Surgery
Volume 146, Issue 5 , Pages 913-921 , November 2009

Thyroid surgery in octogenarians is associated with higher complication rates

  • Michal Mekel, MD

      Affiliations

    • Department of Surgery and Endocrine Surgery Unit, Massachusetts General Hospital and Harvard Medical School, Boston, MA
    • ,
  • Antonia E. Stephen, MD

      Affiliations

    • Department of Surgery and Endocrine Surgery Unit, Massachusetts General Hospital and Harvard Medical School, Boston, MA
    • ,
  • Randall D. Gaz, MD

      Affiliations

    • Department of Surgery and Endocrine Surgery Unit, Massachusetts General Hospital and Harvard Medical School, Boston, MA
    • ,
  • Zvi H. Perry, MD

      Affiliations

    • Surgical Research Lab, Tufts Medical Center, Boston, MA
    • ,
  • Richard A. Hodin, MD

      Affiliations

    • Department of Surgery and Endocrine Surgery Unit, Massachusetts General Hospital and Harvard Medical School, Boston, MA
    • ,
  • Sareh Parangi, MD

      Affiliations

    • Department of Surgery and Endocrine Surgery Unit, Massachusetts General Hospital and Harvard Medical School, Boston, MA
    • Corresponding Author InformationReprint requests: Sareh Parangi, MD, Massachusetts General Hospital, 15 Parkman Street, Wang ACC 460, Boston, MA 02114.

,Accepted 8 May 2009.

References 

  1. Beahrs OH. Surgery of thyroid and parathyroid disorders in the aged. In:  Adkins RB,  Scott HW editor. Surgical care for the elderly. Baltimore: Williams & Wilkins; 1988;p. 128–137
  2. Kinsella K, Velkoff VA. An aging world: 2001. Washington, DC: U.S. Census Bureau; 2001;
  3. Finlayson E, Fan Z, Birkmeyer JD. Outcomes in octogenarians undergoing high-risk cancer operation: a national study. J Am Coll Surg. 2007;205:729–734
  4. Finlayson EV, Birkmeyer JD. Operative mortality with elective surgery in older adults. Eff Clin Pract. 2001;4:172–177
  5. Bliss R, Patel N, Guinea A, Reeve TS, Delbridge L. Age is no contraindication to thyroid surgery. Age Ageing. 1999;28:363–366
  6. Passler C, Avanessian R, Kaczirek K, Prager G, Scheuba C, Niederle B. Thyroid surgery in the geriatric patient. Arch Surg. 2002;137:1243–1248
  7. Sosa JA, Mehta PJ, Wang TS, Boudourakis L, Roman SA. A population-based study of outcomes from thyroidectomy in aging Americans: at what cost?. J Am Coll Surg. 2008;206:1097–1105
  8. Charlson ME, Pompei P, Ales KL, MacKenzie CR. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chronic Dis. 1987;40:373–383
  9. Clark OH, Demling R. Management of thyroid nodules in the elderly. Am J Surg. 1976;132:615–619
  10. Rios A, Rodriguez JM, Galindo PJ, Canteras M, Parrilla P. Surgical treatment for multinodular goitres in geriatric patients. Langenbeck Arch Surg/Deutsche Gesellschaft fur Chirurgie. 2005;390:236–242
  11. Kikuchi S, Perrier ND, Cheah WK, Siperstein AE, Duh QY, Clark OH. Complication of thyroidectomy in patients with radiation-induced thyroid neoplasms. Arch Surg. 2004;139:1185–1188
  12. Liu Q, Djuricin G, Prinz RA. Total thyroidectomy for benign thyroid disease. Surgery. 1998;123:2–7
  13. Sosa JA, Bowman HM, Tielsch JM, Powe NR, Gordon TA, Udelsman R. The importance of surgeon experience for clinical and economic outcomes from thyroidectomy. Ann Surg. 1998;228:320–330
  14. Saunders BD, Wainess RM, Dimick JB, Doherty GM, Upchurch GR, Gauger PG. Who performs endocrine operations in the United States?. Surgery. 2003;134:924–931
  15. Johnson EM, Remucal MJ, Gillingham KJ, Dahms RA, Najarian JS, Matas AJ. Complications and risks of living donor nephrectomy. Transplantation. 1997;64:1124–1128
  16. Livingston EH, Huerta S, Arthur D, Lee S, De Shields S, Heber D. Male gender is a predictor of morbidity and age a predictor of mortality for patients undergoing gastric bypass surgery. Ann Surg. 2002;236:576–582
  17. Craft PS, May J, Dorigo A, Hoy C, Plant A. Hickman catheters: left-sided insertion, male gender, and obesity are associated with an increased risk of complications. Aust N Z J Med. 1996;26:33–39
  18. Sanabria A, Carvalho AL, Melo RL, Magrin J, Ikeda MK, Vartanian JG, et al. Predictive factors for complications in elderly patients who underwent head and neck oncologic surgery. Head Neck. 2008;30:170–177
  19. Hsieh YC, Frink M, Choudhry MA, Bland KI, Chaudry IH. Metabolic modulators following trauma sepsis: sex hormones. Crit Care Med. 2007;35(Suppl 9):S621–S629
  20. Mazzaferri EL, Jhiang SM. Long-term impact of initial surgical and medical therapy on papillary and follicular thyroid cancer. Am J Med. 1994;97:418–428
  21. Machens A, Hauptmann S, Dralle H. Disparities between male and female patients with thyroid cancers: sex difference or gender divide?. Clin Endocrinol. 2006;65:500–505
  22. Shetty KR, Duthie EH. Thyroid disease and associated illness in the elderly. Clin Geriatr Med. 1995;11:311–325
  23. Cooper DS, Doherty GM, Haugen BR, Kloos RT, Lee SL, Mandel SJ, et al. Management guidelines for patients with thyroid nodules and differentiated thyroid cancer. Thyroid. 2006;16:109–142
  24. Gaz RD. Endocrine surgery in the elderly. In:  Katlic MR editors. Geriatric surgery. Baltimore: Urban & Schwarzenberg; 1990;p. 393–409
  25. Vini L, Hyer SL, Marshall J, A'Hern R, Harmer C. Long-term results in elderly patients with differentiated thyroid carcinoma. Cancer. 2003;1;97:2736-42

 S.P. is partially supported by the ATA/ThyCa Grant Award for Thyroid Cancer Research. M.M. is a recipient of fellowship grant from the American Physicians Fellowship for Medicine in Israel and is also supported in part by Rambam-Health Care Campus, Israel, the American Friends of Rambam, Israel Medical Association, and The Israel Cancer Association.

PII: S0039-6060(09)00298-0

doi: 10.1016/j.surg.2009.05.004

Surgery
Volume 146, Issue 5 , Pages 913-921 , November 2009

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