Incidence of parathyroid tissue in level VI neck dissection.
Bibliographic record
Abstract
BACKGROUND: Level VI central neck dissections are commonly completed with thyroidectomy. This procedure involves risk of damage to, or incidental excision of, one or more of the parathyroid glands. METHODS: This study examined the pathology reports of patients undergoing thyroid surgery to determine the incidence of parathyroid tissue associated with level VI neck dissections and the risk factors associated with incidental parathyroidectomy. RESULTS: Ninety pathology specimens were analyzed. The incidence of parathyroid tissue associated with level VI neck dissections was 41.4%. We discovered that a higher frequency of incidental parathyroid tissue was located in level VI neck dissections among patients discovered to have malignant thyroid disease. There was no significant association between incidental parathyroidectomy and the sex of the patient, the age of the patient, the type of thyroid surgery, or transient or permanent hypoparathyroidism. CONCLUSION: A large percentage of level VI neck dissections in thyroid surgery were associated with incidental parathyroid tissue. A more detailed examination of surgical specimens may decrease this possibly preventable surgical complication.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".