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Article: Total thyroidectomy for multinodular goiter in the elderly

TitleTotal thyroidectomy for multinodular goiter in the elderly
Authors
Issue Date2005
PublisherElsevier 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?
AbstractBACKGROUND: 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 Identifierhttp://hdl.handle.net/10722/192076
ISSN
2015 Impact Factor: 2.403
2015 SCImago Journal Rankings: 1.286
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorLang, BHH-
dc.contributor.authorLo, CY-
dc.date.accessioned2013-10-17T02:37:41Z-
dc.date.available2013-10-17T02:37:41Z-
dc.date.issued2005-
dc.identifier.citationThe American Journal of Surgery, 2005, v. 190 n. 3, p. 418-423-
dc.identifier.issn0002-9610-
dc.identifier.urihttp://hdl.handle.net/10722/192076-
dc.description.abstractBACKGROUND: 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.languageeng-
dc.publisherElsevier Inc. The Journal's web site is located at http://www.elsevier.com/locate/amjsurg-
dc.relation.ispartofThe American Journal of Surgery-
dc.rightsNOTICE: 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.meshGoiter, Nodular - epidemiology - mortality - pathology - surgery-
dc.subject.meshPostoperative Complications - epidemiology-
dc.subject.meshStatistics, Nonparametric-
dc.subject.meshSurvival Rate-
dc.subject.meshThyroidectomy-
dc.titleTotal thyroidectomy for multinodular goiter in the elderlyen_US
dc.typeArticleen_US
dc.identifier.emailLang, BHH: blang@hkucc.hku.hk-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1016/j.amjsurg.2005.03.029-
dc.identifier.pmid16105529-
dc.identifier.scopuseid_2-s2.0-23744494857-
dc.identifier.hkuros138588-
dc.identifier.volume190-
dc.identifier.issue3-
dc.identifier.spage418-
dc.identifier.epage423-
dc.identifier.isiWOS:000231368900016-
dc.publisher.placeUnited States-

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