caa a22 4500 445336161 CHVBK 20180317142755.0 cr unu---uuuuu 170323e20110401xx s 000 0 eng 10.1245/s10434-010-1398-0 doi (NATIONALLICENCE)springer-10.1245/s10434-010-1398-0 Same-Day Thyroidectomy: A Review of Practice Patterns and Outcomes for 1,168 Procedures in New York State [Elektronische Daten] [Charles Tuggle, Sanziana Roman, Robert Udelsman, Julie Sosa] Background: There has been a shift of procedures from the inpatient to the outpatient setting. Same-day thyroidectomy (SDT) has been reported in high-volume single-institution series, but few studies have evaluated its widespread use. Methods: Patients undergoing thyroidectomy for benign and malignant thyroid disease were abstracted from the 2004 New York State inpatient (SID) and ambulatory surgery (SASD) databases. SDTs were discharged on the same day as their surgery. Patient and provider (surgeon and hospital volume) characteristics were associated with outcomes, including probability of SDT versus hospital admission and 30-day rehospitalization, by bivariate and multivariate analyses. Results: A total of 6,762 thyroidectomies were identified; 17% (1,168) were SDTs. Patients undergoing SDT compared to thyroidectomy with admission were more often white (80 vs. 65%, P<0.001), with private insurance (80 vs. 70%, P<0.001) and fewer comorbidities (96 vs. 89% with Charlson scores of none/low, P<0.001). SDT was performed more often by high-volume surgeons (48 vs. 31%, P<0.001) and at high-volume hospitals (61 vs. 35%, P<0.001). Rehospitalization rates of 1.4 and 2.4% were observed for SDT and inpatient thyroidectomy, respectively (P=NS). In multivariate analysis, thyroidectomy by a high-volume surgeon was associated with a higher chance of same-day discharge (odds ratio=2.3, P<0.001). Conclusion: Nearly 20% of thyroidectomy patients undergo SDT in New York State. They have different demographic and clinical characteristics than patients undergoing thyroidectomy who are admitted. There seem to be a few high-volume surgeons and centers with extensive SDT experience. More research is needed to explore optimized patient triage and patterns of referral to centers of excellence. Society of Surgical Oncology, 2010 Tuggle Charles Division of Endocrine Surgery, Department of Surgery, Yale University School of Medicine, New Haven, CT, USA aut Roman Sanziana Division of Endocrine Surgery, Department of Surgery, Yale University School of Medicine, New Haven, CT, USA aut Udelsman Robert Division of Endocrine Surgery, Department of Surgery, Yale University School of Medicine, New Haven, CT, USA aut Sosa Julie Division of Endocrine Surgery, Department of Surgery, Yale University School of Medicine, New Haven, CT, USA aut Annals of Surgical Oncology Springer-Verlag 18/4(2011-04-01), 1035-1040 1068-9265 18:4<1035 2011 18 10434 https://doi.org/10.1245/s10434-010-1398-0 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1245/s10434-010-1398-0 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Tuggle Charles Division of Endocrine Surgery, Department of Surgery, Yale University School of Medicine, New Haven, CT, USA aut NATIONALLICENCE 700 1- Roman Sanziana Division of Endocrine Surgery, Department of Surgery, Yale University School of Medicine, New Haven, CT, USA aut NATIONALLICENCE 700 1- Udelsman Robert Division of Endocrine Surgery, Department of Surgery, Yale University School of Medicine, New Haven, CT, USA aut NATIONALLICENCE 700 1- Sosa Julie Division of Endocrine Surgery, Department of Surgery, Yale University School of Medicine, New Haven, CT, USA aut NATIONALLICENCE 773 0- Annals of Surgical Oncology Springer-Verlag 18/4(2011-04-01), 1035-1040 1068-9265 18:4<1035 2011 18 10434 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer