|
| Study/year | Design | Definition of “elderly” (years) | Number of patients (%) | Indications | Types of procedure |
|
Bliss et al.
[3]
(1999) | Retrospective | (1) Elderly ≥75
(2) 61–74
(3) 50–60 | (1) 221 (13.5)
(2) 685 (42.1)
(3) 725 (44.4) | (i) Compression symptoms | (i) Total thyroidectomy |
| (ii) Risk of malignancy | (ii) Hemithyroidectomy |
| (iii) Hyperparathyroidism | (iii) Total Lobectomy & subtotal thyroidectomy |
| (iv) Retrosternal goiter * | (iv) Bilateral subtotal thyroidectomy |
| (v) Toxic symptoms | (v) Enucleation of nodule |
| (vi) Completion | (vi) Isthmectomy |
| (vii) Others | (vii) Others |
|
Passler et al. [16]
(2002) |
Retrospective |
(1) Geriatric ≥ 75
(2) Younger < 75 |
(1) 55 (7.5)
(2) 683 (92.5) | (i) Benign *
(ii) Suspected malignancy
(iii) Malignancy
(iv) Mechanical symptoms | (i) Radical—total/near-total thyroidectomy/hemithyroidectomy/neck dissection |
| (ii) Nonradical—Enucleation/unilateral subtotal/bilateral thyroidectomy/hemithyroidectomy with contralateral subtotal resection |
|
Lang and Lo [5]
(2005) |
Retrospective |
(1) Elderly ≥ 70
(2) Young < 70 |
(1) 55 (18.5)
(2) 242 (81.5) | (i) Compression symptoms |
(i) Total thyroidectomy
(ii) Near-total thyroidectomy |
| (ii) Thyrotoxicosis * |
| (iii) Recent enlargement * |
| (iv) Cosmesis /patient request * |
| (v) Suspicious FNAC |
|
Sosa et al.
[6]
(2008) | Cross sectional (population based) | (1) Superelderly ≥ 80 | (1) 744 (3.3)* | NA | (i) Subtotal /total thyroidectomy * |
| (2) Elderly 65–79 | (2) 4092 (17.9)* | | (ii) Substernal thyroid ectomy * |
| (3) 45–64 | (3) 9959 (43.6) | | |
| (4) 18–44 | (4) 8053 (35.2) | | |
|
Mekel et al. [15]
(2009) |
Retrospective |
(1) Octogenarian ≥ 80
(2) 18–79 | | (i) Benign | (i) Lobectomy/partial thyroidectomy |
| (1) 90 (2.5) | (ii) Malignancy | (ii) Total/subtotal thyroidectomy |
| (2) 250 (randomly selected) | (iii) Microfollicular | |
| (iv) Previous thyroid surgery | |
|
Grogan et al. [4]
(2012) | Prospective cohort (population based) | (1) Superelderly ≥ 80 | (1) 199 (2.51) | NA | (i) Total thyroidectomy |
| (2) Elderly 65–79 | (2) 1322 (16.7) | | (ii) Lobectomy |
| (3) 16–64 | (3) 6394 (80.8) | | (iii) Completion |
| | | (iv) With neck dissection |
| | | (v) Substernal goite cervical approach |
| | | (vi) Substernal goiter thoracic approach |
|
Syebt et al. [10]
(2012) |
Prospective non-randomized |
(1) Elderly > 65
(2) Young 21–35 |
(1) 44 (10.7)
(2) 86 (20) |
(i) Benign
(ii) Malignancy | (i) Conventional thyroidectomy |
| (ii) Minimally invasive open thyroidectomy |
| (iii) Endoscopic thyroidectomy |
|
