ArticleAnnals of the Royal College of Surgeons of England2026
Optimising same day discharge hemithyroidectomy: defining outcomes, unplanned admissions and patient experience.
Article in Annals of the Royal College of Surgeons of England, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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4 authors.
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Abstract
backgroundThere is increasing emphasis on day-case hemithyroidectomy in the UK, with the national NHS/Get-it-right-first-time (GIRFT) recommending 30% zero-night stay rate. Buckinghamshire Healthcare Trust currently achieves >70% zero-night stay rate. This study profiles successfully treated day-case patients, evaluates reasons for unplanned admissions, complication rates and patient satisfaction, offering insights for units seeking to expand day-case practice.
methodsThis is a retrospective cohort review from 2020 to 2024 of patients undergoing hemithyroidectomy treated by two surgeons: one with over a decade of day-case experience and one adopting the practice in 2021.
resultsOf 336 patients (mean age 51±15 years, male:female 1:4), 283 (84%) were discharged on the same day with planned overnight admissions (37 patients, 11%) were primarily older (62 versus 50 years,
conclusionsWith robust protocols and appropriate patient selection, high rates of day-case hemithyroidectomy are achievable, in alignment with a high rate of patient satisfaction. Unexpected admissions lack clear predictors.
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