Mortality after benign thyroid surgery in patients aged 80 years or older
Farhad, Salem A. LU ; Anders, Bergenfelz LU ; Erik, Nordenström LU ; Martin, Nilsson LU
and Martin, Almquist
LU
(2022)
In Langenbeck's Archives of Surgery
407(4).
p.1659-1665
- Abstract
Introduction: A recent report from the United Nations showed that aged people are increasing worldwide. Few data exist on overall survival for patients 80 years or older undergoing benign thyroid surgery. Short- and long-term survival and risk factors for death in patients undergoing thyroid surgery for benign disease were evaluated, using a nationwide, population-based quality register. Methods: Patients operated for benign thyroid disease, 2004 to 2017, were collected from the national quality register for thyroid surgery. Mortality data were retrieved from the Swedish National Board of Health and Welfare. Mortality at 30 days, 90 days, and 1 year after surgery, for patients 80 years or older, was calculated. Overall survival was... (More)
Introduction: A recent report from the United Nations showed that aged people are increasing worldwide. Few data exist on overall survival for patients 80 years or older undergoing benign thyroid surgery. Short- and long-term survival and risk factors for death in patients undergoing thyroid surgery for benign disease were evaluated, using a nationwide, population-based quality register. Methods: Patients operated for benign thyroid disease, 2004 to 2017, were collected from the national quality register for thyroid surgery. Mortality data were retrieved from the Swedish National Board of Health and Welfare. Mortality at 30 days, 90 days, and 1 year after surgery, for patients 80 years or older, was calculated. Overall survival was calculated using the Kaplan–Meier estimate. Risk factors for mortality were assessed with Cox’s multiple regression analysis. The standardized mortality ratio was calculated. Results: There were 17,969 patients. Among them, 483 patients were 80 years or older, and of these, 397 (82.2%) were women. The mortality rate at 0–30 days, 31–90 days, and at 91–365 days after surgery was 0.4%, 0.2%, and 2.5%, respectively. The median (IQR) follow-up time was 4.5 (2.9–7.2) and the median (IQR) survival time was 8.0 (4.1–12.5) years. Apart from age, there was no other risk factor for death. The standardized mortality ratio (SMR) was 0.67 (0.49–0.91) for men and 0.76 (0.65–0.89) for women. Conclusion: Mortality after surgery for benign thyroid disease in patients 80 years or older was lower than the general population with no specific risk factors for death except for age.
(Less)
- author
- Farhad, Salem A.
LU
; Anders, Bergenfelz
LU
; Erik, Nordenström
LU
; Martin, Nilsson
LU
and Martin, Almquist
LU
- organization
- publishing date
- 2022-06
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Benign thyroid surgery, Elderly, Mortality
- in
- Langenbeck's Archives of Surgery
- volume
- 407
- issue
- 4
- pages
- 7 pages
- publisher
- Springer
- external identifiers
-
- pmid:35286467
- scopus:85126260784
- ISSN
- 1435-2443
- DOI
- 10.1007/s00423-022-02463-2
- language
- English
- LU publication?
- yes
- additional info
- Publisher Copyright: © 2022, The Author(s).
- id
- b18c8ab5-4b73-4457-8b27-d2853915d5d4
- date added to LUP
- 2026-07-02 12:34:09
- date last changed
- 2026-07-03 02:49:47
@article{b18c8ab5-4b73-4457-8b27-d2853915d5d4,
abstract = {{<p>Introduction: A recent report from the United Nations showed that aged people are increasing worldwide. Few data exist on overall survival for patients 80 years or older undergoing benign thyroid surgery. Short- and long-term survival and risk factors for death in patients undergoing thyroid surgery for benign disease were evaluated, using a nationwide, population-based quality register. Methods: Patients operated for benign thyroid disease, 2004 to 2017, were collected from the national quality register for thyroid surgery. Mortality data were retrieved from the Swedish National Board of Health and Welfare. Mortality at 30 days, 90 days, and 1 year after surgery, for patients 80 years or older, was calculated. Overall survival was calculated using the Kaplan–Meier estimate. Risk factors for mortality were assessed with Cox’s multiple regression analysis. The standardized mortality ratio was calculated. Results: There were 17,969 patients. Among them, 483 patients were 80 years or older, and of these, 397 (82.2%) were women. The mortality rate at 0–30 days, 31–90 days, and at 91–365 days after surgery was 0.4%, 0.2%, and 2.5%, respectively. The median (IQR) follow-up time was 4.5 (2.9–7.2) and the median (IQR) survival time was 8.0 (4.1–12.5) years. Apart from age, there was no other risk factor for death. The standardized mortality ratio (SMR) was 0.67 (0.49–0.91) for men and 0.76 (0.65–0.89) for women. Conclusion: Mortality after surgery for benign thyroid disease in patients 80 years or older was lower than the general population with no specific risk factors for death except for age.</p>}},
author = {{Farhad, Salem A. and Anders, Bergenfelz and Erik, Nordenström and Martin, Nilsson and Martin, Almquist}},
issn = {{1435-2443}},
keywords = {{Benign thyroid surgery; Elderly; Mortality}},
language = {{eng}},
number = {{4}},
pages = {{1659--1665}},
publisher = {{Springer}},
series = {{Langenbeck's Archives of Surgery}},
title = {{Mortality after benign thyroid surgery in patients aged 80 years or older}},
url = {{http://dx.doi.org/10.1007/s00423-022-02463-2}},
doi = {{10.1007/s00423-022-02463-2}},
volume = {{407}},
year = {{2022}},
}