Abstract
Total thyroidectomy is a common procedure performed by skilled physicians or physicians-in-training under direct supervision. The goal of this study is to ascertain if any difference exists in in-hospital mortality and other outcomes with regard to total thyroidectomy performed at teaching versus non-teaching hospitals. Patients undergoing total thyroidectomy were identified using ICD-10 procedural codes from the National Inpatient Sample (NIS) Database 2020. The data were divided based on the hospital's teaching status. The researchers used univariate and multivariate logistic regression analyses to adjust for major confounders. During this period of time, the NIS database reported 7,139 total thyroidectomy procedures. Teaching hospitals performed 88% of all procedures, while non-teaching facilities performed the remaining 12%. The mean age of all patients was 53 years, 67.5% were females and 61% were white. The mean length of stay (LOS) was 3.9 days and the average total hospital charges were 94,337 $. The total number of patients who died was 20 (all in the teaching group). There was no statistical difference between the two groups in risk of developing post-procedural hypoparathyroidism (OR 0.91, 95% CI 0.25 – 3.27, p=0.887), requirement for post-op transfusion (OR 0.55, 95% CI 0.06 – 4.6, p=0.588), sepsis (OR 0.84, 95% CI 0.08 – 8.3, p=0.882) or septic shock (OR 0.2, 95% CI 0.01 – 2.3, p=0.204). Hospital teaching status was associated with increased mean total hospital charges (97,318 vs 72,668 $, p=0.003) but not the mean LOS (4 vs 2.8 days, p=0.88). No post-procedural hematoma, seroma, or vocal cord dysfunction complications were identified in the study cohort. The study showed no statistical difference between teaching and non-teaching hospitals in patients who underwent total thyroidectomy in terms of in-hospital mortality or post-procedural complications.
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