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journal article Nov 09, 2017

Outpatient versus inpatient thyroidectomy: A systematic review and meta‐analysis

Daniel J. Lee ORCID Christopher J. Chin ORCID Chris J. Hong Stefan Perera Ian J. Witterick
Head & Neck Vol. 40 No. 1 pp. 192-202 · Wiley
View at Publisher Save 10.1002/hed.24934
Abstract
AbstractBackgroundOutpatient thyroidectomy has gained popularity due to improved resource utilization.MethodsWe conducted a systematic review and meta‐analysis using MEDLINE, EMBASE, CINAHL, Web of Science, and the Cochrane library. We included all studies examining the outcomes of outpatient thyroidectomy as compared with those of inpatient thyroidectomy. Risk of bias was assessed using the Newcastle‐Ottawa scale. Postoperative complications (hematoma, hypocalcemia, and recurrent laryngeal nerve injury) and readmission/reintervention rates were compared.ResultsAfter screening 1665 records, 10 nonrandomized observational studies were included. There were fewer complication rates in the outpatient group than the inpatient group (relative risk [RR] 0.56; 95% confidence interval [CI] 0.37‐0.83). There was no difference in readmission/reintervention rates (RR 0.60; 95% CI 0.33‐1.09).ConclusionThe results suggest outpatient thyroidectomy may be as safe as inpatient thyroidectomy in appropriately selected patients. The results are limited by high risk of bias. Well‐designed prospective studies are necessary to further assess the safety of outpatient thyroidectomy.
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References
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Outpatient versus inpatient thyroidectomy: A systematic review and meta‐analysis

Daniel J. Lee, Christopher J. Chin, Chris J. Hong et al.

Head & Neck 10.1002/hed.24934
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Cited By
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A Postanesthesia Care Unit Parathyroid Hormone–Based Protocol for Managing Postthyroidectomy Hypocalcemia

Zhixing Song, Ashba Allahwasaya · 2025

Journal of Surgical Research
Analyzing the ATA statement on outpatient thyroidectomy using the NSQIP database

Cheng Ma, Christopher Dodoo · 2020

The American Journal of Surgery
Outpatient versus inpatient thyroidectomy: A systematic review and meta‐analysis

Daniel J. Lee, Christopher J. Chin · 2017

Head & Neck
Metrics
66
Citations
44
References
Details
Published
Nov 09, 2017
Vol/Issue
40(1)
Pages
192-202
License
View
Authors
D
Daniel J. Lee

Department of Otolaryngology – Head & Neck Surgery University of Toronto Toronto Canada; Faculty of Medicine University of Toronto Toronto Canada

C
Christopher J. Chin

Department of Otolaryngology – Head & Neck Surgery University of Toronto Toronto Canada; Division of Otolaryngology – Head & Neck Surgery, Department of Surgery Dalhousie Medicine New Brunswick, St. John New Brunswick Canada

C
Chris J. Hong

Department of Otolaryngology – Head & Neck Surgery University of Toronto Toronto Canada

S
Stefan Perera

Faculty of Medicine University of Toronto Toronto Canada

I
Ian J. Witterick

Department of Otolaryngology – Head & Neck Surgery University of Toronto Toronto Canada; Faculty of Medicine University of Toronto Toronto Canada

Funding
Sidney Liswood Library at Mount Sinai Hospital
Cite This Article
Daniel J. Lee, Christopher J. Chin, Chris J. Hong, et al. (2017). Outpatient versus inpatient thyroidectomy: A systematic review and meta‐analysis. Head & Neck, 40(1), 192-202. https://doi.org/10.1002/hed.24934
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