Incidence, Risk Factors, and Clinical Outcomes of Incidental Parathyroidectomy During Thyroid Surgery

Autor: Applewhite, MK, White, MG, Xiong, M, Pasternak, JD, Abdulrasool, L, Ogawa, L, Suh, I, Gosnell, JE, Kaplan, EL, Duh, Q-Y, Angelos, P, Shen, WT, Grogan, RH
Jazyk: angličtina
Rok vydání: 2016
Zdroj: Applewhite, MK; White, MG; Xiong, M; Pasternak, JD; Abdulrasool, L; Ogawa, L; et al.(2016). Incidence, Risk Factors, and Clinical Outcomes of Incidental Parathyroidectomy During Thyroid Surgery. ANNALS OF SURGICAL ONCOLOGY, 23(13), 4310-4315. doi: 10.1245/s10434-016-5439-1. UCSF: Retrieved from: http://www.escholarship.org/uc/item/2wd7z0kv
Popis: The reported rate of incidental parathyroidectomy (IP) during thyroid surgery is between 5.2 and 21.6 %. Current literature reports wide discrepancy in incidence, risk factors, and outcomes. Thus study was designed to address definitively the topic of IP and identify associated risk factors and clinical outcomes with this multi-institutional study.This retrospective cohort study included 1767 total thyroidectomies that occurred between 1995 and 2014 at two academic centers. Pathologic reports were reviewed for the presence of unintentionally removed parathyroid glands. Demographics, potential risk factors, and postoperative calcium levels were compared with matched control group. Logistic regression, t tests, and Chi squared tests were used when appropriate.IP occurred in 286 (16.2 %) of thyroidectomies. Risk factors for IP were: malignancy, neck dissection, and lymph node metastases (p = 0.005
Databáze: OpenAIRE