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. 2020 Sep 29;4(3):2473974X20957324.
doi: 10.1177/2473974X20957324. eCollection 2020 Jul-Sep.

Total Thyroidectomy as an Ambulatory Procedure in Community Practice

Rebecca A Compton  1 , Jonathan C Simmonds  1 , Jagdish K Dhingra  1   2
Affiliations

Total Thyroidectomy as an Ambulatory Procedure in Community Practice

Rebecca A Compton et al. OTO Open. .

Abstract

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.

Keywords: ambulatory surgery; community practice; outcomes research; total thyroidectomy.

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References

    1. Sun GH, DeMonner S, Davis MM. Epidemiological and economic trends in inpatient and outpatient thyroidectomy in the United States, 1996-2006. Thyroid 2013;23(6):727-733. - PubMed
    1. Terris DJ, Snyder S, Carneiro-Pla D, et al. American Thyroid Association statement on outpatient thyroidectomy. Thyroid 2013;23(10):1193-1202. - PubMed
    1. Chambers KJ, Bhattacharyya N. The increasing role of otolaryngology in the management of surgical thyroid disorders. Laryngoscope. 2013;123(12):3239-3242. - PubMed
    1. Parham K, Chapurin N, Schulz K, et al. Thyroid disease and surgery in CHEER: the nation’s otolaryngology–head and neck surgery practice based network. Otolaryngol Head Neck Surg. 2016;155(1):22-27. - PMC - PubMed
    1. Hessman C, Fields J, Schuman E. Outpatient thyroidectomy: is it safe and reasonable option? Am J Surg. 2011;201(5):565-568. - PubMed