Abstract | OBJECTIVE: METHODS: We conducted a meta-analysis using only randomized controlled trials in which the incidence of post- thyroidectomy hematoma was compared directly in patients with and without suction drains (eight studies since 1980; N = 944). The odds ratio (OR) with respective confidence intervals (CIs) using the fixed effects model was reported. We used an OR < 1.0 as being in favour of treatment (ie, the use of suction drains). RESULTS: In our meta-analysis, there was no statistically significant difference between the rates of post- thyroidectomy hematoma whether or not suction drains were used when the results were combined using a fixed effects model (OR 1.04, 95% CI-1.93), with p = .90. In this comparison, a fixed effects model was used rather than a random effects model because there was no statistically significant heterogeneity (chi2 = 6.26, p = .28). CONCLUSIONS: We conclude that the use of suction drains in thyroid surgery to prevent postoperative hematoma is not evidence based.
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Authors | Martin Corsten, Stephanie Johnson, Ameen Alherabi |
Journal | The Journal of otolaryngology
(J Otolaryngol)
Vol. 34
Issue 6
Pg. 415-7
(Dec 2005)
ISSN: 0381-6605 [Print] Canada |
PMID | 16343402
(Publication Type: Journal Article, Meta-Analysis, Review)
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Topics |
- Chi-Square Distribution
- Female
- Hematoma
(epidemiology, prevention & control)
- Humans
- Incidence
- Male
- Odds Ratio
- Postoperative Complications
(epidemiology, prevention & control)
- Randomized Controlled Trials as Topic
- Suction
(methods)
- Thyroidectomy
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