Why the study?
Outpatient thyroidectomy has gained traction as an alternative to traditional inpatient surgery for selected patients, offering potential cost savings.
Does outpatient thyroidectomy have comparable safety and lower costs compared to inpatient observation in selected patients?
Does outpatient thyroidectomy have comparable safety and lower costs compared to inpatient observation in selected patients?
Outpatient thyroidectomy is a well-tolerated and cost-effective approach for appropriately selected patients when adhering to societal guidelines.
Outpatient thyroidectomy may be considered in selected patients; leaves open need for randomized trials to guide broader adoption.
PURPOSE OF REVIEW: Although traditionally an inpatient procedure, outpatient thyroidectomy has gained traction as a viable and well tolerated alternative for selected patients, with an added benefit of cost savings. RECENT FINDINGS: Research on outpatient thyroidectomy has focused on establishing its noninferiority in outcomes compared to the standard inpatient or overnight observation. Numerous studies have found comparable low rates of postoperative complications and no increase in readmission. Selection criteria have been well established by professional societies and research studies support the selection bias benefitting appropriately selected patients. The primary benefit of outpatient thyroidectomy reported is a decrease in cost, though additional theoretical benefits such as decreased exposure to nosocomial infections. SUMMARY: Outpatient thyroidectomy is a well tolerated approach in appropriately selected candidates, with cost reduction benefits. Adherence to societal guidelines for patient selection is paramount.
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Minerva A. Romero Arenas (2021) studied this question.
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