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- Publisher Website: 10.1016/j.amjsurg.2005.03.029
- Scopus: eid_2-s2.0-23744494857
- PMID: 16105529
- WOS: WOS:000231368900016
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Article: Total thyroidectomy for multinodular goiter in the elderly
| Title | Total thyroidectomy for multinodular goiter in the elderly |
|---|---|
| Authors | |
| Keywords | Elderly Morbidity Multinodular goiter Survival Total thyroidectomy |
| Issue Date | 2005 |
| Publisher | Elsevier Inc. The Journal's web site is located at http://www.elsevier.com/locate/amjsurg |
| Citation | The American Journal of Surgery, 2005, v. 190 n. 3, p. 418-423 How to Cite? |
| Abstract | BACKGROUND: Total thyroidectomy for multinodular goiter (MNG) is increasingly being performed for the elderly population and yet their perioperative and long-term outcomes remain unclear. METHODS: A total of 279 patients who underwent total thyroidectomy for MNG in a university-based hospital during a 9-year period were analyzed according to their age at the time of operation. RESULTS: The duration of operation (P=.023), intraoperative blood loss (P=.030), weight of resected thyroid glands (P<.001) and proportion of retrosternal goiter (P<.001) were significantly greater in the elderly group (>/=70 years) (n = 55), but the incidence of surgically related complications, including recurrent laryngeal nerve palsy and hypoparathyroidism, was similar. Postoperative pneumonia occurred more frequently in the elderly group (P=.034). The number of comorbidities tended to correlate with the length of hospital stay and long-term survival in elderly patients. CONCLUSIONS: Total thyroidectomy for MNG in elderly patients had a similar perioperative outcome as their younger counterparts, but their long-term outcome is likely to be influenced by the number of comorbidities. |
| Persistent Identifier | http://hdl.handle.net/10722/192076 |
| ISSN | 2023 Impact Factor: 2.7 2023 SCImago Journal Rankings: 0.897 |
| ISI Accession Number ID |
| DC Field | Value | Language |
|---|---|---|
| dc.contributor.author | Lang, BHH | - |
| dc.contributor.author | Lo, CY | - |
| dc.date.accessioned | 2013-10-17T02:37:41Z | - |
| dc.date.available | 2013-10-17T02:37:41Z | - |
| dc.date.issued | 2005 | - |
| dc.identifier.citation | The American Journal of Surgery, 2005, v. 190 n. 3, p. 418-423 | - |
| dc.identifier.issn | 0002-9610 | - |
| dc.identifier.uri | http://hdl.handle.net/10722/192076 | - |
| dc.description.abstract | BACKGROUND: Total thyroidectomy for multinodular goiter (MNG) is increasingly being performed for the elderly population and yet their perioperative and long-term outcomes remain unclear. METHODS: A total of 279 patients who underwent total thyroidectomy for MNG in a university-based hospital during a 9-year period were analyzed according to their age at the time of operation. RESULTS: The duration of operation (P=.023), intraoperative blood loss (P=.030), weight of resected thyroid glands (P<.001) and proportion of retrosternal goiter (P<.001) were significantly greater in the elderly group (>/=70 years) (n = 55), but the incidence of surgically related complications, including recurrent laryngeal nerve palsy and hypoparathyroidism, was similar. Postoperative pneumonia occurred more frequently in the elderly group (P=.034). The number of comorbidities tended to correlate with the length of hospital stay and long-term survival in elderly patients. CONCLUSIONS: Total thyroidectomy for MNG in elderly patients had a similar perioperative outcome as their younger counterparts, but their long-term outcome is likely to be influenced by the number of comorbidities. | - |
| dc.language | eng | - |
| dc.publisher | Elsevier Inc. The Journal's web site is located at http://www.elsevier.com/locate/amjsurg | - |
| dc.relation.ispartof | The American Journal of Surgery | - |
| dc.rights | NOTICE: this is the author’s version of a work that was accepted for publication in The American Journal of SurgeryChanges resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in The American Journal of Surgery, [VOL 190, ISSUE 3, 2005] DOI 10.1016/j.amjsurg.2005.03.029 | - |
| dc.subject | Elderly | - |
| dc.subject | Morbidity | - |
| dc.subject | Multinodular goiter | - |
| dc.subject | Survival | - |
| dc.subject | Total thyroidectomy | - |
| dc.subject.mesh | Goiter, Nodular - epidemiology - mortality - pathology - surgery | - |
| dc.subject.mesh | Postoperative Complications - epidemiology | - |
| dc.subject.mesh | Statistics, Nonparametric | - |
| dc.subject.mesh | Survival Rate | - |
| dc.subject.mesh | Thyroidectomy | - |
| dc.title | Total thyroidectomy for multinodular goiter in the elderly | en_US |
| dc.type | Article | en_US |
| dc.identifier.email | Lang, BHH: blang@hkucc.hku.hk | - |
| dc.description.nature | link_to_subscribed_fulltext | - |
| dc.identifier.doi | 10.1016/j.amjsurg.2005.03.029 | - |
| dc.identifier.pmid | 16105529 | - |
| dc.identifier.scopus | eid_2-s2.0-23744494857 | - |
| dc.identifier.hkuros | 138588 | - |
| dc.identifier.volume | 190 | - |
| dc.identifier.issue | 3 | - |
| dc.identifier.spage | 418 | - |
| dc.identifier.epage | 423 | - |
| dc.identifier.isi | WOS:000231368900016 | - |
| dc.publisher.place | United States | - |
| dc.identifier.issnl | 0002-9610 | - |