Evidence map›Paper›PMID 41340691›Full record

ReviewKardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery2025

Diving retrosternal goiter and the dilemma of sternotomy: indications, predictors and surgical considerations.

Vasileios Leivaditis, Elias Liolis, Nikolaos Baltayiannis, Pavlos Sarof, Alexandra Pagoulatou, Konstantinos Grapatsas, Andreas Antzoulas, Dimitrios Litsas, Panagiotis Dimitrios Papadopoulos, George Theofanis and 6 more

Abstract readReview
In one paragraph

Review in Kardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

16 authors.

Vasileios LeivaditisDepartment of Cardiothoracic and Vascular Surgery, Westpfalz Klinikum, Kaiserslautern, Germany.
Elias LiolisDepartment of Oncology, General University Hospital of Patras, Greece.
Nikolaos BaltayiannisDepartment of Thoracic Surgery, 'Metaxa' Cancer Hospital, Piraeus, Greece.
Pavlos SarofDepartment of Otorhinolaryngology. 'Metaxa' Cancer Hospital, Piraeus, Greece.
Alexandra PagoulatouDepartment of Anesthesiology, 'Metaxa' Cancer Hospital, Piraeus, Greece.
Konstantinos GrapatsasDepartment of Thoracic Surgery and Thoracic Endoscopy, Ruhrlandklinik, West German Lung Center, University Hospital Essen, University Duisburg-Essen, Essen, Germany.
Andreas AntzoulasDepartment of General Surgery, General University Hospital of Patras, Greece.
Dimitrios LitsasDepartment of Surgery, General Hospital of Lamia, Greece.
Panagiotis Dimitrios PapadopoulosDepartment of Surgery, Spital Herisau, Appenzell Ausserrhoden, Switzerland.
George TheofanisDepartment of General Surgery, General University Hospital of Patras, Greece.
Konstantinos NikolakopoulosDepartment of Vascular Surgery, General University Hospital of Patras, Greece.
Paraskevi KatsakioriDepartment of General Surgery, General University Hospital of Patras, Greece.
Athanasios PapatriantafyllouDepartment of Cardiothoracic and Vascular Surgery, Westpfalz Klinikum, Kaiserslautern, Germany.
Efstratios KoletsisDepartment of Cardiothoracic Surgery, General University Hospital of Patras, Greece.
Marina MichalakiDepartment of Endocrinology, General University Hospital of Patras, Greece.
Francesk MulitaDepartment of General Surgery, General University Hospital of Patras, Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A goiter is defined as an enlargement of the thyroid gland, typically resulting in a doubling in size or a weight exceeding 40 g. It affects approximately 5% of the global population. Diving, or substernal, goiters occur when more than 50% of the thyroid extends into the mediastinum, with an incidence ranging from 5% to 15.7% across various studies. An alternative definition describes diving goiters as those extending more than 3 cm below the sternal notch on chest computed tomography with the neck in hyperextension, or beyond the fourth thoracic vertebra. In this review, we outline the key clinical and radiological criteria that indicate when sternotomy is required for the surgical management of diving goiters.

Indexed as

diving goiterintrathoracic thyroidmediastinal goitersternotomysubsternal goiterthyroid surgery

Identifiers

PMID41340691
PMCPMC12670237

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.