This study was presented at the 2010 American College of Surgery Annual Meeting, Washington, DC.
Outcomes after thyroidectomy and parathyroidectomy†
Version of Record online: 2 JUN 2011
Copyright © 2011 Wiley Periodicals, Inc.
Head & Neck
Volume 34, Issue 4, pages 477–484, April 2012
How to Cite
Gupta, P. K., Smith, R. B., Gupta, H., Forse, R. A., Fang, X. and Lydiatt, W. M. (2012), Outcomes after thyroidectomy and parathyroidectomy. Head Neck, 34: 477–484. doi: 10.1002/hed.21757
- Issue online: 3 MAR 2012
- Version of Record online: 2 JUN 2011
- Manuscript Accepted: 24 JAN 2011
- Manuscript Received: 20 DEC 2010
- length of stay
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).
The multicenter, prospective, National Surgical Quality Improvement Program (NSQIP) datasets (2007/2008) were used. Multivariable logistic regression and analysis of covariance (ANCOVA) were performed.
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.
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. © 2011 Wiley Periodicals, Inc. Head Neck, 2012.