How do the outcomes of inpatient and outpatient thyroid surgery compare?

Updated: Jan 25, 2018
  • Author: Pramod K Sharma, MD; Chief Editor: Arlen D Meyers, MD, MBA  more...
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Answer

Answer

A study by Khavanin et al comparing inpatient versus outpatient thyroidectomy in terms of readmission, reoperation, and complications suggested that the outpatient procedure is as safe as, and perhaps safer than, the inpatient surgery. The study, using data from the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP), compared safety and outcomes in 8185 patients who underwent outpatient thyroidectomy and an equal number of individuals who underwent the inpatient procedure. Thirty-day postoperative morbidity was low in both groups, occurring in just 250 patients (1.5%); a total of 476 patients (2.9%) were readmitted within 30 days postsurgery. In comparing the inpatient and outpatient groups, however, the investigators found a higher likelihood of readmission, reoperation, and complications following inpatient surgery. [18, 19]


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