Observational studyMedicine2026
Interrupted time series analysis of a digital nursing decision support system for postoperative lymphorrhea prevention in thyroid cancer: A single-center retrospective study.
Observational study in Medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Postoperative lymphorrhea is a common complication of thyroid cancer surgery that prolongs hospital stays and raises medical costs. This study aimed to evaluate the association between a digital nursing decision support system (DNDSS)-assisted nursing and the incidence of postoperative lymphorrhea in thyroid cancer patients, and clarify the correlation between routine clinical indicators and lymphorrhea outcomes to provide evidence for optimizing clinical nursing strategies. A single-center retrospective observational interrupted time series (ITS) study was conducted on 1286 thyroid cancer patients who underwent surgery at Hubei Cancer Hospital from January 2019 to June 2024, divided into a pre-intervention group (January 2019 to December 2021, routine nursing, n = 612) and a post-intervention group (January 2022 to June 2024, DNDSS-assisted nursing, n = 674). ITS analysis was used to assess changes in lymphorrhea incidence, and multivariate logistic regression analysis to screen its risk factors. Baseline data were comparable between groups (all P > .05). ITS analysis showed the implementation of DNDSS was associated with a significant decrease in postoperative lymphorrhea incidence (21.08% vs 8.46%, P < .001), with a level change coefficient of -0.126 (95% confidence interval [CI]: -0.168 to -0.084, P < .001) and a slope change coefficient of -0.003 (95% CI: -0.005 to -0.001, P = .002). Preoperative hypoalbuminemia (<35 g/L), total neck dissection, prolonged operation time (>180 minutes), poor drainage tube nursing compliance and lack of personalized nutritional support were independent risk factors (all P < .05), while DNDSS-assisted nursing was an independent protective factor (odds ratio = 0.324, 95% CI: 0.215-0.489, P < .001). DNDSS is associated with a significantly reduced incidence of postoperative lymphorrhea in thyroid cancer patients, serving as an effective clinical nursing tool. Clinical nursing should focus on high-risk patients and improve nursing compliance and personalized nutritional support to further reduce lymphorrhea risk.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.