Evidence map›Paper›PMID 41444462›Full record

ArticleLangenbeck's archives of surgery2025

Overnight total thyroidectomy: a safe management.

Riccardo Morandi, Claudio Guarneri, Matteo Nardin, Stefania Maria Filomena Mitola, Eleonora Valloncini, Elisa Gatta, Pietro Bellini, Francesco Bertagna, Carlo Cappelli, Claudio Casella

Abstract read
In one paragraph

Article in Langenbeck's archives of surgery, 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

10 authors.

Riccardo MorandiDepartment of Clinical and Experimental Sciences, Surgical Clinic, University of Brescia, ASST Spedali Civili, Brescia, Italy. riccardo.morandi@unibs.it.
Claudio GuarneriGeneral Surgery, ASST Spedali Civili Di Brescia PO Montichiari, Brescia, Montichiari, Italy.
Matteo NardinInternal Medicine, Department of Medicine, ASST Spedali Civili, Brescia, Italy.
Stefania Maria Filomena MitolaDepartment of Molecular and Translational Medicine, University of Brescia, Brescia, Italy.
Eleonora VallonciniDepartment of Clinical and Experimental Sciences, Surgical Clinic, University of Brescia, ASST Spedali Civili, Brescia, Italy.
Elisa GattaDepartment of Clinical and Experimental Sciences, SSD Endocrinologia, University of Brescia, ASST Spedali Civili, Brescia, Italy.
Pietro BelliniNuclear Medicine, Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, ASST Spedali Civili Di Brescia, University of Brescia, Brescia, Italy.
Francesco BertagnaNuclear Medicine, Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, ASST Spedali Civili Di Brescia, University of Brescia, Brescia, Italy.
Carlo CappelliDepartment of Clinical and Experimental Sciences, SSD Endocrinologia, University of Brescia, ASST Spedali Civili, Brescia, Italy.
Claudio CasellaDepartment of Clinical and Experimental Sciences, Surgical Clinic, University of Brescia, ASST Spedali Civili, Brescia, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionRapid discharge protocols have gained progressive popularity even in thyroid surgery due to the superimposable risks of complications compared to inpatient management and for the subsequent increased surgical volume. The aim of this study is to evaluate results, benefits and complications’ rates of a rapid discharge in postoperative day 1 (POD1 - overnight thyroidectomy) among patients submitted to total thyroidectomy at our surgical clinic. MATERIALS AND

methodsSingle centre retrospective analysis of 729 patients submitted to total thyroidectomy between 2016 and 2024; 402 patients who are scheduled for discharge on POD 1 and 327 patients discharged after a minimum of 72 hours observation (POD 3). Data concerning postoperative complications (POC) at 24 hours, 10 and 30 days were collected. Patients’ satisfaction about the rapid discharge protocol was also registered.

resultsWe registered no significative differences between incidence of complications at 24h, 10-days or 30-days re-evaluations in POD1 and POD3 groups. Graves’ Disease represents the main context in which early postoperative (24h) and overall complications occurred. The 94.6% of POD1 patients reported a global satisfaction in the rapid discharge scenario.

conclusionsPOD1 patients are not exposed to additional postoperative risk with overnight thyroidectomy following total thyroidectomy, given accurate patient selection. Early and overall complications are more frequently observed in patients with Graves' disease. Overnight thyroidectomy, combined with thorough perioperative patient education, received widespread appreciation among our surgical cohort.

Indexed as

Patient DischargePostoperative ComplicationsThyroidectomyAdultAgedFemaleHumansLength of StayMaleMiddle AgedPatient SatisfactionRetrospective StudiesEarly dischargeOvernight thyroidectomy; selection criteriaPostoperative complicationTotal thyroidectomy

Identifiers

PMID41444462
PMCPMC12738670

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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.