| Age is no contraindication to thyroid surgery. | |
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MedLine Citation:
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PMID: 10459789 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: There is increased risk of surgical treatment in elderly patients, but little has been written on the safety and efficacy of thyroid surgery in this group. OBJECTIVE: To determine if there is an increased risk of morbidity and mortality of thyroid surgery in patients over 75 years old. PATIENTS AND METHODS: During the period 1986-96, 1631 patients aged 50 and over underwent 1673 procedures by two surgeons in our unit. We retrospectively compared indications for surgery, procedures, pathology complications and mortality in three groups: 50-60-year-olds (725 patients), 61-74-year-olds (685 patients) and those aged 75 years and over (221 patients) RESULTS: The main indication for surgery in all three groups was compression or risk of malignancy. Total thyroidectomy was the main procedure performed. Although benign multinodular goitre was the commonest diagnosis, the over-75-year-olds had fewer benign multinodular goitres than the 61-74 group and more malignancy than the other two groups. There was no significant difference in mortality between the three groups. CONCLUSIONS: Surgery in patients over 75 is as safe as in younger patients with no increase in morbidity and mortality. Benign multinodular goitre is the most common indication for surgery. |
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Authors:
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R Bliss; N Patel; A Guinea; T S Reeve; L Delbridge |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: Age and ageing Volume: 28 ISSN: 0002-0729 ISO Abbreviation: Age Ageing Publication Date: 1999 Jul |
Date Detail:
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Created Date: 1999-09-30 Completed Date: 1999-09-30 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0375655 Medline TA: Age Ageing Country: ENGLAND |
Other Details:
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Languages: eng Pagination: 363-6 Citation Subset: IM |
Affiliation:
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Department of Surgery, University of Sydney, Royal North Shore Hospital, Australia. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Age Factors Aged Female Humans Male Middle Aged Morbidity Postoperative Complications Retrospective Studies Statistics, Nonparametric Thyroid Diseases / pathology, physiopathology, surgery* Thyroidectomy / contraindications* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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