Degree of technical difficulty of thyroidectomy for autoimmune thyroid disease.
Publication/Presentation Date
2-1-2020
Abstract
BACKGROUND: Our goal was to elucidate the differences in degree of technical difficulty of thyroidectomy in patients with autoimmune thyroid diseases.
METHODS: Charts of adult patients who had undergone thyroidectomy were reviewed. Patients with Hashimoto's Thyroiditis (HT) or Graves' Disease (GD) were individually compared to a control group of patients with early stage malignancy or goiter.
RESULTS: The HT (n = 65) group was significantly more likely to have friable (P = .001) and fibrotic (P < .001) thyroids, longer operative times (P = .02), and a 22-modifier (P = .005). The GD (n = 169) group was significantly more likely to have friable (P < .001), vascular (P < .001), fibrotic (P = .038), and heavy (P = .002) thyroids, longer operative times (P = .03), increased length of stay (P = .01) and a 22-modifier (P = .01).
CONCLUSION: Our experience at an institution with a high-volume thyroid practice demonstrates that patients with autoimmune thyroid disease have consistent qualitative changes of the thyroid and significantly increased operative times and surgical difficulty.
Volume
42
Issue
2
First Page
262
Last Page
268
ISSN
1097-0347
Published In/Presented At
Saadi, R., Brandt, A., Kim, Y., Cottrill, E., Saunders, B., Schaefer, E., & Goldenberg, D. (2020). Degree of technical difficulty of thyroidectomy for autoimmune thyroid disease. Head & neck, 42(2), 262–268. https://doi.org/10.1002/hed.25991
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
31651072
Department(s)
Administration and Leadership
Document Type
Article