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Otolaryngol Clin North Am. 2018 Aug;51(4):753-758. doi: 10.1016/j.otc.2018.03.005. Epub 2018 Apr 24.

Endocrine Surgery in the Geriatric Population.

Author information

1
Department of Otolaryngology, University of Texas Medical Branch, 301 University Boulevard, Galveston, TX 77555-0521, USA. Electronic address: jbmcinti@utmb.edu.
2
Department of Otolaryngology, University of Texas Medical Branch, 301 University Boulevard, Galveston, TX 77555-0521, USA.
3
University of Texas Medical Branch, 301 University Boulevard, Galveston, TX 77555-0521, USA.

Abstract

Age must be a factor when considering endocrine surgery. Age itself is a risk factor for complications after thyroidectomy, specifically pulmonary, infectious, and cardiac complications. For this reason, in patients with nodular thyroid disease or thyroid microcarcinoma, length of observation must be measured against age and surgical risk. Outcomes of thyroid surgery in geriatric patients can be improved with several measures, including careful preoperative risk stratification based on comorbidities and frailty. In this population subset, it is imperative to have an earnest discussion with patients, their families, and any surrogate decision maker regarding potential outcomes of treatment versus observation.

KEYWORDS:

Endocrine surgery; Geriatric; Risk stratification; Thyroid

PMID:
29699709
DOI:
10.1016/j.otc.2018.03.005
[Indexed for MEDLINE]

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