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Thyroidectomy in the elderly – its specifics, limitations & contraindications


Authors: P. Bavor
Authors‘ workplace: Chirurgická klinika 2. LF Univerzity Karlovy a FN Motol, Praha
Published in: Rozhl. Chir., 2018, roč. 97, č. 1, s. 39-42.
Category: Original articles

Overview

Introduction:
The incidence of thyreopathy ranges between 6–8% in the population and shows an increasing trend. The occurrence of thyroid function and morphology changes rises significantly with increasing age. Given the gradual process of ageing of the population and the above, thyreopathies are beginning to be considered a common disease in the elderly.

Method:
We operated on 1638 patients for thyreopathies in the last five years. The patients included 1315 females with the mean age of 54.63 years and 323 males with the mean age of 55.95 years.

Results:
In the cohort of operated patients we retrospectively compared the group of the elderly to the younger population with respect to the extent of surgery, histology results and postoperative complications.

Conclusion:
Age is not a contraindication for thyroidectomy; the biological status of the patient is what decides. In the elderly, the indication criteria should always be more rigorous and should be evaluated strictly individually in a broad context.

Key words:
thyreopathy – surgery treatment – elderly


Sources

1. Starý K, Munteanu H, Surková S, et al. Tyreopatie u seniorů. Geriatrie a gerontologie 2014;3:191−3.

2. Salátová M, Zamrazil V. Výskyt a charakter onemocnění štítné žlázy ve stáří. In: Stárka L. Pokroky v endokrinologii. Praha, Maxdorf 2007:332 –3.

3. Ng S, Wong K, Lang B. Thyroid surgery for elderly patients: Are they at increased operative risks? Journal of Thyroid Research 2012, Available from: https://www.hindawi.com/journals/jtr/2012/946276/.

4. Grogan RH, Mitmaker EJ, Hwang J, et al. A population-based prospective cohort study of complications after thyroidectomy in the elderly. The Journal of Clinical Endocrinology and Metabolism 2012;5:1645–53.

5. Lang BHH, Lo CY. Total thyreoidectomy for multinodular goiter in the elderl. American Journal of Surgery 2005;3:418–23.

6. Bliss R, Patel N, Guinea A, et al. Age is no contraindication to thyroid Sumery. Age and Ageing 1999;4:363−6.

Labels
Surgery Orthopaedics Trauma surgery
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