Effect of single-dose intravenous dexamethasone on subjective voice quality after thyroidectomy: A meta-analysis.
Identifieur interne : 000843 ( Main/Exploration ); précédent : 000842; suivant : 000844Effect of single-dose intravenous dexamethasone on subjective voice quality after thyroidectomy: A meta-analysis.
Auteurs : Jong Seung Kim [Corée du Sud] ; Sam Hyun Kwon ; So Eun Lee ; Eun Jung Lee ; Min Hee LeeSource :
- Medicine [ 1536-5964 ] ; 2018.
Descripteurs français
- KwdFr :
- Administration par voie intraveineuse (MeSH), Complications postopératoires (traitement médicamenteux), Dexaméthasone (administration et posologie), Glucocorticoïdes (administration et posologie), Humains (MeSH), Qualité de la voix (effets des médicaments et des substances chimiques), Thyroïdectomie (MeSH), Troubles de la voix (traitement médicamenteux), Troubles de la voix (étiologie).
- MESH :
- administration et posologie : Dexaméthasone, Glucocorticoïdes.
- effets des médicaments et des substances chimiques : Qualité de la voix.
- traitement médicamenteux : Complications postopératoires, Troubles de la voix.
- étiologie : Troubles de la voix.
- Administration par voie intraveineuse, Humains, Thyroïdectomie.
English descriptors
- KwdEn :
- MESH :
- chemical , administration & dosage : Dexamethasone, Glucocorticoids.
- drug effects : Voice Quality.
- drug therapy : Postoperative Complications, Voice Disorders.
- etiology : Voice Disorders.
- Administration, Intravenous, Humans, Thyroidectomy.
Abstract
BACKGROUND
Corticosteroids are widely used to treat voice change after thyroidectomy. In this study, we evaluated the effect of a single dose of intravenous dexamethasone after thyroidectomy using a metaanalysis.
METHODS
Relevant studies were identified by searching the following databases: Medline, Embase, and Cochrane through February 2017. We followed PRISMA guidelines. The following search terms were used: "thyroidectomy," "voice," "steroid." Random-effects models were used to estimate standardized mean differences (SMDs) and 95% confidence intervals.
RESULTS
Our search yielded one retrospective cohort study involving 122 thyroidectomy patients and 3 randomized controlled studies involving 242 thyroidectomy patients. The pooled SMD for voice quality after thyroidectomy was -0.80 (P < .05). Subgroup analysis showed significant voice quality change 1 day after administration of dexamethasone.
CONCLUSIONS
Single-dose intravenous dexamethasone after thyroidectomy significantly improves subjective voice quality on day 1. The effect was not different significantly after day 1.
LEVEL OF EVIDENCE
Level 2a.
DOI: 10.1097/MD.0000000000011832
PubMed: 30200067
PubMed Central: PMC6133636
Affiliations:
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Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute of Chonbuk National University Hospital, Jeonju Department of Practical Music, SoHae University, Gunsan Presbyterian Medical Center, Department of Internal Medicine, Division of Allergy and Pulmonology, Jeonju</wicri:regionArea><wicri:noRegion>Jeonju</wicri:noRegion></affiliation></author><author><name sortKey="Kwon, Sam Hyun" sort="Kwon, Sam Hyun" uniqKey="Kwon S" first="Sam Hyun" last="Kwon">Sam Hyun Kwon</name></author><author><name sortKey="Lee, So Eun" sort="Lee, So Eun" uniqKey="Lee S" first="So Eun" last="Lee">So Eun Lee</name></author><author><name sortKey="Lee, Eun Jung" sort="Lee, Eun Jung" uniqKey="Lee E" first="Eun Jung" last="Lee">Eun Jung Lee</name></author><author><name sortKey="Lee, Min Hee" sort="Lee, Min Hee" uniqKey="Lee M" first="Min Hee" last="Lee">Min Hee Lee</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date 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Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute of Chonbuk National University Hospital, Jeonju Department of Practical Music, SoHae University, Gunsan Presbyterian Medical Center, Department of Internal Medicine, Division of Allergy and Pulmonology, Jeonju, Republic of Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Chonbuk National University Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute of Chonbuk National University Hospital, Jeonju Department of Practical Music, SoHae University, Gunsan Presbyterian Medical Center, Department of Internal Medicine, Division of Allergy and Pulmonology, Jeonju</wicri:regionArea><wicri:noRegion>Jeonju</wicri:noRegion></affiliation></author><author><name sortKey="Kwon, Sam Hyun" sort="Kwon, Sam Hyun" uniqKey="Kwon S" first="Sam Hyun" last="Kwon">Sam Hyun Kwon</name></author><author><name sortKey="Lee, So Eun" sort="Lee, So Eun" uniqKey="Lee S" first="So Eun" last="Lee">So Eun Lee</name></author><author><name sortKey="Lee, Eun Jung" sort="Lee, Eun Jung" uniqKey="Lee E" first="Eun Jung" last="Lee">Eun Jung Lee</name></author><author><name sortKey="Lee, Min Hee" sort="Lee, Min Hee" uniqKey="Lee M" first="Min Hee" last="Lee">Min Hee Lee</name></author></analytic><series><title level="j">Medicine</title><idno type="eISSN">1536-5964</idno><imprint><date when="2018" type="published">2018</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Administration, Intravenous (MeSH)</term><term>Dexamethasone (administration & dosage)</term><term>Glucocorticoids (administration & dosage)</term><term>Humans (MeSH)</term><term>Postoperative Complications (drug therapy)</term><term>Thyroidectomy (MeSH)</term><term>Voice Disorders (drug therapy)</term><term>Voice Disorders (etiology)</term><term>Voice Quality (drug effects)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Administration par voie intraveineuse (MeSH)</term><term>Complications postopératoires (traitement médicamenteux)</term><term>Dexaméthasone (administration et posologie)</term><term>Glucocorticoïdes (administration et posologie)</term><term>Humains (MeSH)</term><term>Qualité de la voix (effets des médicaments et des substances chimiques)</term><term>Thyroïdectomie (MeSH)</term><term>Troubles de la voix (traitement médicamenteux)</term><term>Troubles de la voix (étiologie)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="administration & dosage" xml:lang="en"><term>Dexamethasone</term><term>Glucocorticoids</term></keywords><keywords scheme="MESH" qualifier="administration et posologie" xml:lang="fr"><term>Dexaméthasone</term><term>Glucocorticoïdes</term></keywords><keywords scheme="MESH" qualifier="drug effects" xml:lang="en"><term>Voice Quality</term></keywords><keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Postoperative Complications</term><term>Voice Disorders</term></keywords><keywords scheme="MESH" qualifier="effets des médicaments et des substances chimiques" xml:lang="fr"><term>Qualité de la voix</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Voice Disorders</term></keywords><keywords scheme="MESH" qualifier="traitement médicamenteux" xml:lang="fr"><term>Complications postopératoires</term><term>Troubles de la voix</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Troubles de la voix</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Administration, Intravenous</term><term>Humans</term><term>Thyroidectomy</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Administration par voie intraveineuse</term><term>Humains</term><term>Thyroïdectomie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>Corticosteroids are widely used to treat voice change after thyroidectomy. In this study, we evaluated the effect of a single dose of intravenous dexamethasone after thyroidectomy using a metaanalysis.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>Relevant studies were identified by searching the following databases: Medline, Embase, and Cochrane through February 2017. We followed PRISMA guidelines. The following search terms were used: "thyroidectomy," "voice," "steroid." Random-effects models were used to estimate standardized mean differences (SMDs) and 95% confidence intervals.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Our search yielded one retrospective cohort study involving 122 thyroidectomy patients and 3 randomized controlled studies involving 242 thyroidectomy patients. The pooled SMD for voice quality after thyroidectomy was -0.80 (P < .05). Subgroup analysis showed significant voice quality change 1 day after administration of dexamethasone.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Single-dose intravenous dexamethasone after thyroidectomy significantly improves subjective voice quality on day 1. The effect was not different significantly after day 1.</p></div><div type="abstract" xml:lang="en"><p><b>LEVEL OF EVIDENCE</b></p><p>Level 2a.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">30200067</PMID><DateCompleted><Year>2018</Year><Month>09</Month><Day>17</Day></DateCompleted><DateRevised><Year>2021</Year><Month>01</Month><Day>12</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1536-5964</ISSN><JournalIssue CitedMedium="Internet"><Volume>97</Volume><Issue>36</Issue><PubDate><Year>2018</Year><Month>Sep</Month></PubDate></JournalIssue><Title>Medicine</Title><ISOAbbreviation>Medicine (Baltimore)</ISOAbbreviation></Journal><ArticleTitle>Effect of single-dose intravenous dexamethasone on subjective voice quality after thyroidectomy: A meta-analysis.</ArticleTitle><Pagination><MedlinePgn>e11832</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1097/MD.0000000000011832</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Corticosteroids are widely used to treat voice change after thyroidectomy. In this study, we evaluated the effect of a single dose of intravenous dexamethasone after thyroidectomy using a metaanalysis.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Relevant studies were identified by searching the following databases: Medline, Embase, and Cochrane through February 2017. We followed PRISMA guidelines. The following search terms were used: "thyroidectomy," "voice," "steroid." Random-effects models were used to estimate standardized mean differences (SMDs) and 95% confidence intervals.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Our search yielded one retrospective cohort study involving 122 thyroidectomy patients and 3 randomized controlled studies involving 242 thyroidectomy patients. The pooled SMD for voice quality after thyroidectomy was -0.80 (P < .05). Subgroup analysis showed significant voice quality change 1 day after administration of dexamethasone.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Single-dose intravenous dexamethasone after thyroidectomy significantly improves subjective voice quality on day 1. 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Br J Oral Maxillofac Surg 1989;27:477–80.</Citation></Reference></ReferenceList></PubmedData></pubmed><affiliations><list><country><li>Corée du Sud</li></country></list><tree><noCountry><name sortKey="Kwon, Sam Hyun" sort="Kwon, Sam Hyun" uniqKey="Kwon S" first="Sam Hyun" last="Kwon">Sam Hyun Kwon</name><name sortKey="Lee, Eun Jung" sort="Lee, Eun Jung" uniqKey="Lee E" first="Eun Jung" last="Lee">Eun Jung Lee</name><name sortKey="Lee, Min Hee" sort="Lee, Min Hee" uniqKey="Lee M" first="Min Hee" last="Lee">Min Hee Lee</name><name sortKey="Lee, So Eun" sort="Lee, So Eun" uniqKey="Lee S" first="So Eun" last="Lee">So Eun Lee</name></noCountry><country name="Corée du Sud"><noRegion><name sortKey="Kim, Jong Seung" sort="Kim, Jong Seung" uniqKey="Kim J" first="Jong Seung" last="Kim">Jong Seung Kim</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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