Document Detail

Age is no contraindication to thyroid surgery.
MedLine Citation:
PMID:  10459789     Owner:  NLM     Status:  MEDLINE    
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.
R Bliss; N Patel; A Guinea; T S Reeve; L Delbridge
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Age and ageing     Volume:  28     ISSN:  0002-0729     ISO Abbreviation:  Age Ageing     Publication Date:  1999 Jul 
Date Detail:
Created Date:  1999-09-30     Completed Date:  1999-09-30     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0375655     Medline TA:  Age Ageing     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  363-6     Citation Subset:  IM    
Department of Surgery, University of Sydney, Royal North Shore Hospital, Australia.
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MeSH Terms
Age Factors
Middle Aged
Postoperative Complications
Retrospective Studies
Statistics, Nonparametric
Thyroid Diseases / pathology,  physiopathology,  surgery*
Thyroidectomy / contraindications*

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