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Updated: Dec 6, 2025

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Analyzing the ATA statement on outpatient thyroidectomy using the NSQIP database.

Cheng Ma1, Christopher Dodoo1, Eyas Alkhalili1

  • 1Texas Tech University Health Sciences Center El Paso, 2000B, Transmountain Rd B400, El Paso, TX, 79911, USA.

American Journal of Surgery
|October 11, 2020
PubMed
Summary
This summary is machine-generated.

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Outpatient thyroidectomy, following American Thyroid Association guidelines, shows comparable safety to inpatient procedures. This approach is associated with a significantly lower risk of readmission for patients undergoing thyroid surgery.

Area of Science:

  • Surgical Outcomes
  • Health Services Research

Background:

  • The American Thyroid Association (ATA) provides guidelines for outpatient thyroidectomy.
  • Assessing the safety and efficacy of outpatient procedures is crucial for surgical practice.

Purpose of the Study:

  • To evaluate the outcomes of outpatient thyroidectomy compared to inpatient thyroidectomy.
  • To determine if ATA criteria effectively identify suitable candidates for outpatient thyroid surgery.

Main Methods:

  • Retrospective analysis of the American College of Surgeons National Surgical Quality Improvement Project (NSQIP) database (2016-2017).
  • Comparison of outcomes between outpatient (OP) and inpatient (IP) thyroidectomy groups.

Main Results:

  • No significant differences in recurrent laryngeal nerve injury, neck hematoma, or hypocalcemia between OP and IP groups.
Keywords:
American Thyroid associationOutpatient thyroidectomySurgical outcomes

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  • Outpatient thyroidectomy utilized vessel sealing devices and intraoperative nerve monitoring more frequently, with less drain use.
  • The inpatient group experienced a higher readmission rate (3.4% vs. 1.8%), with outpatient surgery linked to lower readmission risk (OR 0.38).

    • Conclusions:

    • Outpatient thyroidectomy is a safe and effective alternative to inpatient procedures when following ATA guidelines.
    • The ATA criteria can successfully identify appropriate candidates for outpatient thyroidectomy, potentially reducing readmissions.