Randomised controlled trial of in-versus out-patient management of benign hemithyroidectomy
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Randomised controlled trial of in-versus out-patient management of benign hemithyroidectomy. / Haugaard, Carl Frederik; Homøe, Preben; Nygren, Alexander; Mathiesen, Ole; Hansen, Lise Nørrekjær; Hvilsom, Gitte Bjørn.
I: Danish Medical Journal, Bind 71, Nr. 1, A06230377, 2024.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Randomised controlled trial of in-versus out-patient management of benign hemithyroidectomy
AU - Haugaard, Carl Frederik
AU - Homøe, Preben
AU - Nygren, Alexander
AU - Mathiesen, Ole
AU - Hansen, Lise Nørrekjær
AU - Hvilsom, Gitte Bjørn
N1 - Publisher Copyright: © 2024, Almindelige Danske Laegeforening. All rights reserved.
PY - 2024
Y1 - 2024
N2 - 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.
AB - 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.
M3 - Journal article
C2 - 38235985
AN - SCOPUS:85182685935
VL - 71
JO - Danish Medical Journal
JF - Danish Medical Journal
SN - 2245-1919
IS - 1
M1 - A06230377
ER -
ID: 381721218