Short-stay thyroid surgery for older patients, is it safe?
Background/Aim. The incidence of nodular thyroid dis-ease increases significantly with age as well as the incidence and aggressiveness of thyroid cancers. The aim of the study was to determine whether thyroid surgery for geriatric patients is safe in a short hospital stay surgery set-ting. Methods....
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| Format: | Article |
| Language: | English |
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Military Health Department, Ministry of Defance, Serbia
2023-01-01
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| Series: | Vojnosanitetski Pregled |
| Subjects: | |
| Online Access: | https://doiserbia.nb.rs/img/doi/0042-8450/2023/0042-84502200054K.pdf |
| _version_ | 1797807511306240000 |
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| author | Kalezić Marko Živić Rastko Đukić Vladimir Milanović Miljan Ostojić Milkica Rančić Nemanja Vekić Berislav |
| author_facet | Kalezić Marko Živić Rastko Đukić Vladimir Milanović Miljan Ostojić Milkica Rančić Nemanja Vekić Berislav |
| author_sort | Kalezić Marko |
| collection | DOAJ |
| description | Background/Aim. The incidence of nodular thyroid dis-ease increases significantly with age as well as the incidence and aggressiveness of thyroid cancers. The aim of the study was to determine whether thyroid surgery for geriatric patients is safe in a short hospital stay surgery set-ting. Methods. In this retrospective study, medical histories of all operated geriatric patients (65 years and older), in whom a total thyroidectomy (TT) or hemithyroidectomy (HT) was performed from January 2012 to December 2018, were analyzed. A total of 976 patients were operated on for thyroid diseases in the mentioned period, out of which 247 geriatric patients fulfilled the inclusion criteria. Patients with thyroid reoperations and simultaneous neck lymph node dissections were excluded from the study. The geriatric patients were divided into two groups: the HT group (33 patients) and the TT group (214 patients). Each of these two geriatric groups, HT and TT, had two additional paired control groups. Control group I consisted of younger subjects from 20–44 years, and control group II included middle-aged subjects from 45–64 years. Results. All three TT groups – geriatric, control I, and control II, had 214 patients each, and all three HT groups had 33 patients each. In all three HT groups, the average hospital stay was 24 hrs, while in the TT geriatric group, 150 (70.1%) of 214 patients spent 24 hrs at the hospital. In the geriatric population, the incidence of neck swelling and in-creased drainage output were higher compared to both control groups, and thus the need for longer hospitalizations. When the age was compared, it was shown that sub-jects with each subsequent year of intervention had a 22% lower chance of developing complications, and regarding the pathohistological finding, benign thyroid hyperplasia was less likely to develop complications compared to malignant hyperplasia. Conclusion. According to the study, TT can be safely performed within the concept of a short hospital stay in patients under 65 years, while in the elder-ly, hospitalization days may be extended due to more frequent surgical and nonsurgical complications. Speaking of HT, the short hospital stay is safe for all age groups. |
| first_indexed | 2024-03-13T06:23:39Z |
| format | Article |
| id | doaj.art-50a8ba6373cc4636a9fc016bfea67a66 |
| institution | Directory Open Access Journal |
| issn | 0042-8450 2406-0720 |
| language | English |
| last_indexed | 2024-03-13T06:23:39Z |
| publishDate | 2023-01-01 |
| publisher | Military Health Department, Ministry of Defance, Serbia |
| record_format | Article |
| series | Vojnosanitetski Pregled |
| spelling | doaj.art-50a8ba6373cc4636a9fc016bfea67a662023-06-09T10:45:01ZengMilitary Health Department, Ministry of Defance, SerbiaVojnosanitetski Pregled0042-84502406-07202023-01-0180538939510.2298/VSP220319054K0042-84502200054KShort-stay thyroid surgery for older patients, is it safe?Kalezić Marko0Živić Rastko1Đukić Vladimir2https://orcid.org/0000-0003-0644-9063Milanović Miljan3Ostojić Milkica4Rančić Nemanja5https://orcid.org/0000-0002-5122-8094Vekić Berislav6https://orcid.org/0000-0002-2458-2282Clinical Hospital Center “Dr. Dragiša Mišović – Dedinje”, Clinic for Surgery, Belgrade, SerbiaClinical Hospital Center “Dr. Dragiša Mišović – Dedinje”, Clinic for Surgery, Belgrade, Serbia + University of Belgrade, Faculty of Medicine, Belgrade, SerbiaClinical Hospital Center “Dr. Dragiša Mišović – Dedinje”, Clinic for Surgery, Belgrade, Serbia + University of Belgrade, Faculty of Medicine, Belgrade, SerbiaClinical Hospital Center “Dr. Dragiša Mišović – Dedinje”, Clinic for Surgery, Belgrade, Serbia + University of Belgrade, Faculty of Medicine, Belgrade, SerbiaClinical Hospital Center “Dr. Dragiša Mišović – Dedinje”, Clinic for Surgery, Belgrade, SerbiaUniversity of Defence, Faculty of Medicine of the Military Medical Academy, Belgrade, Serbia + Military Medical Academy, Center for Clinical Pharmacology, Belgrade, Serbia + Military Medical Academy, Institute of Radiology, Belgrade, SerbiaClinical Hospital Center “Dr. Dragiša Mišović – Dedinje”, Clinic for Surgery, Belgrade, Serbia + University of Kragujevac, Faculty of Medical Sciences, Kragujevac, SerbiaBackground/Aim. The incidence of nodular thyroid dis-ease increases significantly with age as well as the incidence and aggressiveness of thyroid cancers. The aim of the study was to determine whether thyroid surgery for geriatric patients is safe in a short hospital stay surgery set-ting. Methods. In this retrospective study, medical histories of all operated geriatric patients (65 years and older), in whom a total thyroidectomy (TT) or hemithyroidectomy (HT) was performed from January 2012 to December 2018, were analyzed. A total of 976 patients were operated on for thyroid diseases in the mentioned period, out of which 247 geriatric patients fulfilled the inclusion criteria. Patients with thyroid reoperations and simultaneous neck lymph node dissections were excluded from the study. The geriatric patients were divided into two groups: the HT group (33 patients) and the TT group (214 patients). Each of these two geriatric groups, HT and TT, had two additional paired control groups. Control group I consisted of younger subjects from 20–44 years, and control group II included middle-aged subjects from 45–64 years. Results. All three TT groups – geriatric, control I, and control II, had 214 patients each, and all three HT groups had 33 patients each. In all three HT groups, the average hospital stay was 24 hrs, while in the TT geriatric group, 150 (70.1%) of 214 patients spent 24 hrs at the hospital. In the geriatric population, the incidence of neck swelling and in-creased drainage output were higher compared to both control groups, and thus the need for longer hospitalizations. When the age was compared, it was shown that sub-jects with each subsequent year of intervention had a 22% lower chance of developing complications, and regarding the pathohistological finding, benign thyroid hyperplasia was less likely to develop complications compared to malignant hyperplasia. Conclusion. According to the study, TT can be safely performed within the concept of a short hospital stay in patients under 65 years, while in the elder-ly, hospitalization days may be extended due to more frequent surgical and nonsurgical complications. Speaking of HT, the short hospital stay is safe for all age groups.https://doiserbia.nb.rs/img/doi/0042-8450/2023/0042-84502200054K.pdfagedlength of stayminor surgical procedurespostoperative complicationsrisk factorsthyroidectomythyroid gland |
| spellingShingle | Kalezić Marko Živić Rastko Đukić Vladimir Milanović Miljan Ostojić Milkica Rančić Nemanja Vekić Berislav Short-stay thyroid surgery for older patients, is it safe? Vojnosanitetski Pregled aged length of stay minor surgical procedures postoperative complications risk factors thyroidectomy thyroid gland |
| title | Short-stay thyroid surgery for older patients, is it safe? |
| title_full | Short-stay thyroid surgery for older patients, is it safe? |
| title_fullStr | Short-stay thyroid surgery for older patients, is it safe? |
| title_full_unstemmed | Short-stay thyroid surgery for older patients, is it safe? |
| title_short | Short-stay thyroid surgery for older patients, is it safe? |
| title_sort | short stay thyroid surgery for older patients is it safe |
| topic | aged length of stay minor surgical procedures postoperative complications risk factors thyroidectomy thyroid gland |
| url | https://doiserbia.nb.rs/img/doi/0042-8450/2023/0042-84502200054K.pdf |
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