Comparative outcomes of thyroid surgery in elderly patients: A retrospective cohort study

Year 2020, Volume: 4 Issue: 10, 879 - 882, 01.10.2020

Hakan Ataş , Narin Nasıroğlu İmga

https://doi.org/10.28982/josam.738466

Abstract

Aim: The prevalence of benign and malignant thyroid diseases increases with age. Since the population continues to age, the necessity and feasibility of thyroid surgery in the elderly has become more questionable. The aim of this study is to evaluate thyroid surgery and determine whether thyroidectomy is a safe option in the elderly population, by comparing with younger counterparts.
Methods: The data of 471 consecutive patients (370 females, 101 males) with benign or malignant thyroid disorders who underwent thyroid surgery between June 2016 and May 2018 were evaluated retrospectively. The patients were divided into two groups, as younger (age <65) and elderly group (age ≥65). Both groups were compared in terms of indications, post-surgical complications, and histopathological results. All statistical tests were performed using SPSS, version 18.0, software (SPSS Inc., Chicago, IL).
Results: Thyroid surgery in the elderly patients showed similarities compared to younger patients in terms of indications and most of the postoperative complications (P>0.05 for each). However, some differences were seen such as increased postoperative hemorrhage and length of hospital stay in favor of the elderly (P=0.035 and P<0.001, respectively).The incidence of malignant disease was found to be slightly higher in the younger group compared to the elderly (42.96% vs. 31.81%, respectively, P=0.095). Surgery-related death was not observed.
Conclusion: Our experience confirms that successful results can be achieved with low morbidity in experienced hands if careful and close monitoring of co-morbid conditions is provided in elderly patients.

Keywords

Thyroidectomy, elderly, thyroid surgery, Complication, Geriatric

Yaşlı hastalarda tiroid cerrahisinin karşılaştırmalı sonuçları: Retrospektif bir kohort çalışması

Abstract

Amaç: Benign ve malign tiroid hastalıklarının prevalansı yaşla birlikte artar. Nüfus yaşlanmaya devam ettiğinden, yaşlılarda tiroid cerrahisinin gerekliliği ve uygulanabilirliği daha tartışmalı hale gelmiştir. Bu çalışmanın amacı, yaşlı hastalarda tiroid cerrahisini değerlendirmek ve genç hastalarla karşılaştırıldığında tiroidektominin yaşlı popülasyonda güvenli bir seçenek olup olmadığını belirlemektir.
Yöntemler: Haziran 2016-Mayıs 2018 tarihleri arasında benign veya malign tiroid hastalığı olan ve tiroid cerrahisi geçiren 471 ardışık hastanın (370 kadın, 101 erkek) verileri retrospektif olarak incelendi. Hastalar genç grup (yaş <65) ve yaşlı grup (yaş ≥65) olmak üzere iki gruba ayrıldı. Her iki grup endikasyonlar, cerrahi sonrası komplikasyonlar ve histopatolojik sonuçlar açısından karşılaştırıldı. Tüm istatistiksel testler SPSS, sürüm 18,0, yazılım (SPSS Inc., Chicago, IL) kullanılarak yapıldı.
Bulgular: Yaşlı hastalarda tiroid cerrahisi, endikasyon ve postoperatif komplikasyonların çoğu açısından genç hastalara göre benzerlikler gösterdi (P>0,05). Bununla birlikte, artmış postoperatif kanama ve hastanede kalış süresi gibi yaşlılar lehine bazı farklılıklar görüldü (sırasıyla P=0,035 ve P<0,001). Malign hastalık insidansı genç grupta yaşlılara göre biraz daha yüksek bulundu (sırasıyla %42,96 ve %31,81, P=0,095). Cerrahi ile ilişkili ölüm gözlenmedi.
Sonuç: Deneyimlerimiz, yaşlı hastalarda ko-morbid durumların dikkatli ve yakından izlenmesi durumunda, deneyimli ellerde düşük morbidite ile başarılı sonuçların elde edilebileceğini doğrulamaktadır.

Keywords

Tiroidektomi, Yaşlı, Tiroid cerrahisi, Komplikasyon, Geriatrik

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