Evidence map›Paper›PMID 40979704›Full record

ArticleFrontiers in endocrinology2025

Propensity score-matched analysis of the '2+2' parathyroid strategy in total thyroidectomy with central neck dissection.

Hao Gong, Simei Yao, Tianyuchen Jiang, Yi Yang, Yuhan Jiang, Zhujuan Wu, Anping Su

Abstract read
In one paragraph

Article in Frontiers in endocrinology, 2025. 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. 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

7 authors.

Hao Gong *Division of Thyroid & Parathyroid Surgery, Department of General Surgery, West China Hospital Sichuan University, Chengdu, China.
Simei Yao *Lung Cancer Center/Lung Cancer Institute, West China Hospital Sichuan University, Chengdu, China.
Tianyuchen JiangDivision of Thyroid & Parathyroid Surgery, Department of General Surgery, West China Hospital Sichuan University, Chengdu, China.
Yi YangDivision of Thyroid & Parathyroid Surgery, Department of General Surgery, West China Hospital Sichuan University, Chengdu, China.
Yuhan JiangDivision of Thyroid & Parathyroid Surgery, Department of General Surgery, West China Hospital Sichuan University, Chengdu, China.
Zhujuan WuDivision of Thyroid & Parathyroid Surgery, Department of General Surgery, West China Hospital Sichuan University, Chengdu, China.
Anping SuDivision of Thyroid & Parathyroid Surgery, Department of General Surgery, West China Hospital Sichuan University, Chengdu, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To evaluate the clinical efficacy of the "2+2" strategy (preserving 2 superior glands Materials and methods: A retrospective cohort of 1,099 PTC patients treated with TT+BCLND at West China Hospital (2017-2023) was analyzed. After 1:1 PSM, 592 patients (296 per group) were included. Outcomes included temporary hypoparathyroidism (THP), permanent hypoparathyroidism (PHP), and postoperative PTH, calcium (Ca), and vitamin D (VitD) levels. Logistic regression identified predictors of THP and PHP. Results: After matching, baseline characteristics were comparable. The "2+2" group had longer operative time (150 vs. 123 min, Conclusion: The "2+2" strategy increases short-term THP risk but significantly reduces long-term PHP. Rapid biochemical recovery supports the functional viability of autotransplanted glands. This approach may offer a safe and effective strategy for parathyroid management in high-risk thyroid surgeries.

Indexed as

Neck DissectionParathyroid GlandsThyroid Cancer, PapillaryThyroidectomyThyroid NeoplasmsAdultFemaleHumansHypoparathyroidismMaleMiddle AgedParathyroid HormonePostoperative ComplicationsPropensity ScoreRetrospective StudiesTransplantation, AutologousParathyroid Hormonehypoparathyroidismparathyroid autotransplantationparathyroid protectionpostoperative parathyroid functionpropensity score matching

Identifiers

PMID40979704
PMCPMC12443579

What OpenQuestion holds

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Registered trials

None linked

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.