Thyroid Surgery for Elderly Patients: Are They at Increased Operative Risks?

Table 2

A comparison of pathology, readmission rate, monetary cost, and hospital mortality in different elderly patients’ series.

Study	Design	Pathology	Readmission	Cost	Mortality (within 30 days)
Bliss et al.; [3] (1999)	Retrospective	(i) MNG ^*
		(ii) Carcinoma ^*
		(iii) Adenoma ^*			0.87% (elderly)
		(iv) Hashimato’s	NA	NA	0.1% (61–74)
		(v) Single nodule			0.1% (50–60)
		(vi) Graves
		(vii) Others
Passler et al.; [16] (2002)	Retrospective	(i) PTC
		(ii) FTC
		(iii) ATC
		(iv) MTC	NA	NA	0%
		(v) MTC + DTC
		(vi) Others
Lang and Lo; [5] (2005)	Retrospective	(i) Functional (toxic)  MNG ^*	NA	NA	0%
		(ii) Occult PTC
Sosa et al.; [6] (2008)	Cross sectional	(i) Benign ^*		^#(1) $ 7084 ( 6653-7514) ^*	(1) 0.8%
		(ii) Adenoma and cyst ^*	NA	^#(2) $ 5917 (5769-6066) ^*	(2) 0.2%
		(iii) Malignancy ^*		^#(3) $ 5263 ( 5182-5344) ^*	(3) 0.1%
				^#(4) $ 4905 (4821-4990) ^*	(4) 0%
Mekel et al.; [15] (2009)	Retrospective	(i) Benign	(1) 1.1% for  hypocalcaemia; (2) 0%
		(ii) Malignancy		NA
		(iii) Incidental  micropapillary			0%
Grogan et al.; [4] (2012)	Prospective cohort	NA	NA	NA	0%
Syebt et al.; [10] (2012)	Prospective non-randomized	(i) Benign	(1) 4.5%	NA
		(ii) Malignancy	(2) 1.2%		0%

^*Statistically significant (𝑃<0.01).
^#Adjusted for race, gender, hospital region, procedure, diagnosis, comorbidity, surgeon volume, household income, primary payer, and admission type in superelderly, elderly, 45-64 and 18-44 cohorts.
PTC: Papillary thyroid cancer, FTC: Follicular thyroid cancer, MTC: Medullary thyroid cancer, DTC: Differentiated thyroid cancer.