Journal article
Thyroidectomy practice in pediatric population: a national perspective
American journal of otolaryngology, Vol.43(2), pp.103298-103298
03/2022
DOI: 10.1016/j.amjoto.2021.103298
PMID: 34953247
Abstract
To examine presentations and outcomes of pediatric patients underoing thyroidectomy.
A retrospective cross-sectional analysis of the Nationwide Readmissions Database, 2010–2014, was performed. Study population included pediatric (<18 years) inpatients undergoing thyroidectomy.
A total of 361 patients were included. Mean age was 13.5 ± 0.2 years, and 79.8% were female. Thyroid diseases included: (i) 19.0% thyroid cancer, (ii) 5.4% Multiple Endocrine Neoplasia type II, (iii) 33.6% toxic nodular disease, and (iv) 42.0% non-toxic benign disease. Total thyroidectomy was performed in 67.7% of the patients, and 3.2% of the patients who had initial lobectomy were readmitted within 3 months for completion thyroidectomy. Postoperative complications were reported in 14.2% of the sample, and hypocalcemia was the most common complication (98.2%). Risk of hypocalcemia was significantly higher in patients who had thyroid cancer (risk = 20.9%, p = 0.011) or toxic thyroid diseases (risk = 19.8%, p = 0.033). Of the study population, 25.6% were managed exclusively in children's hospitals. Management in children's hospitals was not associated with improved outcomes or shorter hospital stay; however, it was associated with a significantly higher cost of health services [US $19,4575.0 ± 195.49 vs. US $13,788.00 ± 238.51, p < 0.001].
This study reports a national perspective on thyroidectomy in the pediatric population. Most thyroid surgeries performed in the pediatric population are performed for benign conditions. Most pediatric thyroidectomies are performed at low-volume centers. Surgeries performed in children's hospitals are significantly higher in cost without any associated improvement in outcomes or length of hospital stay.
Details
- Title: Subtitle
- Thyroidectomy practice in pediatric population: a national perspective
- Creators
- Zaid Al-Qurayshi - University of IowaJoseph D. Peterson - Boston Children's HospitalMohamed A. Shama - Tulane UniversityEmad Kandil - Tulane University
- Resource Type
- Journal article
- Publication Details
- American journal of otolaryngology, Vol.43(2), pp.103298-103298
- Publisher
- Elsevier Inc
- DOI
- 10.1016/j.amjoto.2021.103298
- PMID
- 34953247
- ISSN
- 0196-0709
- eISSN
- 1532-818X
- Language
- English
- Date published
- 03/2022
- Academic Unit
- Otolaryngology
- Record Identifier
- 9984702818502771
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