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Can thyroidectomy be considered safe in obese patients? A retrospective cohort study
BACKGROUND: Obesity is a growing public health concern in most western countries. More and more patients with high body mass index (BMI) are undergoing surgical procedures of all kinds and, in this context, obese patients are undergoing thyroid surgery more than ever before. The aim of the present s...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7648980/ https://www.ncbi.nlm.nih.gov/pubmed/33160350 http://dx.doi.org/10.1186/s12893-020-00939-w |
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author | Canu, Gian Luigi Medas, Fabio Cappellacci, Federico Podda, Michele Guido Romano, Giorgio Erdas, Enrico Calò, Pietro Giorgio |
author_facet | Canu, Gian Luigi Medas, Fabio Cappellacci, Federico Podda, Michele Guido Romano, Giorgio Erdas, Enrico Calò, Pietro Giorgio |
author_sort | Canu, Gian Luigi |
collection | PubMed |
description | BACKGROUND: Obesity is a growing public health concern in most western countries. More and more patients with high body mass index (BMI) are undergoing surgical procedures of all kinds and, in this context, obese patients are undergoing thyroid surgery more than ever before. The aim of the present study was to evaluate whether thyroidectomy can be considered safe in obese patients. METHODS: Patients undergoing thyroidectomy in our Unit between January 2014 and December 2018 were retrospectively analysed. Patients were divided into two groups: those with BMI < 30 kg/m(2) were included in Group A, while those with BMI ≥ 30 kg/m(2) in Group B. Univariate analysis was performed to compare these two groups. Moreover, multivariate analyses were performed to evaluate whether the BMI value (considered in this case as a continuous variable) had a significant role in the development of each individual postoperative complication. RESULTS: A total of 813 patients were included in this study: 31 (3.81%) were underweight, 361 (44.40%) normal-weight, 286 (35.18%) overweight, 94 (11.57%) obese and 41 (5.04%) morbidly obese. Six hundred and seventy-eight patients were included in Group A and 135 in Group B. At univariate analysis, the comparison between the two groups, in terms of operative time and thyroid weight resulted in statistically significant results (P = 0.001, P = 0.008; respectively). These features were significantly higher in Group B than in Group A. About postoperative stay and complications, no statistically significant difference was found between the two groups. At multivariate analyses, only the development of cervical haematoma was statistically significantly correlated to the BMI value. Patients with high BMI had a lower risk of cervical haematoma (P = 0.045, OR 0.797, 95% CI 0.638–0.995). CONCLUSIONS: This study showed that obesity, in the field of thyroid surgery, is not associated with any increase of postoperative complications. Thus, it is possible to conclude that thyroidectomy can be performed safely in obese patients. Our result about operative times had no clinical significance. |
format | Online Article Text |
id | pubmed-7648980 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-76489802020-11-09 Can thyroidectomy be considered safe in obese patients? A retrospective cohort study Canu, Gian Luigi Medas, Fabio Cappellacci, Federico Podda, Michele Guido Romano, Giorgio Erdas, Enrico Calò, Pietro Giorgio BMC Surg Research Article BACKGROUND: Obesity is a growing public health concern in most western countries. More and more patients with high body mass index (BMI) are undergoing surgical procedures of all kinds and, in this context, obese patients are undergoing thyroid surgery more than ever before. The aim of the present study was to evaluate whether thyroidectomy can be considered safe in obese patients. METHODS: Patients undergoing thyroidectomy in our Unit between January 2014 and December 2018 were retrospectively analysed. Patients were divided into two groups: those with BMI < 30 kg/m(2) were included in Group A, while those with BMI ≥ 30 kg/m(2) in Group B. Univariate analysis was performed to compare these two groups. Moreover, multivariate analyses were performed to evaluate whether the BMI value (considered in this case as a continuous variable) had a significant role in the development of each individual postoperative complication. RESULTS: A total of 813 patients were included in this study: 31 (3.81%) were underweight, 361 (44.40%) normal-weight, 286 (35.18%) overweight, 94 (11.57%) obese and 41 (5.04%) morbidly obese. Six hundred and seventy-eight patients were included in Group A and 135 in Group B. At univariate analysis, the comparison between the two groups, in terms of operative time and thyroid weight resulted in statistically significant results (P = 0.001, P = 0.008; respectively). These features were significantly higher in Group B than in Group A. About postoperative stay and complications, no statistically significant difference was found between the two groups. At multivariate analyses, only the development of cervical haematoma was statistically significantly correlated to the BMI value. Patients with high BMI had a lower risk of cervical haematoma (P = 0.045, OR 0.797, 95% CI 0.638–0.995). CONCLUSIONS: This study showed that obesity, in the field of thyroid surgery, is not associated with any increase of postoperative complications. Thus, it is possible to conclude that thyroidectomy can be performed safely in obese patients. Our result about operative times had no clinical significance. BioMed Central 2020-11-07 /pmc/articles/PMC7648980/ /pubmed/33160350 http://dx.doi.org/10.1186/s12893-020-00939-w Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Article Canu, Gian Luigi Medas, Fabio Cappellacci, Federico Podda, Michele Guido Romano, Giorgio Erdas, Enrico Calò, Pietro Giorgio Can thyroidectomy be considered safe in obese patients? A retrospective cohort study |
title | Can thyroidectomy be considered safe in obese patients? A retrospective cohort study |
title_full | Can thyroidectomy be considered safe in obese patients? A retrospective cohort study |
title_fullStr | Can thyroidectomy be considered safe in obese patients? A retrospective cohort study |
title_full_unstemmed | Can thyroidectomy be considered safe in obese patients? A retrospective cohort study |
title_short | Can thyroidectomy be considered safe in obese patients? A retrospective cohort study |
title_sort | can thyroidectomy be considered safe in obese patients? a retrospective cohort study |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7648980/ https://www.ncbi.nlm.nih.gov/pubmed/33160350 http://dx.doi.org/10.1186/s12893-020-00939-w |
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