Evidence map›Paper›PMID 42057023›Full record

ArticleBMC medical informatics and decision making2026

Comprehensive evaluation of Medtronic's Butterfly platform, a new audiovisual information material for patient education and shared decision-making in surgical thyroid disease.

Maria Moschofidou, Grégoire Racine, Ilaria Giordani, Dionysios V Chartoumpekis, Adelina Ameti, Gerasimos P Sykiotis

Abstract read
In one paragraph

Article in BMC medical informatics and decision making, 2026. 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

6 authors.

Maria MoschofidouLausanne University Hospital and University of Lausanne, Lausanne, Switzerland. maria-paraskevi.moschofidou@chuv.ch.
Grégoire RacineLausanne University Hospital and University of Lausanne, Lausanne, Switzerland.
Ilaria GiordaniLausanne University Hospital and University of Lausanne, Lausanne, Switzerland.
Dionysios V ChartoumpekisLausanne University Hospital and University of Lausanne, Lausanne, Switzerland.
Adelina AmetiLausanne University Hospital and University of Lausanne, Lausanne, Switzerland.
Gerasimos P SykiotisLausanne University Hospital and University of Lausanne, Lausanne, Switzerland. gerasimos.sykiotis@chuv.ch.

Funding

Medtronic ERP-2019-12080
6 · The paper itself

Abstract

backgroundTo facilitate shared decision-making, patients increasingly rely on online platforms for health-related information. While thyroid diseases are common, the quality of available thyroid-related information varies. This study comprehensively evaluated a new audiovisual information material developed by Medtronic for patients with surgical thyroid disease in English and French.

methodsData were collected from patients at baseline (t1), after accessing the French version of Medtronic’s Butterfly platform but before surgery (t2), and three weeks post-surgery (t3). Patients assessed the material’s usefulness (USE), impact (eHIQ) and quality (Brief DISCERN), provided feedback on its content using a custom debriefing questionnaire, and self-reported on their anxiety (GAD-7), depression (PHQ-9) and stress (PSS-14). We assessed both versions for readability (FRES, FKGL, SMOG, GFI, and Scolarius); understandability and actionability (PEMAT-A/V); linguistic aspects (LIWC-22) and tone style (YesChat Tone Analyzer). In addition to quantitative and qualitative analyses of the respective datasets, triangulation was used to integrate both approaches.

resultsOf 26 patients enrolled, 24 participated at t2 and 22 at t3; both benign and malignant/potentially malignant surgical indications were represented. The material’s usefulness and impact scores at t2 were significantly above respective predefined thresholds. Consistently, qualitative analysis showed that most participants found the material useful/ very useful. Whereas anxiety and depression scores were low across t1-t3, levels of stress were consistently high; PSS-14 scores at t1 correlated positively with eHIQ-Part 2 scores at t3 (r = 0.495, p = 0.019), suggesting that patients with higher stress may experience a greater impact. Even though readability scores for both languages indicated higher complexity than the generally recommended 6th -8th grade level, neither the quantitative nor the qualitative patient feedback indicated challenges with the material’s language. Assessment of the material by five investigators showed very good understandability and excellent actionability. Linguistic analysis showed a somewhat higher complexity of the French version; for both versions, tone analysis reported a clear, approachable, and professional style, with direct and informative content, using generally simple language. Finally, participants suggested slight improvements, especially regarding online navigation.

conclusionsThese findings provide preliminary evidence that the Butterfly platform may serve as a useful educational resource for patients undergoing thyroid surgery; further validation in larger and more diverse populations is warranted.

Indexed as

Audiovisual AidsDecision Making, SharedPatient Education as TopicThyroid DiseasesAdultAgedFemaleHumansMaleMiddle AgedAudiovisual information materiale-HealthPatient educationPreoperative informationShared decision-makingThyroidectomy

Identifiers

PMID42057023
PMCPMC13270795

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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.