Characteristics of thyroidectomy in Taiwan

Shih-Ming Huang, Chen Hsen Lee, Fong Fu Chou, Koung Yi Liaw, Tain Chen Wu, Kuan Tien Chen, Yih Huei Uen, King Tong Mok, Shou Jen Kao, Tzu Ming Chang, Hurne Sheng Wu, Hwei Chung Wang, Pin Wen Lin, Yao Chi Liu, Shing Horng Huang, Ling Ming Tseng, Hon Mon Chen, Tsung Jen Huang, Tsen Long Yang, Yu Tai ChangTzu Chieh Chao

Research output: Contribution to journalReview article

10 Citations (Scopus)

Abstract

Background and Purpose: Thyroidectomy is a common treatment for thyroid disorders in Taiwan, and constitutes a significant percentage of medical expenses. This study investigated the characteristics of thyroidectomy in Taiwan. Methods: A total of 21 senior general surgeons from 16 medical centers and 5 regional hospitals participated. One surgeon from each hospital reviewed the hospital's medical records of thyroid operations performed in the year 2001. Medical records for 3846 thyroidectomies were retrospectively analyzed, including surgical indications and modalities, complications, pathology reports, and the use of antibiotics. Results: Most of the patients were women (85%). Indications for surgery included proven malignancy (9%), suspicious malignancy (30%), evident compression symptoms (20%), hyperthyroidism (20%), and cosmetic reasons (12%). The majority of patients (78%) underwent a surgical procedure with lobectomy or bilateral thyroidectomy; 13% had unilateral partial thyroidectomy. Prophylactic antibiotics were administered in 46% of procedures, and continued postoperatively in 12%. Postoperative complications occurred in 12% of patients. Hypocalcemia was the most common complication (8%), and its incidence was significantly correlated with the frequency of total thyroidectomy (p < 0.01). Complete pathology reports for the thyroidectomized specimens were available in only 65% of the cases. The frequency of cosmetic reasons for surgery, unilateral subtotal resection, routine antibiotic administration, and incomplete pathology reports were significantly higher in regional hospitals than in medical centers. Conclusions: Reduction in the high rates of cosmetic reasons for surgery, unilateral partial thyroidectomy, incomplete pathology reports, and use of antibiotic prophylaxis are needed to improve the quality of thyroidectomy in Taiwan.

Original languageEnglish
Pages (from-to)6-11
Number of pages6
JournalJournal of the Formosan Medical Association
Volume104
Issue number1
Publication statusPublished - 2005 Dec 1

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Thyroidectomy
Taiwan
Pathology
Plastic Surgery
Anti-Bacterial Agents
Medical Records
Thyroid Gland
Antibiotic Prophylaxis
Hypocalcemia
Hospital Records
Hyperthyroidism
Cosmetics
Neoplasms
Incidence

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Huang, S-M., Lee, C. H., Chou, F. F., Liaw, K. Y., Wu, T. C., Chen, K. T., ... Chao, T. C. (2005). Characteristics of thyroidectomy in Taiwan. Journal of the Formosan Medical Association, 104(1), 6-11.
Huang, Shih-Ming ; Lee, Chen Hsen ; Chou, Fong Fu ; Liaw, Koung Yi ; Wu, Tain Chen ; Chen, Kuan Tien ; Uen, Yih Huei ; Mok, King Tong ; Kao, Shou Jen ; Chang, Tzu Ming ; Wu, Hurne Sheng ; Wang, Hwei Chung ; Lin, Pin Wen ; Liu, Yao Chi ; Huang, Shing Horng ; Tseng, Ling Ming ; Chen, Hon Mon ; Huang, Tsung Jen ; Yang, Tsen Long ; Chang, Yu Tai ; Chao, Tzu Chieh. / Characteristics of thyroidectomy in Taiwan. In: Journal of the Formosan Medical Association. 2005 ; Vol. 104, No. 1. pp. 6-11.
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abstract = "Background and Purpose: Thyroidectomy is a common treatment for thyroid disorders in Taiwan, and constitutes a significant percentage of medical expenses. This study investigated the characteristics of thyroidectomy in Taiwan. Methods: A total of 21 senior general surgeons from 16 medical centers and 5 regional hospitals participated. One surgeon from each hospital reviewed the hospital's medical records of thyroid operations performed in the year 2001. Medical records for 3846 thyroidectomies were retrospectively analyzed, including surgical indications and modalities, complications, pathology reports, and the use of antibiotics. Results: Most of the patients were women (85{\%}). Indications for surgery included proven malignancy (9{\%}), suspicious malignancy (30{\%}), evident compression symptoms (20{\%}), hyperthyroidism (20{\%}), and cosmetic reasons (12{\%}). The majority of patients (78{\%}) underwent a surgical procedure with lobectomy or bilateral thyroidectomy; 13{\%} had unilateral partial thyroidectomy. Prophylactic antibiotics were administered in 46{\%} of procedures, and continued postoperatively in 12{\%}. Postoperative complications occurred in 12{\%} of patients. Hypocalcemia was the most common complication (8{\%}), and its incidence was significantly correlated with the frequency of total thyroidectomy (p < 0.01). Complete pathology reports for the thyroidectomized specimens were available in only 65{\%} of the cases. The frequency of cosmetic reasons for surgery, unilateral subtotal resection, routine antibiotic administration, and incomplete pathology reports were significantly higher in regional hospitals than in medical centers. Conclusions: Reduction in the high rates of cosmetic reasons for surgery, unilateral partial thyroidectomy, incomplete pathology reports, and use of antibiotic prophylaxis are needed to improve the quality of thyroidectomy in Taiwan.",
author = "Shih-Ming Huang and Lee, {Chen Hsen} and Chou, {Fong Fu} and Liaw, {Koung Yi} and Wu, {Tain Chen} and Chen, {Kuan Tien} and Uen, {Yih Huei} and Mok, {King Tong} and Kao, {Shou Jen} and Chang, {Tzu Ming} and Wu, {Hurne Sheng} and Wang, {Hwei Chung} and Lin, {Pin Wen} and Liu, {Yao Chi} and Huang, {Shing Horng} and Tseng, {Ling Ming} and Chen, {Hon Mon} and Huang, {Tsung Jen} and Yang, {Tsen Long} and Chang, {Yu Tai} and Chao, {Tzu Chieh}",
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Huang, S-M, Lee, CH, Chou, FF, Liaw, KY, Wu, TC, Chen, KT, Uen, YH, Mok, KT, Kao, SJ, Chang, TM, Wu, HS, Wang, HC, Lin, PW, Liu, YC, Huang, SH, Tseng, LM, Chen, HM, Huang, TJ, Yang, TL, Chang, YT & Chao, TC 2005, 'Characteristics of thyroidectomy in Taiwan', Journal of the Formosan Medical Association, vol. 104, no. 1, pp. 6-11.

Characteristics of thyroidectomy in Taiwan. / Huang, Shih-Ming; Lee, Chen Hsen; Chou, Fong Fu; Liaw, Koung Yi; Wu, Tain Chen; Chen, Kuan Tien; Uen, Yih Huei; Mok, King Tong; Kao, Shou Jen; Chang, Tzu Ming; Wu, Hurne Sheng; Wang, Hwei Chung; Lin, Pin Wen; Liu, Yao Chi; Huang, Shing Horng; Tseng, Ling Ming; Chen, Hon Mon; Huang, Tsung Jen; Yang, Tsen Long; Chang, Yu Tai; Chao, Tzu Chieh.

In: Journal of the Formosan Medical Association, Vol. 104, No. 1, 01.12.2005, p. 6-11.

Research output: Contribution to journalReview article

TY - JOUR

T1 - Characteristics of thyroidectomy in Taiwan

AU - Huang, Shih-Ming

AU - Lee, Chen Hsen

AU - Chou, Fong Fu

AU - Liaw, Koung Yi

AU - Wu, Tain Chen

AU - Chen, Kuan Tien

AU - Uen, Yih Huei

AU - Mok, King Tong

AU - Kao, Shou Jen

AU - Chang, Tzu Ming

AU - Wu, Hurne Sheng

AU - Wang, Hwei Chung

AU - Lin, Pin Wen

AU - Liu, Yao Chi

AU - Huang, Shing Horng

AU - Tseng, Ling Ming

AU - Chen, Hon Mon

AU - Huang, Tsung Jen

AU - Yang, Tsen Long

AU - Chang, Yu Tai

AU - Chao, Tzu Chieh

PY - 2005/12/1

Y1 - 2005/12/1

N2 - Background and Purpose: Thyroidectomy is a common treatment for thyroid disorders in Taiwan, and constitutes a significant percentage of medical expenses. This study investigated the characteristics of thyroidectomy in Taiwan. Methods: A total of 21 senior general surgeons from 16 medical centers and 5 regional hospitals participated. One surgeon from each hospital reviewed the hospital's medical records of thyroid operations performed in the year 2001. Medical records for 3846 thyroidectomies were retrospectively analyzed, including surgical indications and modalities, complications, pathology reports, and the use of antibiotics. Results: Most of the patients were women (85%). Indications for surgery included proven malignancy (9%), suspicious malignancy (30%), evident compression symptoms (20%), hyperthyroidism (20%), and cosmetic reasons (12%). The majority of patients (78%) underwent a surgical procedure with lobectomy or bilateral thyroidectomy; 13% had unilateral partial thyroidectomy. Prophylactic antibiotics were administered in 46% of procedures, and continued postoperatively in 12%. Postoperative complications occurred in 12% of patients. Hypocalcemia was the most common complication (8%), and its incidence was significantly correlated with the frequency of total thyroidectomy (p < 0.01). Complete pathology reports for the thyroidectomized specimens were available in only 65% of the cases. The frequency of cosmetic reasons for surgery, unilateral subtotal resection, routine antibiotic administration, and incomplete pathology reports were significantly higher in regional hospitals than in medical centers. Conclusions: Reduction in the high rates of cosmetic reasons for surgery, unilateral partial thyroidectomy, incomplete pathology reports, and use of antibiotic prophylaxis are needed to improve the quality of thyroidectomy in Taiwan.

AB - Background and Purpose: Thyroidectomy is a common treatment for thyroid disorders in Taiwan, and constitutes a significant percentage of medical expenses. This study investigated the characteristics of thyroidectomy in Taiwan. Methods: A total of 21 senior general surgeons from 16 medical centers and 5 regional hospitals participated. One surgeon from each hospital reviewed the hospital's medical records of thyroid operations performed in the year 2001. Medical records for 3846 thyroidectomies were retrospectively analyzed, including surgical indications and modalities, complications, pathology reports, and the use of antibiotics. Results: Most of the patients were women (85%). Indications for surgery included proven malignancy (9%), suspicious malignancy (30%), evident compression symptoms (20%), hyperthyroidism (20%), and cosmetic reasons (12%). The majority of patients (78%) underwent a surgical procedure with lobectomy or bilateral thyroidectomy; 13% had unilateral partial thyroidectomy. Prophylactic antibiotics were administered in 46% of procedures, and continued postoperatively in 12%. Postoperative complications occurred in 12% of patients. Hypocalcemia was the most common complication (8%), and its incidence was significantly correlated with the frequency of total thyroidectomy (p < 0.01). Complete pathology reports for the thyroidectomized specimens were available in only 65% of the cases. The frequency of cosmetic reasons for surgery, unilateral subtotal resection, routine antibiotic administration, and incomplete pathology reports were significantly higher in regional hospitals than in medical centers. Conclusions: Reduction in the high rates of cosmetic reasons for surgery, unilateral partial thyroidectomy, incomplete pathology reports, and use of antibiotic prophylaxis are needed to improve the quality of thyroidectomy in Taiwan.

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Huang S-M, Lee CH, Chou FF, Liaw KY, Wu TC, Chen KT et al. Characteristics of thyroidectomy in Taiwan. Journal of the Formosan Medical Association. 2005 Dec 1;104(1):6-11.