Evidence map›Paper›PMID 39010151›Full record

ArticlePerioperative medicine (London, England)2024

Correlation between surgical position and neck pain in patients undergoing thyroidectomy: a prospective observational study.

Salvatore Pagliaro, Leonardo Rossi, Michela Meligeni, Letizia Catani, Riccardo Morganti, Gabriele Materazzi, Sohail Bakkar, Antonia Montanino, Danilo Pagliaro, Monica Scateni and 1 more

Abstract read
In one paragraph

Article in Perioperative medicine (London, England), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Article
  4. Letter to the Editor regarding article: "The impact of perioperative neck stretching exercises on post-thyroidectomy neck discomfort, voice, and quality of life: a randomized controlled trial".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 · 2026
    Article
  5. Review
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.

Salvatore PagliaroUniversity Hospital of Pisa, Pisa, Italy.
Leonardo RossiMedical, Molecular, and Critical Area Pathology, Department of Surgery, University of Pisa, Pisa, Italy.
Michela MeligeniUniversity Hospital of Pisa, Pisa, Italy.
Letizia CataniUniversity Hospital of Pisa, Pisa, Italy.
Riccardo MorgantiUniversity Hospital of Pisa, Pisa, Italy.
Gabriele MaterazziMedical, Molecular, and Critical Area Pathology, Department of Surgery, University of Pisa, Pisa, Italy.
Sohail BakkarThe Hashemite University, Zarqa, Jordan.
Antonia MontaninoUniversity Hospital of Pisa, Pisa, Italy.
Danilo PagliaroUniversity Hospital of Pisa, Pisa, Italy.
Monica ScateniUniversity Hospital of Pisa, Pisa, Italy.
Nicola PagnucciDepartment of Translational Research and of New Surgical and Medical Technologies, University of Pisa, Pisa, Italy. nicola.pagnucci@for.unipi.it.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThyroid diseases are one of the most common health problems worldwide. Although they represent a necessary step in order to perform thyroidectomy, hyperextension of the neck can potentially increase postoperative pain. The aim of this study is to determine a correlation between the degree of neck hyperextension on the operative table and the postoperative pain in patients undergoing open thyroidectomy.

methodsPatients were prospectively enrolled from the cohort of patients operated at the Endocrine Surgery Unit of the University Hospital of Pisa, between May and July 2021. Both of patients who underwent total thyroidectomy or hemi-thyroidectomy were recruited. The following data were analysed in order to find a correlation with postoperative pain at 24 h: age, gender, type of surgery, BMI, operative time, and degree of neck extension.

resultsOverall, 195 patients were enrolled. A direct, statistically significant correlation emerged between the degree of neck hyperextension and the postoperative pain 24 h after surgery, regardless of the pain of the surgical wound (p < 0.001; beta 0.270).

conclusionsA direct correlation emerges between neck tilt angle and postoperative neck pain. Moreover, total thyroidectomy (TT) predisposes more to postoperative neck pain, considering the type of surgery.

Indexed as

Neck hyperextensionNursing carePostoperative painSurgical positionThyroid cancerThyroidectomy

Identifiers

PMID39010151
PMCPMC11251317

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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.