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  1. Outpatient thyroid and parathyroid surgery : a prospective study of feasibility, safety, and costs. Discussion.

    Article, Communication - En anglais

    American Association of Endocrine Surgeons. Annual meeting. Philadelphia PA USA, 1995/04/23.

    Background

    The purpose of this study was to determine feasibility, safety, and cost savings of outpatient thyroid and parathyroid surgery.

    Methods

    Consecutive unselected patients undergoing thyroid and parathyroid operations by two surgeons with a special interest in endocrine surgery were studied prospectively.

    Results

    One-hundred patients underwent operation, 61 as outpatients and 39 as in patients.

    Outpatients included those undergoing thyroid lobectomy (39), total thyroidectomy (10), total thyroidectomy with parathyroidectomy (1), total thyroidectomy with modified neck dissection (1), and parathyroidectomy (10).

    Inpatients included those undergoing thyroid lobectomy (15), total thyroidectomy (8), total thyroidectomy with neck dissection (4), removal of substernal goiter (2), and parathyroidectomy (10).

    The average age of inpatients was slightly higher than that of outpatients (p<0.05).

    Average hospital cost for outpatients was $1991 ± $279 (range, $1594 to $2783) and for inpatients it was $2875 ± 615 (range, $2031 to $4216), p<0.001.

    Reasons for admission included extent of surgery (6), nausea (5), oversedation (4), urinary retention (2), inadequate home help (6), long travel time (2), patient preference (9), and medical reasons (5).

    No outpatients subsequently required admission

    Conclusions.

    Outpatient thyroid and parathyroid surgery can be feasible and safe and resulted in a 30% savings in hospital costs.

    Mots-clés Pascal : Parathyroïde pathologie, Thyroïde pathologie, Parathyroïdectomie, Thyroïdectomie, Ambulatoire, Hospitalisation, Evaluation, Analyse coût, Traitement, Economie santé, Homme, Endocrinopathie, Chirurgie

    Mots-clés Pascal anglais : Parathyroid diseases, Thyroid diseases, Parathyroidectomy, Thyroidectomy, Ambulatory, Hospitalization, Evaluation, Cost analysis, Treatment, Health economy, Human, Endocrinopathy, Surgery

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0040447

    Code Inist : 002B25L. Création : 01/03/1996.