment of Otolaryngology-Head and Neck Surgery Penn State Milton S. Hershey Medical Center and Penn State College of Medicine Hershey Pennsylvania USA.
Nguyen TruongDepartment of Otolaryngology-Head and Neck Surgery Penn State Milton S. Hershey Medical Center and Penn State College of Medicine Hershey Pennsylvania USA.
David GoldenbergDepartment of Otolaryngology-Head and Neck Surgery Penn State Milton S. Hershey Medical Center and Penn State College of Medicine Hershey Pennsylvania USA.
Neerav GoyalDepartment of Otolaryngology-Head and Neck Surgery Penn State Milton S. Hershey Medical Center and Penn State College of Medicine Hershey Pennsylvania USA.ORCID 0000-0001-7783-1097

Funding

Penn State Clinical and Translational Science InstituteUL1TR002014 · NCATS · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI KRASCHNEWSKI, JENNIFER L. · 2016 to 2025
$33.7M
NCATS NIH HHS UL1 TR002014
6 · The paper itself

Abstract

Objective: Albumin is considered to be a surrogate marker for inflammation and nutritional status. Levels usually decrease after surgery but little is known about the predictive value of preoperative albumin levels in patients undergoing thyroidectomy. This study aimed to investigate the 30-day incidence of postoperative outcomes in thyroidectomy patients with and without preoperative hypoalbuminemia. Study Design: Retrospective cohort study. Setting: TriNetX Database. Methods: TriNetX, a federated deidentified database, was retrospectively queried to identify patients who underwent thyroidectomy. Postoperative outcomes within 30 days of thyroidectomy, based on International Classification of Disease, 10th Revision and Current Procedural Terminology codes, in patients with preoperative hypoalbuminemia (≤3.4 g/dL) (cohort 1) were analyzed and compared to patients without hypoalbuminemia (cohort 2). Results: After propensity score matching, 2398 patients were identified in each cohort. Hypoalbuminemia patients were more likely to have postoperative pneumonia (odds ratio, OR: 3.472, 95% confidence interval, CI [2.016-5.978]), acute renal failure (OR: 3.872, 95% CI [2.412-6.217]), venous thromboembolism (OR: 1.766, 95% CI [1.016-2.819]), and surgical site infection (OR: 2.353, 95% CI [1.282-4.32]). Rates of recurrent laryngeal nerve injury were comparable between cohorts. Conclusion: Patients undergoing thyroidectomy with preoperative hypoalbuminemia have a higher prevalence of postoperative complications compared to patients without preoperative hypoalbuminemia. While not routinely assessed, preoperative evaluation of serum albumin levels may help guide expectations and optimal management of thyroidectomy patients.

Indexed as

albuminhypoalbuminemiapostoperative outcomesthyroidthyroidectomy

Identifiers

PMID38317783
PMCPMC10840019

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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.