Evidence map›Paper›PMID 29936990›Full record

ArticleThe Journal of surgical research2018

Thyroidectomy in older adults: an American College of Surgeons National Surgical Quality Improvement Program study of outcomes.

Zeyad T Sahli, Ghedak Ansari, Merve Gurakar, Joseph K Canner, Dorry Segev, Martha A Zeiger, Aarti Mathur

Abstract read
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In one paragraph

Article in The Journal of surgical research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
3.8field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Considerations in the Diagnosis and Management of Thyroid Dysfunction in Older Adults.Thyroid : official journal of the American Thyroid Association · 2025
    Review
  5. Article
  6. Thyroid surgery in the elderly: a surgical cohort.Langenbeck's archives of surgery · 2023
    Article
  7. Article
  8. Ultrasound-Guided Radiofrequency AblationFrontiers in endocrinology · 2021
    Article
  9. Article
  10. Article
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Zeyad T SahliDepartment of Surgery, The Johns Hopkins University School of Medicine, Baltimore, Maryland.
Ghedak AnsariJohns Hopkins Bloomberg School of Public Health, Johns Hopkins Medical Institutions, Baltimore, Maryland.
Merve GurakarJohns Hopkins Bloomberg School of Public Health, Johns Hopkins Medical Institutions, Baltimore, Maryland.
Joseph K CannerJohns Hopkins Bloomberg School of Public Health, Johns Hopkins Medical Institutions, Baltimore, Maryland.
Dorry SegevDepartment of Surgery, The Johns Hopkins University School of Medicine, Baltimore, Maryland.
Martha A ZeigerDepartment of Surgery, The Johns Hopkins University School of Medicine, Baltimore, Maryland.
Aarti MathurDepartment of Surgery, The Johns Hopkins University School of Medicine, Baltimore, Maryland. Electronic address: aartima@aol.com.
Johns Hopkins University · USJohns Hopkins Medicine · US

Funding

Association of Fraility with Post thyroidectomy alterations in Voice, Swallowing, and Quality of LifeK23AG053429 · NIA · JOHNS HOPKINS UNIVERSITY · PI MATHUR, AARTI · 2017 to 2022
$1.0M
NIA NIH HHS K23 AG053429
6 · The paper itself

Abstract

backgroundThe growth of the US geriatric population coupled with the rise in thyroid nodular disease and cancer will result in an increased number of thyroidectomies performed in older adults. We aim to evaluate outcomes after thyroidectomy in older adults as compared with younger adults.

methodsA retrospective cohort study using the American College of Surgeons National Surgical Quality Improvement Program database from 2012-2015 categorized thyroidectomy patients into three age groups: 18-64 y, 65-79 y, and ≥80 y. Thirty-day perioperative outcomes were analyzed using bivariate χ

resultsOur study identified 60,990 patients who underwent thyroidectomy: 47,855 (78.4%) patients between 18 and 64 y old, 11,716 (19.2%) between 65 and 79 y old, and 1419 (2.3%) ≥80 y. Compared with younger adults, patients aged ≥80 y were 2.67 times more likely to develop a complication (95% confidence interval [CI]: 2.02-3.53, P < 0.001), 1.83 times more likely to be readmitted for any reason (95% CI: 1.40-2.38, P < 0.001), 1.54 times more likely to be readmitted for a reason related to the thyroidectomy (95% CI: 1.10-2.16, P < 0.05), and 1.66 times more likely to have an extended hospital stay (95% CI: 1.44-1.91, P < 0.001). Patients aged 65-79 y were 1.40 times more likely to develop a complication (95% CI: 1.19-1.63, P < 0.001).

conclusionsPatients aged ≥65 y have significantly higher rates of overall complications. In addition, patients aged ≥80 y have higher rates of total and thyroidectomy-related readmissions and extended length of hospital stay.

Indexed as

AdultAgedAged, 80 and overAge FactorsDatabases, FactualFemaleHumansLength of StayMaleMiddle AgedOutcome Assessment, Health CarePatient ReadmissionPostoperative ComplicationsQuality ImprovementRetrospective StudiesRisk FactorsEpidemiologyGeriatricNSQIPOlder patientsSurgeryThyroidectomy

Identifiers

PMID29936990
PMCPMC6042653
OpenAlexW2803018905

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.