دورية أكاديمية
Total Thyroidectomy as an Ambulatory Procedure in Community Practice.
| العنوان: | Total Thyroidectomy as an Ambulatory Procedure in Community Practice. |
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| المؤلفون: | Compton RA; Tufts Medical Center, Department of Otolaryngology-Head & Neck Surgery, Boston, Massachusetts, USA., Simmonds JC; Tufts Medical Center, Department of Otolaryngology-Head & Neck Surgery, Boston, Massachusetts, USA., Dhingra JK; Tufts Medical Center, Department of Otolaryngology-Head & Neck Surgery, Boston, Massachusetts, USA.; ENT Specialists, Inc, Brockton, Massachusetts, USA. |
| المصدر: | OTO open [OTO Open] 2020 Sep 29; Vol. 4 (3), pp. 2473974X20957324. Date of Electronic Publication: 2020 Sep 29 (Print Publication: 2020). |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Wiley Periodicals LLC on behalf of American Academy of Otolaryngology–Head and Neck Surgery Foundation Country of Publication: United States NLM ID: 101717942 Publication Model: eCollection Cited Medium: Internet ISSN: 2473-974X (Electronic) Linking ISSN: 2473974X NLM ISO Abbreviation: OTO Open Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Publication: 2023- : [Hoboken, NJ] : Wiley Periodicals LLC on behalf of American Academy of Otolaryngology–Head and Neck Surgery Foundation Original Publication: [Thousand Oaks, CA] : Sage Publications, [2017]- |
| مستخلص: | Objective: Increasingly, total thyroidectomy is offered as an ambulatory procedure. Most of the relevant outcomes research derives from academic centers, but most thyroid surgeries are performed in the community. The goal of this study is to evaluate the safety of total thyroidectomy performed as an ambulatory procedure in a community otolaryngology practice. Study Design: Retrospective review and national database analysis. Setting: A single community otolaryngology practice. Methods: Adult patients undergoing total thyroidectomy by a single otolaryngologist between 2013 and 2019 were divided into 2 cohorts: planned ambulatory and planned admission. Charts were reviewed for demographics and surgical outcomes in the 2 groups. The Healthcare Cost and Utilization Project databases for New York and Florida between 2015 and 2016 were also analyzed to compare outcomes of thyroidectomy as an ambulatory surgery between different practice settings. Results: A total of 99 total thyroidectomies were performed during the study time period; 66 of 99 (67%) were planned as ambulatory procedures and 33 of 99 (33%) were planned admissions. Five of the 66 (8%) planned outpatient surgeries required admission. Complications of vocal fold dysfunction, symptomatic hypocalcemia, and seroma formation were more commonly seen in the inpatient cohort. Only 2 ambulatory patients required admission after discharge. Nationally, odds of complication were higher for ambulatory total thyroidectomy at nonteaching practice sites, which is not duplicated in our study. Conclusions: Ambulatory total thyroidectomy can be undertaken safely in the community in carefully selected cases. (© The Authors 2020.) |
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| فهرسة مساهمة: | Keywords: ambulatory surgery; community practice; outcomes research; total thyroidectomy |
| تواريخ الأحداث: | Date Created: 20201016 Latest Revision: 20220417 |
| رمز التحديث: | 20240628 |
| مُعرف محوري في PubMed: | PMC7534086 |
| DOI: | 10.1177/2473974X20957324 |
| PMID: | 33062910 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 2473-974X |
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| DOI: | 10.1177/2473974X20957324 |