Department of Otolaryngology-Head and Neck Surgery, University of Arkansas for Medical Sciences (UAMS), Little Rock, Arkansas 72205, USA.
Otolaryngol Head Neck Surg. 2013 May;148(5):740-5. doi: 10.1177/0194599813477823. Epub 2013 Feb 11.
Describe data from patients undergoing outpatient thyroid surgeries for benign and malignant disease at academic medical centers in the United States.
Retrospective database search.
The University Health System Consortium (UHC), Oak Brook, Illinois, data compiled from discharge summaries.
Discharge data were collected from the first quarter of 2005 through the fourth quarter of 2010. Searching strategy was based on diagnosis of thyroid disease and patients undergoing thyroid surgery across all UHC facilities. Demographic information was collected as well as charges. Complications were also evaluated in this analysis.
During the study period, 38,362 outpatient thyroidectomies were performed from our sample, 32% for thyroid cancer. More total thyroidectomies (43%) and fewer hemithyroidectomies (36%) were being performed overall; 64.1% of patients stayed 23 hours.
This is one of the largest series reporting outcomes for outpatient thyroid surgery. Since these surgeries appear to be shifting to an outpatient setting, this report reflects the experience with the majority of endocrine surgeries from the UHC database being performed presently. These results are derived from teaching hospitals and their affiliates and may not reflect the entirety of thyroid surgery in the United States.
描述美国学术医疗中心行门诊甲状腺手术的良性和恶性疾病患者的数据。
回顾性数据库搜索。
伊利诺伊州奥克布鲁克的大学健康系统联盟（UHC），数据来自出院记录汇总。
收集了 2005 年第一季度至 2010 年第四季度的数据。搜索策略基于所有 UHC 机构的甲状腺疾病诊断和甲状腺手术患者。收集了人口统计学信息和费用。本分析还评估了并发症。
在研究期间，从我们的样本中进行了 38362 例门诊甲状腺切除术，其中 32%是甲状腺癌。总的来说，更多的甲状腺全切除术（43%）和更少的甲状腺叶切除术（36%）；64.1%的患者住院 23 小时。
这是报告门诊甲状腺手术结果的最大系列之一。由于这些手术似乎正在向门诊环境转移，因此本报告反映了 UHC 数据库中目前进行的大多数内分泌手术的经验。这些结果来自教学医院及其附属医院，可能无法反映美国甲状腺手术的全貌。
