PMID- 21638513
OWN - NLM
STAT- MEDLINE
DCOM- 20120724
LR  - 20191210
IS  - 1097-0347 (Electronic)
IS  - 1043-3074 (Linking)
VI  - 34
IP  - 4
DP  - 2012 Apr
TI  - Outcomes after thyroidectomy and parathyroidectomy.
PG  - 477-84
LID - 10.1002/hed.21757 [doi]
AB  - BACKGROUND: Previous reports on postoperative outcomes following thyroid and 
      parathyroid surgery are limited by relatively small sample size. We report 30-day 
      outcomes following thyroid and parathyroid surgery and analyze factors affecting 
      length of stay (LOS) and postoperative adverse events (AEs). METHODS: The 
      multicenter, prospective, National Surgical Quality Improvement Program (NSQIP) 
      datasets (2007/2008) were used. Multivariable logistic regression and analysis of 
      covariance (ANCOVA) were performed. RESULTS: Patients undergoing thyroidectomy, 
      parathyroidectomy, or both were identified (n = 13,380, 6154, 1535, 
      respectively). Thirty-day mortality was 0.08%, 0.16%, and 0.2%, respectively; 
      30-day morbidity was 3.50%, 3.02%, and 4.04%, respectively. Mean LOS values were 
      1.1 +/- 1.4, 1.1 +/- 2.1, and 1.4 +/- 3.1 days, respectively. Congestive heart failure, 
      dependent functional status, dialysis dependence, and chronic corticosteroid use 
      were significantly associated with increased LOS and postoperative AE. 
      CONCLUSIONS: Morbidity and mortality rates following thyroid and parathyroid 
      surgery are low. These data could be used by third-party interests, and surgeons 
      should be aware of them to ensure their outcomes are in the national norm.
CI  - Copyright (c) 2011 Wiley Periodicals, Inc.
FAU - Gupta, Prateek K
AU  - Gupta PK
AD  - Department of Surgery, Creighton University, Omaha, Nebraska, USA.
FAU - Smith, Russell B
AU  - Smith RB
FAU - Gupta, Himani
AU  - Gupta H
FAU - Forse, R Armour
AU  - Forse RA
FAU - Fang, Xiang
AU  - Fang X
FAU - Lydiatt, William M
AU  - Lydiatt WM
LA  - eng
PT  - Evaluation Study
PT  - Journal Article
PT  - Multicenter Study
DEP - 20110602
PL  - United States
TA  - Head Neck
JT  - Head & neck
JID - 8902541
SB  - IM
MH  - Adult
MH  - Aged
MH  - Analysis of Variance
MH  - Databases, Factual
MH  - Disease-Free Survival
MH  - Female
MH  - Hospital Mortality/trends
MH  - Humans
MH  - Length of Stay
MH  - Logistic Models
MH  - Male
MH  - Middle Aged
MH  - Multivariate Analysis
MH  - Parathyroid Neoplasms/mortality/pathology/*surgery
MH  - Parathyroidectomy/*methods/mortality
MH  - Postoperative Complications/diagnosis/epidemiology
MH  - Prognosis
MH  - Prospective Studies
MH  - Risk Assessment
MH  - Safety Management
MH  - Survival Analysis
MH  - Thyroid Neoplasms/mortality/pathology/*surgery
MH  - Thyroidectomy/*methods/mortality
MH  - Treatment Outcome
EDAT- 2011/06/04 06:00
MHDA- 2012/07/25 06:00
CRDT- 2011/06/04 06:00
PHST- 2010/12/20 00:00 [received]
PHST- 2011/01/24 00:00 [accepted]
PHST- 2011/06/04 06:00 [entrez]
PHST- 2011/06/04 06:00 [pubmed]
PHST- 2012/07/25 06:00 [medline]
AID - 10.1002/hed.21757 [doi]
PST - ppublish
SO  - Head Neck. 2012 Apr;34(4):477-84. doi: 10.1002/hed.21757. Epub 2011 Jun 2.