Extent of surgery for low-risk thyroid cancer in the elderly: Equipoise in survival but not in short-term outcomes
Surgery Jul 12, 2019
Zambeli-Ljepović A, et al. - Given that an increase in postoperative morbidity occurs with age, researchers examined if short-term outcomes among older patients are influenced by the extent of thyroidectomy. Using the Surveillance, Epidemiology, and End Results–Medicare database, they selected 3,341 patients (77.3% female; mean age: 72.9 years) with tumors averaged 0.8 cm in diameter. Total thyroidectomy was performed on 67.6% of patients, and lobectomy was undertaken in 32.4%. Complications and readmissions were noted in correlation to total thyroidectomy. Female patients, black patients, and those with ≥2 comorbidities showed higher complications. More emergency department visits and readmissions were reported for black patients and those with ≥2 comorbidities. These findings suggest lobectomy as a safer and less costly alternative for many cases.
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