Patterns, treatment outcome and associated factors of surgically treated thyroid disease at public hospitals in Eastern Ethiopia: a retrospective cross-sectional study.

Autor: Abate G; Department of the surgery, School of Medicine, College of the Health and Medical Sciences, Haramaya University, Harar, Ethiopia., Amentie E; Department of the surgery, School of Medicine, College of the Health and Medical Sciences, Haramaya University, Harar, Ethiopia. eyobelam21@gmail.com., Abdulahi AA; Department of the surgery, School of Medicine, College of the Health and Medical Sciences, Haramaya University, Harar, Ethiopia., Nigussie S; Department of Clinical Pharmacy, School of Pharmacy, College of Health and Medical Science, Haramaya University, Harar, Ethiopia.
Jazyk: angličtina
Zdroj: BMC surgery [BMC Surg] 2024 Sep 05; Vol. 24 (1), pp. 250. Date of Electronic Publication: 2024 Sep 05.
DOI: 10.1186/s12893-024-02546-5
Abstrakt: Background: Thyroid disease is a global health problem and the most common type of endocrine disorder next to diabetic mellitus, accounting for around 30-40% burden of the endocrine disorders.
Objective: The objective of the study was to assess patterns, treatment outcome and associated factors of surgically treated thyroid disease at Public Hospitals in Eastern Ethiopia.
Methods: The study was conducted among surgically treated patients for thyroid disorders using a retrospective cross-sectional study design by reviewing all patients' charts. A data abstraction sheet was used to collect relevant data, and the collected data was analyzed using SPSS version 26 software. Bi-variable and multivariable binary logistic regression was employed to assess the association between dependent and independent variables.
Results: The study was conducted on 200 patients' medical records who had complete information. Out of this, 84.5% were female and 66.5% of patients' age was between 20 and 40 years. Toxic goiter was the most common thyroid disease which accounted for 49.5%. Hemorrhage and Hypocalcemia were the most common complications after surgery. Anterior neck swelling of greater than 15 years [(AOR: 52.892 CI = 95% (6.087-459.5.68) (P-0.000)], Total/ near total thyroidectomy [(AOR: 20.139 CI = 95% (4.059-99.931) P-00.000] were significantly associated with complicated post-operative course, while female sex [(AOR: 0.124 CI = 95% (0.34-0.494) P- 0.003)] was associated with lower risk of developing post-operative complications.
Conclusion: This study showed that 9.5% of operated patients with thyroid disease had complicated post-operative course. Long standing goiter and total/ near total thyroidectomy were significantly associated with complicated post-operative course.
(© 2024. The Author(s).)
Databáze: MEDLINE
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