Impact of body mass index on post-thyroidectomy morbidity.
Adult
Body Mass Index
Calcium
/ blood
Female
Humans
Hypocalcemia
/ epidemiology
Length of Stay
/ statistics & numerical data
Male
Middle Aged
Operative Time
Pain, Postoperative
/ epidemiology
Postoperative Complications
Prospective Studies
Thyroidectomy
/ adverse effects
Vocal Cord Paralysis
/ epidemiology
body mass index
obesity
postoperative complications
recurrent laryngeal nerve palsy
total thyroidectomy
Journal
Head & neck
ISSN: 1097-0347
Titre abrégé: Head Neck
Pays: United States
ID NLM: 8902541
Informations de publication
Date de publication:
09 2019
09 2019
Historique:
received:
07
11
2018
revised:
27
03
2019
accepted:
02
04
2019
pubmed:
20
4
2019
medline:
4
11
2020
entrez:
20
4
2019
Statut:
ppublish
Résumé
The impact of obesity on total thyroidectomy (TT) morbidity (recurrent laryngeal nerve palsy and hypocalcaemia) remains largely unknown. In a prospective study (NCT01551914), patients were divided into five groups according to their body mass index (BMI): underweight, normal weight, overweight, obese, and severely obese. Preoperative and postoperative serum calcium was measured. Recurrent laryngeal nerve (RLN) function was evaluated before discharge, and if abnormal, at 6 months. In total 1310 patients were included. Baseline characteristics were similar across BMI groups except for age and sex. Postoperative hypocalcaemia was more frequent in underweight compared to obese patients but the difference was not statistically significant in multivariate analysis. There was no difference between groups in terms of definitive hypocalcaemia, transient and definitive RLN palsy, and postoperative pain. Obesity does not increase intraoperative and postoperative morbidity of TT, despite a longer duration of the procedure.
Sections du résumé
BACKGROUND
The impact of obesity on total thyroidectomy (TT) morbidity (recurrent laryngeal nerve palsy and hypocalcaemia) remains largely unknown.
METHODS
In a prospective study (NCT01551914), patients were divided into five groups according to their body mass index (BMI): underweight, normal weight, overweight, obese, and severely obese. Preoperative and postoperative serum calcium was measured. Recurrent laryngeal nerve (RLN) function was evaluated before discharge, and if abnormal, at 6 months.
RESULTS
In total 1310 patients were included. Baseline characteristics were similar across BMI groups except for age and sex. Postoperative hypocalcaemia was more frequent in underweight compared to obese patients but the difference was not statistically significant in multivariate analysis. There was no difference between groups in terms of definitive hypocalcaemia, transient and definitive RLN palsy, and postoperative pain.
CONCLUSION
Obesity does not increase intraoperative and postoperative morbidity of TT, despite a longer duration of the procedure.
Substances chimiques
Calcium
SY7Q814VUP
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
2952-2959Subventions
Organisme : French Ministry of Health
ID : NCT01551914
Pays : International
Informations de copyright
© 2019 Wiley Periodicals, Inc.