Thyroid Surgery in the Geriatric Patient

Passler, Christian; Avanessian, Raymond; Kaczirek, Klaus; Prager, Gerhard; Scheuba, Christian; Niederle, Bruno

doi:10.1001/archsurg.137.11.1243

Cited by 78 publications

(99 citation statements)

References 30 publications

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“…18,20 Although some studies reported higher frequency of MTC in patients older than 75 years others reported no difference. 12,[20][21][22][23] Likely, authors did not find any difference in MTC between geriatric and nongeriatric patients in this study.…”

Section: Discussioncontrasting

confidence: 43%

Thyroid cancer surgery in the elderly: a comparative study of 1176 patients

Parlak

Dellal

Ulusoy³

et al. 2018

Int Surg J

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Background: The aim of this study is to compare the results of patients who were treated with two groups (under 65 years and over 65 years) of thyroid cancer.Methods: A retrospective review of 1176 patients undergoing thyroid cancer surgery between January 2007 and December 2016 was performed. Patients were grouped as ≥65 (geriatric group) and <65 years (non-geriatric group).Results: A total of 139 patients (11.8%) were over 65 years of age and 1037 patients (88.2%) were under 65 years of age. There were 104 female (74.8%) and 35 (25.2%) male patients in the geriatric group. In the non-geriatric group, 917 (78%) patients were female and 259 (22%) were male (p = 0.39). FNAB showed a significant increase in malignant potential in the elderly (p = 0.005). In our series, malignant differences between geriatric and non-geriatric groups are less pronounced among thyroid carcinomas other than capsular invasion. Although there was no significant difference in histopathologic examination, malignant cytology was higher in the elderly patients. There was no significant difference between the young and elderly patients in terms of complication.Conclusions: In this study, papillary Thyroid Ca (PTC) was found to be the most common type of cancer and we could not find any difference in cancer type distribution in geriatric and non-geriatric patients. Total/near total thyroidectomy in experienced hands is safe for elderly patients. There is no difference in terms of complication.

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Section: Discussioncontrasting

confidence: 43%

Thyroid cancer surgery in the elderly: a comparative study of 1176 patients

Parlak

Dellal

Ulusoy³

et al. 2018

Int Surg J

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“…While most studies (Christian Passler et al, 1 Melanie W. Seybt et al, 3 Michael C. Sullivan et al, 4 Ríos A et al 5 and Rodríguez et al 6 ) found that there is no greater risk for thyroid surgery in the elderly. One study (Mekel et al) 7 found a higher increase in morbidity in older group.…”

Section: Discussionmentioning

confidence: 99%

“…There is no standard definition for geriatric age group 1 . WHO defines the geriatric age group as the age above 60 years of age.…”

Section: Introductionmentioning

confidence: 99%

“…2 The world population of older people is on the rise and hence more and more older people are coming for surgery but the willingness of physicians to refer patients to surgery diminishes with increasing age of the patient. 1,4 Surgery in elderly patients has been considered to be more hazardous than in a younger population; however, this increased risk appears to be related to the presence of co-morbidities rather than age alone. 3 So, here we are considering the question, whether thyroid surgery is associated with more risk in the elderly.…”

Section: Introductionmentioning

confidence: 99%

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Thyroid Surgery in Geriatric Patient: Experience in a Tertiary Care Centre in Rural Kerala

Jose¹,

Paul²,

Mohammad³

et al. 2014

jemds

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OBJECTIVE:To study about additional risks associated with thyroid surgery in the elderly population. DESIGN: Retrospective analysis of a prospective documented data in consecutive patients undergoing thyroid surgery from January 2012 to June 2014 in a tertiary care health center. PATIENTS: The study included patients aged 30 to 40 years as control group and patients of 60 years and above who underwent thyroidectomy. MAIN OUTCOME MEASURES: Pathology reports, complications (including rates of temporary and permanent hypocalcemia and stridor, seroma/hematoma, and duration of hospital stay. RESULTS: There were 68 patients of 30-40 age group who under-went thyroidectomy between January 2012 and June of 2014; 46 elderly patients underwent surgery during that same time frame. There were no deaths in both cohort, and no cases of permanent TVF paralysis. The elderly patients had a similar rate of complications when compared with the younger patients, (60% vs 70%) but a higher duration of hospital stay (6.9 vs 5.4). CONCLUSIONS: Thyroid surgeons will be faced more often with the prospect of elective thyroid surgery in patients of advanced age, as an increasingly aged population emerges and the prevalence of thyroid nodules and thyroid cancer increases. Thyroid surgery in optimized elderly patients is safe and no more dangerous, than surgery in younger patients though the duration of hospital stay is more.

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“…Nevertheless, few papers have reported thyroid operation outcomes for patients with severe systemic disease [2][3][4]. The American Society of Anesthesiologists Physical Status (ASA-PS) classification system is a method of characterizing patient operative risk, and it is performed by anesthesiologists before every procedure in which a patient will undergo anesthesia.…”

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confidence: 99%