TY - JOUR
T1 - Octogenarians have worse clinical outcomes after thyroidectomy
AU - Sahli, Zeyad T.
AU - Zhou, Sheng
AU - Najjar, Omar
AU - Onasanya, Oluwadamilola
AU - Segev, Dorry
AU - Massie, Allan
AU - Zeiger, Martha A.
AU - Mathur, Aarti
N1 - Publisher Copyright:
© 2018 Elsevier Inc.
PY - 2018/12
Y1 - 2018/12
N2 - Background: The rising proportion of older adults in the US population coupled with an increased prevalence of nodular thyroid disease will result in more thyroidectomies being performed. The aim of this study is to evaluate the clinical outcomes among older adults (age ≥65) undergoing thyroidectomy compared to younger adults (18–64). Methods: This was a population-based study of adult thyroidectomy patients using the Premier Healthcare Database, 2005–2014. Discharge status, hospital length of stay (LOS), morbidity, and total patient charge were compared between younger adults and older adults in three different age groups: ≥65, ≥70, and ≥80 years old. Results: Among 75,141 thyroidectomy patients, 15,805 (21.0%) patients were ≥65 years, 8834 (11.8%) were ≥70 years, and 1613 (2.2%) were ≥80 years. Patients ≥80 years were 2.6 times (aOR:2.58, 95%CI: 1.72–3.86; p < 0.001) more likely to be discharged to a home health organization than to be discharged to their residence and 1.6 times (aOR:1.61, 95%CI: 1.30–2.00; p < 0.001) more likely to have at least one complication. Conclusions: Age ≥80 is an independent predictor of worse clinical outcomes after thyroidectomy.
AB - Background: The rising proportion of older adults in the US population coupled with an increased prevalence of nodular thyroid disease will result in more thyroidectomies being performed. The aim of this study is to evaluate the clinical outcomes among older adults (age ≥65) undergoing thyroidectomy compared to younger adults (18–64). Methods: This was a population-based study of adult thyroidectomy patients using the Premier Healthcare Database, 2005–2014. Discharge status, hospital length of stay (LOS), morbidity, and total patient charge were compared between younger adults and older adults in three different age groups: ≥65, ≥70, and ≥80 years old. Results: Among 75,141 thyroidectomy patients, 15,805 (21.0%) patients were ≥65 years, 8834 (11.8%) were ≥70 years, and 1613 (2.2%) were ≥80 years. Patients ≥80 years were 2.6 times (aOR:2.58, 95%CI: 1.72–3.86; p < 0.001) more likely to be discharged to a home health organization than to be discharged to their residence and 1.6 times (aOR:1.61, 95%CI: 1.30–2.00; p < 0.001) more likely to have at least one complication. Conclusions: Age ≥80 is an independent predictor of worse clinical outcomes after thyroidectomy.
KW - Epidemiology
KW - Older patients
KW - Premier database
KW - Surgery
KW - Thyroidectomy
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U2 - 10.1016/j.amjsurg.2018.04.013
DO - 10.1016/j.amjsurg.2018.04.013
M3 - Article
C2 - 29729944
AN - SCOPUS:85058910741
SN - 0002-9610
VL - 216
SP - 1171
EP - 1176
JO - American journal of surgery
JF - American journal of surgery
IS - 6
ER -