Evidence map›Paper›PMID 33563738›Full record

Observational studySaudi medical journal2021

Safety and cost-effectiveness of outpatient thyroidectomy: A retrospective observational study.

Mohammed AlEssa, Samiah S Al-Angari, Mohammed Jomah, Aqeel AlOqaili, Muhammad Mujammami, Hadi A Al-Hakami, Saleh F Al-Dhahri

Open access · diamondAbstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in Saudi medical journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 14% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Risk of hematoma after hemithyroidectomy in an outpatient setting: a systematic review and meta-analysis.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2022
    Pooled it
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

Mohammed AlEssaFrom the Department of Otolaryngology - Head & Neck Surgery (AlEssa, Al-Angari, Jomah, Al-Dhahri), College of Medicine; from the Division of Endocrinology and Metabolism, Department of Medicine (Mujammami), King Saud University; from the Department of Otolaryngology - Head & Neck Surgery (AlEssa), King Abdulaziz Medical City, National Guard Health Affairs; from the Division of Otolaryngology - Head & Neck Surgery, Department of Surgery (AlOqaili), King Abdullah bin Abdulaziz University Hospital; from the Department of Otolaryngology - Head & Neck Surgery (Al-Dhahri), King Fahad Medical City, Riyadh; and from the Department of Otolaryngology - Head & Neck Surgery (Al-Hakami), College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Jeddah, Kingdom of Saudi Arabia.
Samiah S Al-AngariFrom the Department of Otolaryngology - Head & Neck Surgery (AlEssa, Al-Angari, Jomah, Al-Dhahri), College of Medicine; from the Division of Endocrinology and Metabolism, Department of Medicine (Mujammami), King Saud University; from the Department of Otolaryngology - Head & Neck Surgery (AlEssa), King Abdulaziz Medical City, National Guard Health Affairs; from the Division of Otolaryngology - Head & Neck Surgery, Department of Surgery (AlOqaili), King Abdullah bin Abdulaziz University Hospital; from the Department of Otolaryngology - Head & Neck Surgery (Al-Dhahri), King Fahad Medical City, Riyadh; and from the Department of Otolaryngology - Head & Neck Surgery (Al-Hakami), College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Jeddah, Kingdom of Saudi Arabia.
Mohammed JomahFrom the Department of Otolaryngology - Head & Neck Surgery (AlEssa, Al-Angari, Jomah, Al-Dhahri), College of Medicine; from the Division of Endocrinology and Metabolism, Department of Medicine (Mujammami), King Saud University; from the Department of Otolaryngology - Head & Neck Surgery (AlEssa), King Abdulaziz Medical City, National Guard Health Affairs; from the Division of Otolaryngology - Head & Neck Surgery, Department of Surgery (AlOqaili), King Abdullah bin Abdulaziz University Hospital; from the Department of Otolaryngology - Head & Neck Surgery (Al-Dhahri), King Fahad Medical City, Riyadh; and from the Department of Otolaryngology - Head & Neck Surgery (Al-Hakami), College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Jeddah, Kingdom of Saudi Arabia.
Aqeel AlOqailiFrom the Department of Otolaryngology - Head & Neck Surgery (AlEssa, Al-Angari, Jomah, Al-Dhahri), College of Medicine; from the Division of Endocrinology and Metabolism, Department of Medicine (Mujammami), King Saud University; from the Department of Otolaryngology - Head & Neck Surgery (AlEssa), King Abdulaziz Medical City, National Guard Health Affairs; from the Division of Otolaryngology - Head & Neck Surgery, Department of Surgery (AlOqaili), King Abdullah bin Abdulaziz University Hospital; from the Department of Otolaryngology - Head & Neck Surgery (Al-Dhahri), King Fahad Medical City, Riyadh; and from the Department of Otolaryngology - Head & Neck Surgery (Al-Hakami), College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Jeddah, Kingdom of Saudi Arabia.
Muhammad MujammamiFrom the Department of Otolaryngology - Head & Neck Surgery (AlEssa, Al-Angari, Jomah, Al-Dhahri), College of Medicine; from the Division of Endocrinology and Metabolism, Department of Medicine (Mujammami), King Saud University; from the Department of Otolaryngology - Head & Neck Surgery (AlEssa), King Abdulaziz Medical City, National Guard Health Affairs; from the Division of Otolaryngology - Head & Neck Surgery, Department of Surgery (AlOqaili), King Abdullah bin Abdulaziz University Hospital; from the Department of Otolaryngology - Head & Neck Surgery (Al-Dhahri), King Fahad Medical City, Riyadh; and from the Department of Otolaryngology - Head & Neck Surgery (Al-Hakami), College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Jeddah, Kingdom of Saudi Arabia.
Hadi A Al-HakamiFrom the Department of Otolaryngology - Head & Neck Surgery (AlEssa, Al-Angari, Jomah, Al-Dhahri), College of Medicine; from the Division of Endocrinology and Metabolism, Department of Medicine (Mujammami), King Saud University; from the Department of Otolaryngology - Head & Neck Surgery (AlEssa), King Abdulaziz Medical City, National Guard Health Affairs; from the Division of Otolaryngology - Head & Neck Surgery, Department of Surgery (AlOqaili), King Abdullah bin Abdulaziz University Hospital; from the Department of Otolaryngology - Head & Neck Surgery (Al-Dhahri), King Fahad Medical City, Riyadh; and from the Department of Otolaryngology - Head & Neck Surgery (Al-Hakami), College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Jeddah, Kingdom of Saudi Arabia.
Saleh F Al-DhahriFrom the Department of Otolaryngology - Head & Neck Surgery (AlEssa, Al-Angari, Jomah, Al-Dhahri), College of Medicine; from the Division of Endocrinology and Metabolism, Department of Medicine (Mujammami), King Saud University; from the Department of Otolaryngology - Head & Neck Surgery (AlEssa), King Abdulaziz Medical City, National Guard Health Affairs; from the Division of Otolaryngology - Head & Neck Surgery, Department of Surgery (AlOqaili), King Abdullah bin Abdulaziz University Hospital; from the Department of Otolaryngology - Head & Neck Surgery (Al-Dhahri), King Fahad Medical City, Riyadh; and from the Department of Otolaryngology - Head & Neck Surgery (Al-Hakami), College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Jeddah, Kingdom of Saudi Arabia.
King Abdulaziz Hospital · SAKing Saud University · SAKing Fahd Medical City · SANational Guard Health Affairs · SA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo investigate the safety and cost-effectiveness of outpatient thyroidectomy and provide a systematic postoperative protocol for safe discharge.

methodsIn this retrospective review, the medical records of all patients who underwent total, hemi, or completion thyroidectomy from July 2017 to April 2019 at 2 tertiary care hospitals were reviewed. Multivariable analysis was performed on the potential predictors of postoperative complications. Healthcare costs were calculated by the type of admission based on the average costs at the 2 centers.

resultsOne hundred twenty-two patients were enrolled in this study. The majority of cases were in the outpatient group (n=76, 62.3%). Total thyroidectomy was the most prevalent type of surgery (n=90, 73.7%). There were a total of 20 complications in 18 patients (inpatient=9 versus [vs.] outpatient=9). No cases of cervical hematoma or bilateral vocal cord paralysis were encountered. No significant difference was found between the type of admission (outpatient vs. inpatient) and postsurgical complications (

conclusionOutpatient thyroidectomy is as safe as inpatient thyroidectomy given the proper selection of cases. We project cost containment of over $711 thousand per 1,000 cases for outpatient thyroid surgeries.

Indexed as

OutpatientsThyroidectomyAdolescentAdultAmbulatory Surgical ProceduresCost-Benefit AnalysisFemaleHumansMaleMiddle AgedPostoperative ComplicationsRetrospective StudiesYoung Adultambulatory surgicalday surgeryoutpatient surgeryproceduresafetythyroidthyroidectomy

Identifiers

PMID33563738
PMCPMC7989291
OpenAlexW3126574153

What OpenQuestion holds

Textmetadata
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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.