Randomised controlled trial of in- versus out-patient management of benign hemithyroidectomy.

IF 1 4区医学 Q3 MEDICINE, GENERAL & INTERNAL Danish medical journal Pub Date : 2023-12-06

Carl Frederik Haugaard, Preben Homøe, Alexander Nygren, Ole Mathiesen, Lise Nørrekjær Hansen, Gitte Bjørn Hvilsom

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引用次数: 0

Abstract

Introduction: Outpatient (OPT) thyroid surgery is increasing, with patient selection being pivotal for safety. While numerous studies exist, most are retrospective and encompass both benign and malignant cases.

Methods: We conducted a randomised clinical trial on patients undergoing hemithyroidectomy for benign thyroid disease. Participants were assigned to OPT or inpatient groups. We collected data on complications, failure to discharge on surgery day, post-operative pain, nausea, sleep quality and patient satisfaction.

Results: Among 97 patients, 27.5% (14/51) in the OPT group could not be discharged on the day of surgery due to minor complications, primarily nausea (36%) and neck swelling (29%). No reoperations were needed. Though OPT patients exhibited a higher rate of minor complications (29%), they reported less post-operative nausea, better sleep and a faster return to normal activity.

Conclusions: Discharge on the day of surgery is not always possible with OPT thyroid surgery. However, our findings suggest that OPT hemithyroidectomy for benign cases can be both safe and feasible for a selected group of patients.

Funding: None TRIAL REGISTRATION.

Clinicaltrials: gov Identifier: NCT02891252.

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良性血肿切除术住院与门诊管理的随机对照试验。

简介甲状腺门诊手术（OPT）越来越多，患者的选择对手术的安全性至关重要。虽然已有许多研究，但大多数研究都是回顾性的，而且包括良性和恶性病例：我们对因良性甲状腺疾病而接受甲状腺半切除术的患者进行了随机临床试验。参与者被分配到OPT组或住院组。我们收集了有关并发症、手术当天未能出院、术后疼痛、恶心、睡眠质量和患者满意度的数据：在97名患者中，OPT组有27.5%（14/51）的患者因轻微并发症而无法在手术当天出院，主要是恶心（36%）和颈部肿胀（29%）。没有人需要再次手术。虽然OPT患者的轻微并发症发生率较高（29%），但他们术后的恶心症状较轻，睡眠质量较好，恢复正常活动的速度也较快：OPT甲状腺手术并不总是能在手术当天出院。结论：OPT甲状腺手术并不总能在手术当天出院，但我们的研究结果表明，对部分患者而言，OPT甲状腺半切除术治疗良性病例既安全又可行：无 TRIAL REGISTRATION.Clinicaltrials: gov Identifier：NCT02891252。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Danish medical journal MEDICINE, GENERAL & INTERNAL-

CiteScore

2.30

自引率

6.20%

发文量

审稿时长

3-8 weeks

期刊介绍： The Danish Medical Journal (DMJ) is a general medical journal. The journal publish original research in English – conducted in or in relation to the Danish health-care system. When writing for the Danish Medical Journal please remember target audience which is the general reader. This means that the research area should be relevant to many readers and the paper should be presented in a way that most readers will understand the content. DMJ will publish the following articles: • Original articles • Protocol articles from large randomized clinical trials • Systematic reviews and meta-analyses • PhD theses from Danish faculties of health sciences • DMSc theses from Danish faculties of health sciences.