Partial Versus Total Thyroidectomy: What ...
Type de document :
Article dans une revue scientifique: Article original
PMID :
URL permanente :
Titre :
Partial Versus Total Thyroidectomy: What Influences Most Surgeons' Decision? Analysis of a Nationwide Cohort of 375,810 Patients Over 10 Years
Auteur(s) :
Marciniak, Camille [Auteur]
Recherche translationnelle sur le diabète - U 1190 [RTD]
Lenne, Xavier [Auteur]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Clément, G. [Auteur]
Bruandet, Amelie [Auteur]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Lifante, J. C. [Auteur]
Université de Lyon
Sebag, F. [Auteur]
Mirallié, E. [Auteur]
Université de Nantes [UN]
Mathonnet, M. [Auteur]
Université de Limoges [UNILIM]
Brunaud, L. [Auteur]
Centre Hospitalier Régional Universitaire de Nancy [CHRU Nancy]
Donatini, G. [Auteur]
Université de Poitiers = University of Poitiers [UP]
Tresallet, C. [Auteur]
Ménégaux, F. [Auteur]
Theis, D. [Auteur]
Pattou, Francois [Auteur]
Recherche translationnelle sur le diabète (RTD) - U1190
Caiazzo, Robert [Auteur]
Recherche translationnelle sur le diabète (RTD) - U1190
Recherche translationnelle sur le diabète - U 1190 [RTD]
Lenne, Xavier [Auteur]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Clément, G. [Auteur]
Bruandet, Amelie [Auteur]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Lifante, J. C. [Auteur]
Université de Lyon
Sebag, F. [Auteur]
Mirallié, E. [Auteur]
Université de Nantes [UN]
Mathonnet, M. [Auteur]
Université de Limoges [UNILIM]
Brunaud, L. [Auteur]
Centre Hospitalier Régional Universitaire de Nancy [CHRU Nancy]
Donatini, G. [Auteur]
Université de Poitiers = University of Poitiers [UP]
Tresallet, C. [Auteur]
Ménégaux, F. [Auteur]
Theis, D. [Auteur]
Pattou, Francois [Auteur]
Recherche translationnelle sur le diabète (RTD) - U1190
Caiazzo, Robert [Auteur]
Recherche translationnelle sur le diabète (RTD) - U1190
Titre de la revue :
Annals of Surgery
Nom court de la revue :
Ann Surg
Numéro :
274
Pagination :
p. 829-835.
Date de publication :
2021-11
ISSN :
1528-1140
Mot(s)-clé(s) en anglais :
procedure choice
thyroidectomy
thyroidectomy
Discipline(s) HAL :
Sciences du Vivant [q-bio]
Résumé en anglais : [en]
National and international guidelines about thyroid surgery seem to be moving more and more towards less radical surgical procedures but everyday practice does not seem to always align with them. We describe for the first ...
Lire la suite >National and international guidelines about thyroid surgery seem to be moving more and more towards less radical surgical procedures but everyday practice does not seem to always align with them. We describe for the first time the role of non-surgical parameters in the surgeon's choice for thyroid surgery. Objective: The ain of this study was to describe thyroid surgery and to identify the factors leading to either a total or a partial thyroidectomy regardless of the severity of the thyroid disease. Summary Background Data: National and international guidelines about thyroid surgery seem to be moving more and more toward less radical surgical procedures but everyday practice does not seem to always align with them. Methods: We based this nationwide retrospective cohort study on a national database that compiles discharge abstracts for every admission for thyroidectomy to French acute healthcare facilities (PMSI database 2010 to 2019). Results: In this study, 375,810 patients (male: 23%; age = 53 ± 15 years) had a thyroidectomy (partial: 28%) for cancer (17%), hyperthyroidism (16%), nonfunctioning goiter (64%), or other (3%). We noticed a global trend toward more partial thyroidectomy (P < 0.001) with a significant increase in the proportion of lobectomy in the post-ATA recommendations’ period (P < 0.001) as well as in the “French Levothyrox crisis” period, in which we saw an unexpected rise of adverse events notifications associated with the marketing of a new formula of Levothyrox (P < 0.001) amid widespread media coverage. In a multivariate analysis, we also identified that complete resection was more frequently performed in centers with a caseload >40/year [P < 0.001, odds ratio (OR) = 1.48], for obese patients (body mass index >30 kg/m2; P < 0.001, OR = 1.42), and according to the indication of surgery (OR benign = 1, OR cancer = 2.25, OR hyperthyroidism = 4.13). Conclusion: We describe for the first time the role of non-surgical parameters in the surgeon's choice for thyroid surgery.Lire moins >
Lire la suite >National and international guidelines about thyroid surgery seem to be moving more and more towards less radical surgical procedures but everyday practice does not seem to always align with them. We describe for the first time the role of non-surgical parameters in the surgeon's choice for thyroid surgery. Objective: The ain of this study was to describe thyroid surgery and to identify the factors leading to either a total or a partial thyroidectomy regardless of the severity of the thyroid disease. Summary Background Data: National and international guidelines about thyroid surgery seem to be moving more and more toward less radical surgical procedures but everyday practice does not seem to always align with them. Methods: We based this nationwide retrospective cohort study on a national database that compiles discharge abstracts for every admission for thyroidectomy to French acute healthcare facilities (PMSI database 2010 to 2019). Results: In this study, 375,810 patients (male: 23%; age = 53 ± 15 years) had a thyroidectomy (partial: 28%) for cancer (17%), hyperthyroidism (16%), nonfunctioning goiter (64%), or other (3%). We noticed a global trend toward more partial thyroidectomy (P < 0.001) with a significant increase in the proportion of lobectomy in the post-ATA recommendations’ period (P < 0.001) as well as in the “French Levothyrox crisis” period, in which we saw an unexpected rise of adverse events notifications associated with the marketing of a new formula of Levothyrox (P < 0.001) amid widespread media coverage. In a multivariate analysis, we also identified that complete resection was more frequently performed in centers with a caseload >40/year [P < 0.001, odds ratio (OR) = 1.48], for obese patients (body mass index >30 kg/m2; P < 0.001, OR = 1.42), and according to the indication of surgery (OR benign = 1, OR cancer = 2.25, OR hyperthyroidism = 4.13). Conclusion: We describe for the first time the role of non-surgical parameters in the surgeon's choice for thyroid surgery.Lire moins >
Langue :
Anglais
Audience :
Internationale
Vulgarisation :
Non
Établissement(s) :
Université de Lille
CHU Lille
CHU Lille
Collections :
Date de dépôt :
2023-11-15T06:05:53Z
2024-04-08T12:23:04Z
2024-04-08T12:23:04Z