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Outcomes of concurrent parathyroidectomy and thyroidectomy among CESQIP surgeons.

Publication ,  Journal Article
Pradhan, MC; Young, CD; Thomas, SM; Stang, MT; Kazaure, HS; Scheri, RP
Published in: Am J Surg
November 2022

BACKGROUND: Studies comparing endocrine-specific outcomes following parathyroidectomy (PTx) versus concurrent parathyroidectomy and thyroidectomy (PTx + Tx) are few. METHODS: 10,019 patients were selected from the Collaborative Endocrine Surgery Quality Improvement Program (2014-2019). Baseline characteristics and short-term (≤30 days) outcomes for PTx + Tx vs PTx patients were compared using bivariate and multivariable methods. RESULTS: PTx + Tx patients were more likely to experience clinical hypoparathyroidism (6.7% vs 0.5%, p < 0.001), recurrent laryngeal nerve transection, (0.4% vs 0.1%, p = 0.002) and hematoma requiring evacuation (1.0% vs 0.2%, p < 0.001). Readmissions and ED visits for hypocalcemia were more frequent after PTx + Tx vs PTx. Concurrent surgery was associated with an 8-fold increase in risk of short-term complications (Odds Ratio (OR): 8.0, 95% Confidence Interval (CI): 5.7-11.1, p < 0.001). CONCLUSIONS: Patients undergoing PTx + Tx have increased rates of postoperative complications, ED visits, and readmissions compared to patients undergoing parathyroidectomy alone. These findings could help guide surgeon-patient discussions on the risks of concurrent surgery.

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Published In

Am J Surg

DOI

EISSN

1879-1883

Publication Date

November 2022

Volume

224

Issue

5

Start / End Page

1190 / 1196

Location

United States

Related Subject Headings

  • Thyroidectomy
  • Surgery
  • Surgeons
  • Retrospective Studies
  • Postoperative Complications
  • Parathyroidectomy
  • Hypoparathyroidism
  • Hypocalcemia
  • Humans
  • 3203 Dentistry
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Pradhan, M. C., Young, C. D., Thomas, S. M., Stang, M. T., Kazaure, H. S., & Scheri, R. P. (2022). Outcomes of concurrent parathyroidectomy and thyroidectomy among CESQIP surgeons. Am J Surg, 224(5), 1190–1196. https://doi.org/10.1016/j.amjsurg.2022.03.041
Pradhan, Molly C., Christopher D. Young, Samantha M. Thomas, Michael T. Stang, Hadiza S. Kazaure, and Randall P. Scheri. “Outcomes of concurrent parathyroidectomy and thyroidectomy among CESQIP surgeons.Am J Surg 224, no. 5 (November 2022): 1190–96. https://doi.org/10.1016/j.amjsurg.2022.03.041.
Pradhan MC, Young CD, Thomas SM, Stang MT, Kazaure HS, Scheri RP. Outcomes of concurrent parathyroidectomy and thyroidectomy among CESQIP surgeons. Am J Surg. 2022 Nov;224(5):1190–6.
Pradhan, Molly C., et al. “Outcomes of concurrent parathyroidectomy and thyroidectomy among CESQIP surgeons.Am J Surg, vol. 224, no. 5, Nov. 2022, pp. 1190–96. Pubmed, doi:10.1016/j.amjsurg.2022.03.041.
Pradhan MC, Young CD, Thomas SM, Stang MT, Kazaure HS, Scheri RP. Outcomes of concurrent parathyroidectomy and thyroidectomy among CESQIP surgeons. Am J Surg. 2022 Nov;224(5):1190–1196.
Journal cover image

Published In

Am J Surg

DOI

EISSN

1879-1883

Publication Date

November 2022

Volume

224

Issue

5

Start / End Page

1190 / 1196

Location

United States

Related Subject Headings

  • Thyroidectomy
  • Surgery
  • Surgeons
  • Retrospective Studies
  • Postoperative Complications
  • Parathyroidectomy
  • Hypoparathyroidism
  • Hypocalcemia
  • Humans
  • 3203 Dentistry