Evidence map›Paper›PMID 40171333›Full record

ArticleCureus2025

Pediatric Graves' Disease: Challenges Associated With Thyroidectomy and Perioperative Management in a Three-Year-Old Child.

Emad Ramadan, Saad Nadeem, Muhammad Zain, Sharif Mohamed

Abstract readCase Reports
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Emad RamadanAnesthesiology, University of Texas Medical Branch, Galveston, USA.
Saad NadeemMedicine, Texas A&M College of Medicine, Houston, USA.
Muhammad ZainInternal Medicine, University of Houston, Houston, USA.
Sharif MohamedAnesthesiology, University of Texas Medical Branch, Galveston, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Graves' disease is a rare cause of hyperthyroidism in children, and it poses specific problems in diagnosis and surgery. We report a three-year-old female child who had Graves' disease with exophthalmos, for which she underwent a total thyroidectomy. On the preoperative assessment, the patient had tachycardia, hypertension, and severe bilateral proptosis. Managing the airway was challenging due to a shift in the trachea and possible tracheomalacia. Endocrine stabilization, protection for the eyes during surgery, and close observation for thyroid storms and neck hematoma were some strategies employed during the perioperative period. This case highlights the importance of tailored, multidisciplinary approaches to optimize outcomes in pediatric thyroidectomy.

Indexed as

airway managementendocrine stabilizationexophthalmosgraves' diseaseneck hematomapediatric hyperthyroidismperioperative carethyroidectomy

Identifiers

PMID40171333
PMCPMC11958833

What OpenQuestion holds

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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.