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5 de octubre de 2023
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Effect of the COVID-19 pandemic on surgery for indeterminate thyroid nodules (THYCOVID): a retrospective, international, multicentre, cross-sectional study

Publicado en: Lancet Diabetes & Endocrinology. 11 (6): 402-413 - 2023-06-01 11(6), DOI: 10.1016/S2213-8587(23)00094-3

Autores:

Medas, Fabio; Dobrinja, Chiara; Al-Suhaimi, Ebtesam Abdullah; Altmeier, Julia; Anajar, Said; Arikan, Akif Enes; Azaryan, Irina; Bains, Lovenish; Basili, Giancarlo; Bolukbasi, Hakan; Bononi, Marco; Borumandi, Farzad; Bozan, Mehmet Bugra; Brenta, Gabriela; Brunaud, Laurent; Brunner, Maximilian; Buemi, Antoine; Canu, Gian Luigi; Cappellacci, Federico; Cartwright, Burchfield; Fuste, Ignasi Castells; Cavalheiro, Beatriz; Cavallaro, Giuseppe; Chala, Andres; Chan, Shun Yan Bryant; Chaplin, John; Cheema, Mustafa Sajjad; Chiapponi, Costanza; Chiofalo, Maria Grazia; Chrysos, Emmanuel; D'Amore, Annamaria; de Cillia, Michael; De Crea, Carmela; de Manzini, Nicolo; de Matos, Leandro Luongo; De Pasquale, Loredana; Del Rio, Paolo; Demarchi, Marco Stefano; Dhiwakar, Muthuswamy; Donatini, Gianluca; Dora, Jose Miguel; D'Orazi, Valerio; Gamgaram, Viyey Kishore Doulatram; Eismontas, Vitalijus; Kabiri, El Hassane; El Malki, Hadj Omar; Elzahaby, Islam; Enciu, Octavian; Eskander, Antoine; Feroci, Francesco; Figueroa-Bohorquez, David; Filis, Dimitrios; Francois, Gorostidi; Frias-Fernandez, Pedro; Gamboa-Dominguez, Armando; Genc, Volkan; Giordano, Davide; Gomez-Pedraza, Antonio; Graceffa, Giuseppa; Griffin, James; Guerreiro, Sofia Cuco; Gupta, Karan; Gupta, Keshav Kumar; Gurrado, Angela; Hajiioannou, Jiannis; Hakala, Tommi; Harahap, Wirsma Arif; Hargitai, Lindsay; Hartl, Dana; Hellmann, Andrzej; Hlozek, Jiri; Hoang, Van Trung; Iacobone, Maurizio; Innaro, Nadia; Ioannidis, Orestis; Jang, J H Isabelle; Xavier-Junior, Jose Candido; Jovanovic, Milan; Kaderli, Reto Martin; Kakamad, Fahmi; Kaliszewski, Krzysztof; Karamanliev, Martin; Katoh, Hiroshi; Kosec, Andro; Kovacevic, Bozidar; Kowalski, Luiz Paulo; Kralik, Robert; Yadav, Sanjay Kumar; Kumorova, Adriana; Lampridis, Savvas; Lasithiotakis, Konstantinos; Leclere, Jean-Christophe; Leong, Eugene Kwong Fei; Leow, Melvin Khee-Shing; Lim, James Y; Lino-Silva, Leonardo S; Liu, Shirley Yuk Wah; Llorach, Nuria Perucho; Lombardi, Celestino Pio; Lopez-Gomez, Javier; Lori, Eleonora; Quintanilla-Dieck, Lourdes; Lucchini, Roberta; Madani, Amin; Manatakis, Dimitrios; Markovic, Ivan; Materazzi, Gabriele; Mazeh, Haggi; Mercante, Giuseppe; Meyer-Rochow, Goswin Yason; Mihaljevic, Olgica; Miller, Julie A; Minuto, Michele; Monacelli, Massimo; Mulita, Francesk; Mullineris, Barbara; Munoz-de-Nova, Jose Luis; Girardi, Fabio Muradas; Nader, Saki; Napadon, Tangjaturonrasme; Nastos, Constantinos; Offi, Chiara; Ronen, Ohad; Oragano, Luigi; Orois, Aida; Pan, Yongqin; Panagiotidis, Emmanouil; Panchangam, Ramakanth Bhargav; Papavramidis, Theodosios; Parida, Pradipta Kumar; Paspala, Anna; Perez, Oscar Vidal; Petrovic, Sabrina; Raffaelli, Marco; Ramacciotti, Constanza Fernanda; Gimenez, Tomas Ratia; Vazquez, Angel Rivo; Roh, Jong-Lyel; Rossi, Leonardo; Sanabria, Alvaro; Santeerapharp, Alena; Semenov, Arseny; Seneviratne, Sanjeewa; Serdar, Altinay; Sheahan, Patrick; Sheppard, Sean C; Slotcavage, Rachel L; Smaxwil, Constantin; Kim, Soo Young; Sorrenti, Salvatore; Spartalis, Eleftherios; Sriphrapradang, Chutintorn; Testini, Mario; Turk, Yigit; Tzikos, George; Vabalayte, Kristina; Vargas-Osorio, Kelly; Sebastian, Rafael; Renteria, Vazquez; Velazquez-Fernandez, David; Vithana, Sanura Malinda Pallegoda; Yucel, Levent; Yulian, Erwin Danil; Zahradnikova, Petra; Zarogoulidis, Paul; Ziablitskaia, Evgeniia; Zolotoukho, Anna; Calo, Pietro Giorgio
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Afiliaciones

424 Gen Mil Hosp, Dept Thorac Surg, Thessaloniki, Greece - Autor o Coautor
AC Camargo Canc Ctr, Dept Head & Neck Surg & Otorhinolaryngol, Sao Paulo, Brazil - Autor o Coautor
Acibadem Mehmet Ali Aydinlar Univ, Sch Med, Dept Gen Surg, Istanbul, Turkiye - Autor o Coautor
Ahvaz Jundishapur Univ Med Sci, Dept Otolaryngol, Ahvaz, Iran - Autor o Coautor
Ajou Univ, Sch Med, Dept Surg, Suwon, South Korea - Autor o Coautor
All India Inst Med Sci, Dept ENT Head & Neck Surg, Bhubaneswar, India - Autor o Coautor
Ankara Univ, Dept Surg, Fac Med, Ankara, Turkiye - Autor o Coautor
AOU Mater Domini, Unit Endocrine Surg, Catanzaro, Italy - Autor o Coautor
Aristotle Univ Thessaloniki, Dept Surg 3, Thessaloniki, Greece - Autor o Coautor
Aristotle Univ Thessaloniki, Gen Hosp Georgios Papanikolaou, Dept Surg 4, Sch Med, Thessaloniki, Greece - Autor o Coautor
Aristotle Univ Thessaloniki, Propedeut Dept Surg 1, Thessaloniki, Greece - Autor o Coautor
ASl Napoli 1 Ctr, Osped Mare, Dept Endocrine & Ultrasound Guided Surg, Naples, Italy - Autor o Coautor
ASL VCO, Osped San Biagio, Domodossola, Italy - Autor o Coautor
Athens Naval & Vet Hosp, Dept Surg 2, Athens, Greece - Autor o Coautor
Attikon Univ Hosp, Dept Surg 3, Athens, Greece - Autor o Coautor
Auckland City Hosp, Dept Otolaryngol Head & Neck Surg, Auckland, New Zealand - Autor o Coautor
Azienda Ospeda Perugia, Thorac Surg, Perugia, Italy - Autor o Coautor
Azienda USL IRCCS Reggio Emilia, Otorhinolaryngol Unit, Reggio Emilia, Italy - Autor o Coautor
Bar Ilan Univ, Azrieli Fac Med, Galilee Med Ctr, Safed, Israel - Autor o Coautor
Bhargav Endocrine Hosp, Endocrine & Metab Surg, Vijayawada, India - Autor o Coautor
Brest Univ Hosp, Head & Neck Surg, Brest, France - Autor o Coautor
Carol Davila Univ Med & Pharm, Elias Univ Emergency Hosp, Bucharest, Romania - Autor o Coautor
Cent Mil Hosp Ruzomberok, Clin Otorhinolaryngol & Head & Neck Surg, Ruzomberok, Slovakia - Autor o Coautor
CHA Univ, CHA Bundang Med Ctr, Dept Otorhinolaryngol Head & Neck Surg, Seongnam, South Korea - Autor o Coautor
Charles Univ Prague, Fac Med 3, Prague, Czech Republic - Autor o Coautor
Chichester & Worthing Hosp, St Richards Hosp, Univ Hosp Sussex NHS Fdn Trust, Dept Oral & Maxillofacial Surg, Worthing, England - Autor o Coautor
Chinese Univ Hong Kong, Dept Surg, Hong Kong, Peoples R China - Autor o Coautor
CHU Poitiers, Gen & Endocrine Surg, Poitiers, France - Autor o Coautor
CHU Vaudois, Otolaryngol & Head & Neck Surg, Lausanne, Switzerland - Autor o Coautor
Chulalongkorn Univ, Dept Otolaryngol, Fac Med, Bangkok, Thailand - Autor o Coautor
Clin Univ St Luc, Dept Surg, Brussels, Belgium - Autor o Coautor
CMH Lahore Med Coll & Inst Dent, Lahore, Pakistan - Autor o Coautor
Comenius Univ, Fac Med, St Elisabeth Canc Inst, Dept Surg Oncol, Bratislava, Slovakia - Autor o Coautor
Comenius Univ, Natl Inst Childrens Dis, Dept Paediat Surg, Med Fac, Bratislava, Slovakia - Autor o Coautor
Complexo Hosp Univ Vigo, Div Endocrine Surg, Dept Gen & Digest Surg, Vigo, Spain - Autor o Coautor
Dept Endocrinol, Unidad Asistencial Dr Cesar Milstein, Unidad Asistencial Dr Cesar Milstein, Buenos Aires, DF, Argentina - Autor o Coautor
Diakonie Klinikum Stuttgart, Endocrine Surg, Stuttgart, Germany - Autor o Coautor
Dr Cipto Mangunkusumo Gen Hosp, Dept Surg, Div Surg Oncol, Jakarta, Indonesia - Autor o Coautor
Ege Univ Hosp, Div Endocrine Surg, Dept Gen Surg, Izmir, Turkiye - Autor o Coautor
Epworth Med Fdn, Melbourne, Vic, Australia - Autor o Coautor
Eugenideio Hosp, Dept Surg, Athens, Greece - Autor o Coautor
Evangel Klinikum Cologne Weyertal, Dept Endocrine Surg, Cologne, Germany - Autor o Coautor
Fabia Mater Hosp, Sect Endocrine & Diabet Foot Surg, Div Gen Surgery, Rome, Italy - Autor o Coautor
Fdn Policlin Univ Agostino Gemelli IRCC, Dept Gastroenterol Endocrine Metabol & Nephro Uro, Rome, Italy - Autor o Coautor
Fdn Policlin Univ Gemelli IRCCS, UOC Chirurgia Endocrina & Metabol, Rome, Italy - Autor o Coautor
Friedrich Alexander Univ Erlangen Nuremberg, Dept Gen & Visceral Surg, Erlangen, Germany - Autor o Coautor
Gen Univ Hosp Patras, Dept Surg, Patras, Greece - Autor o Coautor
Geneva Univ Hosp, Dept Thorac & Endocrine Surg, Geneva, Switzerland - Autor o Coautor
Granollers Gen Hosp, Dept Endocrinol, Barcelona, Spain - Autor o Coautor
Gustave Roussy, Head & Neck Oncol Serv, Dept Surg Anesthesia & Intervent Radiol, Thyroid Surg Unit, Villejuif, France - Autor o Coautor
Hebrew Univ Jerusalem, Fac Med, Dept Surg, Hadassah Med Ctr, Jerusalem, Israel - Autor o Coautor
Hosp Ana Nery, Head & Neck Surg Dept, Santa Cruz Do Sul, Brazil - Autor o Coautor
Hosp Clin Porto Alegre, Thyroid Unit, Porto Alegre, Brazil - Autor o Coautor
Hosp Oncol Ctr Med Nacl Siglo XXI, Head & Neck Dept, Mexico City, Mexico - Autor o Coautor
Hosp Privado Univ Cordoba, Serv Endocrinol, Cordoba, Argentina - Autor o Coautor
Hosp Reg Univ, Endocrinol & Nutr, Malaga, Spain - Autor o Coautor
Hosp Sao Camilo Oncol, Inst Brasileiro Controle Canc, Dept Cirurgia Cabeca Pescoco, Sao Carlos, Brazil - Autor o Coautor
Hosp Univ La Princesa, Dept Gen & Digest Surg, Madrid, Spain - Autor o Coautor
Hosp Univ Mutua Terrassa, Dept Endocrinol & Nutr, Terrassa, Spain - Autor o Coautor
Hosp Univ Nacl Colombia, Head & Neck Surg, Bogota, Colombia - Autor o Coautor
Hosp Univ Principe Asturias, Gen Surg, Alcala De Henares, Spain - Autor o Coautor
Humanitas Univ, Dept Biomed Sci, Pieve Emanuele, Italy - Autor o Coautor
Imam Abdulrahman Bin Faisal Univ, Inst Res & Med Consultat, Dept Biol, Coll Sci, Dammam, Saudi Arabia - Autor o Coautor
Inst Nacl Cancerol, Dept Cabeza Cuello, Mexico City, Mexico - Autor o Coautor
Inst Nacl Ciencias Med & Nutr Salvador Zubiran, Mexico City, Mexico - Autor o Coautor
Inst Oncol & Radiol Serbia, Clin Surg Oncol, Belgrade, Serbia - Autor o Coautor
Inst Patol Aracatuba, Dept Surg Pathol, Aracatuba, Brazil - Autor o Coautor
IRCCS Fdn G Pascale, Head & Neck Canc Med Oncol Dept, Ist Nazl Tumori, Naples, Italy - Autor o Coautor
IRCCS Humanitas Res Hosp, Dept Otorhinolaryngol Head & Neck Surg, Rozzano, Italy - Autor o Coautor
Jinan Univ, Affiliated Hosp 1, Dept Thyroid Surg, Guangzhou, Peoples R China - Autor o Coautor
Kahramanmaras Sutcu Imam Univ, Gen Surg, Fac Med, Kahramanmaras, Turkiye - Autor o Coautor
Kitasato Univ Hosp, Dept Breast & Endocrine Surg, Sagamihara, Japan - Autor o Coautor
Klaipeda Univ Hosp, Dept Surg, Klaipeda, Lithuania - Autor o Coautor
Klaipeda Univ, Fac Hlth Sci, Hlth Res & Innovat Sci Ctr, Klaipeda, Lithuania - Autor o Coautor
Kovai Med Ctr & Hosp, Dept Otolaryngol Head & Neck Surg, Coimbatore, India - Autor o Coautor
Mahidol Univ, Ramathibodi Hosp, Fac Med, Dept Med, Bangkok, Thailand - Autor o Coautor
Mansoura Univ, Surg Oncol, Mansoura, Egypt - Autor o Coautor
Maulana Azad Med Coll, Dept Surg, New Delhi, India - Autor o Coautor
Med Hosp, Oncol Ctr, Mexico City, Mexico - Autor o Coautor
Med Univ Gdansk, Dept Gen Endocrine & Transplant Surg, Gdansk, Poland - Autor o Coautor
Med Univ Pleven, Fac Med, Univ Hosp Georgi Stranski, Dept Surg Oncol, Pleven, Bulgaria - Autor o Coautor
Med Univ Vienna, Div Visceral Surg, Dept Gen Surg, Vienna, Austria - Autor o Coautor
Medanta, Dept Head & Neck Surg, Gurugram, India - Autor o Coautor
Midlands Reg Hosp Tullamore, Otolaryngol, Tullamore, Ireland - Autor o Coautor
Mil Med Acad, Inst Pathol & Forens Med, Belgrade, Serbia - Autor o Coautor
Mil Univ Hosp, Dept Otorhinolaryngol & Maxillofacial Surg, Prague, Czech Republic - Autor o Coautor
Mohammed Mil Teaching Hosp, Dept Thorac Surg, Rabat, Morocco - Autor o Coautor
Mohammed V Univ, Surg Dept A, Ibn Sina Hosp, Rabat, Morocco - Autor o Coautor
Mohammed VI Univ Hlth Sci, Cheikh Khalifa Int Univ Hosp, Dept Otolaryngol Head & Neck Surg, Casablanca, Morocco - Autor o Coautor
Natl Canc Inst Mexico, Mexico City, Mexico - Autor o Coautor
Natl Hosp Kandy, Dept Surg, Kandy, Sri Lanka - Autor o Coautor
Natl Inst Med Sci & Nutr, Dept Surg, Endocrine Surg Unit, Mexico City, Mexico - Autor o Coautor
Natl Univ Singapore Hosp, Dept Surg, Singapore, Singapore - Autor o Coautor
NSCB Med Coll, Dept Surg, Jabalpur, India - Autor o Coautor
Ohio State Univ, Div Endocrinol Diabet & Metab, Dept Internal Med, Wexner Med Ctr, Columbus, OH USA - Autor o Coautor
Oregon Hlth & Sci Univ, Dept Pediat Otolaryngol Head & Neck Surg, Portland, OR USA - Autor o Coautor
Oregon Hlth & Sci Univ, Dept Surg & Otolaryngol, Portland, OR USA - Autor o Coautor
Parma Univ Hosp, Dept Med & Surg, Gen Surg Unit, Parma, Italy - Autor o Coautor
Policlin Umberto Sapienza, Dipartimento Chirurg Pietro Valdoni, Rome, Italy - Autor o Coautor
REA Hosp, Dept Thyroid Surg, Athens, Greece - Autor o Coautor
Royal Melbourne Hosp, Melbourne, Vic, Australia - Autor o Coautor
S Stefano Hosp, Gen Surg Unit, Dept Surg, Prato, Italy - Autor o Coautor
Sapienza Univ Rome, Dept Surg Sci, Rome, Italy - Autor o Coautor
Sapienza Univ Rome, Dept Surg, Rome, Italy - Autor o Coautor
Sch Med, Belgrade, Serbia - Autor o Coautor
Singapore Gen Hosp, Dept Otorhinolaryngol Head & Neck Surg, Singapore, Singapore - Autor o Coautor
Smart Hlth Tower, Dept Sci Affairs, Smart Hlth Tower, Sulaimani, Iraq - Autor o Coautor
South Infirm Victoria Univ Hosp, Cork, Ireland - Autor o Coautor
Srinakharinwirot Univ, Fac Med, Dept Otolaryngol Head & Neck, Bangkok, Thailand - Autor o Coautor
St Andrew Hosp Patras, Dept Surg, Patras, Greece - Autor o Coautor
St John God Hosp, Dept Surg, Salzburg, Austria - Autor o Coautor
St Luke VI Vernadsky Crimean Fed Univ, Clin Med Multidisciplinary Ctr, Cent Res Lab, Simferopol, Russia - Autor o Coautor
St Petersburg State Univ Hosp, Dept Endocrine Surg, St Petersburg, Russia - Autor o Coautor
Surg Bitenc, Ljubljana, Slovenia - Autor o Coautor
Tampere Univ Hosp, Dept Surg, Tampere, Finland - Autor o Coautor
Tan Tock Seng Hosp, Dept Endocrinol, Singapore, Singapore - Autor o Coautor
Theageneio Canc Hosp Thessaloniki, PET CT, Dept Nucl Med, Thessaloniki, Greece - Autor o Coautor
Thien Hanh Hosp, Dept Radiol, Buon Ma Thuot, Vietnam - Autor o Coautor
Tseung Kwan Hosp, Dept Surg, Hong Kong, Peoples R China - Autor o Coautor
Tulas Gen Hosp, Surg Oncol, Tula, Mexico - Autor o Coautor
Univ Andalas, Dept Surg, Fac Med, Padang, Indonesia - Autor o Coautor
Univ Antioquia, CEXCA Centro Excelencia Enfermedades Cabeza Cuell, Dept Surg, Medellin, Colombia - Autor o Coautor
Univ Arkansas Med Sci, Dept Internal Med, Little Rock, AR USA - Autor o Coautor
Univ Arkansas Med Sci, Dept Surg, Little Rock, AR USA - Autor o Coautor
Univ Barcelona, Hosp Clin Barcelona, Dept Gen Surg, Barcelona, Spain - Autor o Coautor
Univ Bari Aldo Moro, Dept Precis & Regenerat Med & Ionian Area, Bari, Italy - Autor o Coautor
Univ Bern, Univ Hosp Bern, Inselspital, Dept Visceral Surg & Med, Bern, Switzerland - Autor o Coautor
Univ Cagliari, Dept Surg Sci, Cagliari, Italy - Autor o Coautor
Univ Caldas, Head Neck Dept Oncologos Occidente, Manizales, Colombia - Autor o Coautor
Univ Clin Ctr Serbia, Clin Endocrine Surg, Belgrade, Serbia - Autor o Coautor
Univ Colombo, Fac Med, Colombo, Sri Lanka - Autor o Coautor
Univ Crete, Univ Hosp Herakl, Sch Med, Dept Surg, Iraklion, NE, Greece - Autor o Coautor
Univ Fed Rio Grande do Sul, Porto Alegre, Brazil - Autor o Coautor
Univ Geneva, Geneva, Switzerland - Autor o Coautor
Univ Genoa, Dept Surg Sci & Integrated Diagnost, Genoa, Italy - Autor o Coautor
Univ Hlth Sci, Bakirkoy Dr Sadi Konuk Training & Res Hosp, Dept Endocrin Pathol Unit, Fac Med, Istanbul, Turkiye - Autor o Coautor
Univ Hlth Sci, Gulhane Res & Training Hosp, Dept Otorhinolaryngol, Ankara, Turkiye - Autor o Coautor
Univ Hlth Sci, Kanuni Sultan Suleyman Training & Res Hosp, Gen Surg, Istanbul, Turkiye - Autor o Coautor
Univ Hosp Birmingham NHS Trust, Dept ENT, Birmingham, England - Autor o Coautor
Univ Hosp Cologne, Dept Gen Visceral Canc & Transplant Surg, Cologne, Germany - Autor o Coautor
Univ Hosp Ctr Cent Lisbon, Hosp Curry Cabral, Endocrine Surg, Lisbon, Portugal - Autor o Coautor
Univ Hosp Ctr Sestre Milosrdnice, Dept Otorhinolaryngol & Head & Neck Surg, Zagreb, Croatia - Autor o Coautor
Univ Hosp Larissa, ENT Dept, Larisa, Greece - Autor o Coautor
Univ Hosp Modena, Baggiovara Civil Hosp, Dept Gen Emergency & New Technol, Modena, Italy - Autor o Coautor
Univ Hosp Pisa, Endocrine Surg Unit, Pisa, Italy - Autor o Coautor
Univ Hosp, Unit Endocrine Surg Head & Neck Parc Tauli, Sabadell, Spain - Autor o Coautor
Univ Kragujevac, Dept Pathophysiol, Fac Med Sci, Kragujevac, Serbia - Autor o Coautor
Univ Lorraine, Dept Surg CVMC, CHU Nancy Babois, Nancy, France - Autor o Coautor
Univ Milan, Dept Hlth Sci, ASST Santi Milano, Thyroid & Parathyroid Surg Unit,Otolaryngol Unit, Milan, Italy - Autor o Coautor
Univ Nebraska Med Ctr, Dept Surg, Omaha, NE USA - Autor o Coautor
Univ Nimes Hosp, Dept Otorhinolaryngol & Head & Neck Surg, Nimes, France - Autor o Coautor
Univ Padua, Dept Surg Oncol & Gastroenterol, Endocrine Surg Unit, Padua, Italy - Autor o Coautor
Univ Palermo, Dept Surg Oncol & Oral Sci, Palermo, Italy - Autor o Coautor
Univ Perugia, Santa Maria Hosp, Endocrine Surg Unit, Terni, Italy - Autor o Coautor
Univ Santiago De Compostela, Clin Univ Hosp Santiago Compostela, Santiago De Compostela, Spain - Autor o Coautor
Univ Sao Paulo, Dept Head & Neck Surg, Hosp Clin, Sao Paulo, Brazil - Autor o Coautor
Univ Toronto, Dept Otolaryngol Head & Neck Surg, Toronto, ON, Canada - Autor o Coautor
Univ Toronto, Dept Surg, Toronto, ON, Canada - Autor o Coautor
Univ Trieste, Cattinara Teaching Hosp, Dept Med & Surg Sci, Trieste, Italy - Autor o Coautor
UOSD Chirurg Tiroide, Azienda USL Toscana NordOvest, Toscana, Italy - Autor o Coautor
Waikato Hosp, Endocrine Surg, Dept Gen Surg, Hamilton, New Zealand - Autor o Coautor
Wroclaw Med Univ, Dept Gen Minimally Invas & Endocrine Surg, Wroclaw, Poland - Autor o Coautor
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Resumen

Background Since its outbreak in early 2020, the COVID-19 pandemic has diverted resources from non-urgent and elective procedures, leading to diagnosis and treatment delays, with an increased number of neoplasms at advanced stages worldwide. The aims of this study were to quantify the reduction in surgical activity for indeterminate thyroid nodules during the COVID-19 pandemic; and to evaluate whether delays in surgery led to an increased occurrence of aggressive tumours.Methods In this retrospective, international, cross-sectional study, centres were invited to participate in June 22, 2022; each centre joining the study was asked to provide data from medical records on all surgical thyroidectomies consecutively performed from Jan 1, 2019, to Dec 31, 2021. Patients with indeterminate thyroid nodules were divided into three groups according to when they underwent surgery: from Jan 1, 2019, to Feb 29, 2020 (global prepandemic phase), from March 1, 2020, to May 31, 2021 (pandemic escalation phase), and from June 1 to Dec 31, 2021 (pandemic decrease phase). The main outcomes were, for each phase, the number of surgeries for indeterminate thyroid nodules, and in patients with a postoperative diagnosis of thyroid cancers, the occurrence of tumours larger than 10 mm, extrathyroidal extension, lymph node metastases, vascular invasion, distant metastases, and tumours at high risk of structural disease recurrence. Univariate analysis was used to compare the probability of aggressive thyroid features between the first and third study phases. The study was registered on ClinicalTrials.gov, NCT05178186.Findings Data from 157 centres (n=49 countries) on 87 467 patients who underwent surgery for benign and malignant thyroid disease were collected, of whom 22 974 patients (18 052 [78 center dot 6%] female patients and 4922 [21 center dot 4%] male patients) received surgery for indeterminate thyroid nodules. We observed a significant reduction in surgery for indeterminate thyroid nodules during the pandemic escalation phase (median monthly surgeries per centre, 1 center dot 4 [IQR 0 center dot 6-3 center dot 4]) compared with the prepandemic phase (2 center dot 0 [0 center dot 9-3 center dot 7]; p<0 center dot 0001) and pandemic decrease phase (2 center dot 3 [1 center dot 0-5 center dot 0]; p<0 center dot 0001). Compared with the prepandemic phase, in the pandemic decrease phase we observed an increased occurrence of thyroid tumours larger than 10 mm (2554 [69 center dot 0%] of 3704 vs 1515 [71 center dot 5%] of 2119; OR 1 center dot 1 [95% CI 1 center dot 0-1 center dot 3]; p=0 center dot 042), lymph node metastases (343 [9 center dot 3%] vs 264 [12 center dot 5%]; OR 1 center dot 4 [1 center dot 2-1 center dot 7]; p=0 center dot 0001), and tumours at high risk of structural disease recurrence (203 [5 center dot 7%] of 3584 vs 155 [7 center dot 7%] of 2006; OR 1 center dot 4 [1 center dot 1-1 center dot 7]; p=0 center dot 0039).Interpretation Our study suggests that the reduction in surgical activity for indeterminate thyroid nodules during the COVID-19 pandemic period could have led to an increased occurrence of aggressive thyroid tumours. However, other compelling hypotheses, including increased selection of patients with aggressive malignancies during this period, should be considered. We suggest that surgery for indeterminate thyroid nodules should no longer be postponed even in future instances of pandemic escalation.Funding None.Copyright (c) 2023 Published by Elsevier Ltd. All rights reserved.
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Palabras clave

CancerImpactManagement

Indicios de calidad

Impacto bibliométrico. Análisis de la aportación y canal de difusión

El trabajo ha sido publicado en la revista Lancet Diabetes & Endocrinology debido a la progresión y el buen impacto que ha alcanzado en los últimos años, según la agencia WoS (JCR), se ha convertido en una referencia en su campo. En el año de publicación del trabajo, 2023, se encontraba en la posición 1/186, consiguiendo con ello situarse como revista Q1 (Primer Cuartil), en la categoría Endocrinology & Metabolism. Destacable, igualmente, el hecho de que la Revista está posicionada por encima del Percentil 90.

Desde una perspectiva relativa, y atendiendo al indicador del impacto normalizado calculado a partir de las Citas Mundiales proporcionadas por WoS (ESI, Clarivate), arroja un valor para la normalización de citas relativas a la tasa de citación esperada de: 3.4. Esto indica que, de manera comparada con trabajos en la misma disciplina y en el mismo año de publicación, lo ubica como trabajo citado por encima de la media. (fuente consultada: ESI 13 Nov 2025)

Esta información viene reforzada por otros indicadores del mismo tipo, que aunque dinámicos en el tiempo y dependientes del conjunto de citaciones medias mundiales en el momento de su cálculo, coinciden en posicionar en algún momento al trabajo, entre el 50% más citados dentro de su temática:

  • Media Ponderada del Impacto Normalizado de la agencia Scopus: 3.51 (fuente consultada: FECYT Mar 2025)

De manera concreta y atendiendo a las diferentes agencias de indexación, el trabajo ha acumulado, hasta la fecha 2026-04-02, el siguiente número de citas:

  • WoS: 18
  • Scopus: 20
  • Europe PMC: 16
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Impacto y visibilidad social

Desde la dimensión de Influencia o adopción social, y tomando como base las métricas asociadas a las menciones e interacciones proporcionadas por agencias especializadas en el cálculo de las denominadas “Métricas Alternativas o Sociales”, podemos destacar a fecha 2026-04-02:

  • El uso, desde el ámbito académico evidenciado por el indicador de la agencia Altmetric referido como agregaciones realizadas por el gestor bibliográfico personal Mendeley, nos da un total de: 46.
  • La utilización de esta aportación en marcadores, bifurcaciones de código, añadidos a listas de favoritos para una lectura recurrente, así como visualizaciones generales, indica que alguien está usando la publicación como base de su trabajo actual. Esto puede ser un indicador destacado de futuras citas más formales y académicas. Tal afirmación es avalada por el resultado del indicador “Capture” que arroja un total de: 46 (PlumX).

Con una intencionalidad más de divulgación y orientada a audiencias más generales podemos observar otras puntuaciones más globales como:

  • El Score total de Altmetric: 44.
  • El número de menciones en la red social X (antes Twitter): 38 (Altmetric).
  • El número de menciones en medios de comunicación: 2 (Altmetric).

Es fundamental presentar evidencias que respalden la plena alineación con los principios y directrices institucionales en torno a la Ciencia Abierta y la Conservación y Difusión del Patrimonio Intelectual. Un claro ejemplo de ello es:

  • El trabajo se ha enviado a una revista cuya política editorial permite la publicación en abierto Open Access.
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Análisis de liderazgo de los autores institucionales

Este trabajo se ha realizado con colaboración internacional, concretamente con investigadores de: Argentina; Australia; Austria; Belgium; Brazil; Bulgaria; Canada; China; Colombia; Croatia; Czech Republic; Egypt; Finland; France; Germany; Greece; India; Indonesia; Iran; Iraq; Israel; Italy; Japan; Lithuania; Mexico; Morocco; New Zealand; Oman; Pakistan; Poland; Portugal; Republic of Korea; Russia; Saudi Arabia; Serbia; Singapore; Slovakia; Slovenia; Sri Lanka; Switzerland; Thailand; Turkey; United Kingdom; United States of America; Vietnam.

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