The safety, benefits and future development of overnight and outpatient thyroidectomy

Su, Duntao; Zhang, Zeyu; Xia, Fada; Li, Xinying

doi:10.3389/fendo.2023.1110038

Cited by 4 publications

(1 citation statement)

References 69 publications

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“…After adequate drainage and multiple dressing changes, the wounds all healed within 3 weeks postoperatively. In terms of hospitalization days, the ambulatory model was signi cantly less than the conventional model, which indicates that the ambulatory surgery model has the advantages of reducing patients' hospitalization costs, lowering the probability of patients contracting nosocomial diseases, and improving bed turnover [17,18] .…”

Section: Satisfaction Survey Resultsmentioning

confidence: 99%

Patient satisfaction analysis of robot-assisted minimally invasive adrenalectomy: A single-center retrospective study

Yao,

Luo,

Tai

et al. 2023

Preprint

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Objective: To compare the satisfaction of patients undergoing robot-assisted retroperitoneal laparoscopy adrenalectomy under the ambulatory mode and conventional mode. Methods: Basic information and clinical data of patients who underwent robotic-assisted posterior laparoscopic adrenalectomy between June 2020 and June 2023 were queried from our case system. Use the Outpatient and Ambulatory Surgery Consumer Assessment of Healthcare Providers and Systems Survey (OAS CAHPS®) to investigate patient satisfaction with preoperative preparation, discharge counseling, postoperative instructions, postoperative pain, and satisfaction with nursing work. The stats R package was used to select the appropriate statistic for the statistics based on the characteristics of the data. Results:A total of 311 patients who underwent robot-assisted posterior laparoscopic adrenalectomy were enrolled in our case system. There were no statistical differences between the two groups in gender, age, body mass index, ASA classification, laterality, maximum tumor diameter, type of resection, hormonal activity, disease type, pathological classification, duration of surgery, estimated intraoperative bleeding, postoperative complications and follow-up period were compared between the two groups of patients. There were no significant differences in preoperative preparation score, discharge counseling score, postoperative guidance score and nursing care satisfaction score (P>0.05). Postoperative hospitalization, peristalsis time, defecation time, time to first postoperative mobilization, duration of indwelling drain and hospitalization costs in patients in the ambulatory model group were significantly less than patients in the conventional model group (P<0.001). Patients in the ambulatory model group had significantly higher postoperative pain relief scores than patients in the conventional model group. Conclusions: In conclusion, our data suggest that patient satisfaction is equal between the conventional and ambulatory mode of performing robotic-assisted adrenalectomy. Patient satisfaction was probably associated with shorter hospitalization days, adequate preoperative preparation and standardized, high-quality post-discharge information and guidance.

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Section: Satisfaction Survey Resultsmentioning

confidence: 99%

Patient satisfaction analysis of robot-assisted minimally invasive adrenalectomy: A single-center retrospective study

Yao,

Luo,

Tai

et al. 2023

Preprint

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Revealing the causal relationship between thyroidectomy, thyroid function status, and eczema: a bidirectional two-sample Mendelian Randomization study

Yin,

Zhang

2024

Arch Dermatol Res

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This Mendelian Randomization (MR) study aims to explore the potential bidirectional causal relationship between thyroidectomy, thyroid function status, and eczema. We utilized summary statistics from genome-wide association studies of European ancestry for thyroidectomy (4360 cases and 458,573 controls), hyperthyroidism (2547 cases and 334,612 controls), and hypothyroidism (337,199 samples), employing genetic instruments to investigate their association with eczema (461,199 samples), and vice versa. Primary causal estimates were obtained using the inverse variance weighting method (IVW), with a series of sensitivity analyses conducted to assess the robustness of the results. The study found that genetically predicted thyroidectomy has a negative effect on eczema (OR = 0.645; 95% CI 0.498–0.837; P < 0.001), while neither hyperthyroidism nor hypothyroidism showed significant causal associations with eczema. Reverse Mendelian Randomization analysis indicated that genetically predicted eczema does not significantly affect the incidence of thyroidectomy, hyperthyroidism, or hypothyroidism. To correct for the impact of post-thyroidectomy hypothyroidism on eczema, a multivariable Mendelian Randomization analysis was performed, treating thyroidectomy and hypothyroidism as exposures and eczema as the outcome. After adjusting for hypothyroidism, thyroidectomy still reduced the risk of developing eczema (OR = 0.632; 95% CI 0.476–0.838; P = 0.001). This study elucidates the bidirectional causal relationship between thyroidectomy, thyroid function status, and eczema, providing ancillary scientific evidence on the influence of thyroidectomy on the mechanism of eczema development. Supplementary Information The online version contains supplementary material available at 10.1007/s00403-024-03591-z.

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Patient satisfaction analysis of robot-assisted minimally invasive adrenalectomy: a single-center retrospective study

Xue,

Xiaoyan,

Yanghao

et al. 2024

J Robotic Surg

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Objective: To compare the satisfaction of patients undergoing robot-assisted retroperitoneal laparoscopy adrenalectomy under the ambulatory mode and conventional mode.Methods: Basic information and clinical data of patients who underwent robotic-assisted posterior laparoscopic adrenalectomy between June 2020 and June 2023 were queried from our case system. Use the Outpatient and Ambulatory Surgery Consumer Assessment of Healthcare Providers and Systems Survey (OAS CAHPS®) to investigate patient satisfaction with preoperative preparation, discharge counseling, postoperative instructions, postoperative pain, and satisfaction with nursing work. The stats R package was used to select the appropriate statistic for the statistics based on the characteristics of the data.Results:A total of 311 patients who underwent robot-assisted posterior laparoscopic adrenalectomy were enrolled in our case system. There were no statistical differences between the two groups in gender, age, body mass index, ASA classi cation, laterality, maximum tumor diameter, type of resection, hormonal activity, disease type, pathological classi cation, duration of surgery, estimated intraoperative bleeding, postoperative complications and follow-up period were compared between the two groups of patients. There were no signi cant differences in preoperative preparation score, discharge counseling score, postoperative guidance score and nursing care satisfaction score (P>0.05). Postoperative hospitalization, peristalsis time, defecation time, time to rst postoperative mobilization, duration of indwelling drain and hospitalization costs in patients in the ambulatory model group were signi cantly less than patients in the conventional model group (P<0.001). Patients in the ambulatory model group had signi cantly higher postoperative pain relief scores than patients in the conventional model group.Conclusions: In conclusion, our data suggest that patient satisfaction is equal between the conventional and ambulatory mode of performing robotic-assisted adrenalectomy. Patient satisfaction was probably associated with shorter hospitalization days, adequate preoperative preparation and standardized, highquality post-discharge information and guidance.

show abstract

The safety, benefits and future development of overnight and outpatient thyroidectomy

Cited by 4 publications

References 69 publications

Patient satisfaction analysis of robot-assisted minimally invasive adrenalectomy: A single-center retrospective study

Patient satisfaction analysis of robot-assisted minimally invasive adrenalectomy: A single-center retrospective study

Revealing the causal relationship between thyroidectomy, thyroid function status, and eczema: a bidirectional two-sample Mendelian Randomization study

Patient satisfaction analysis of robot-assisted minimally invasive adrenalectomy: a single-center retrospective study

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