{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T23:08:08Z","timestamp":1780441688807,"version":"3.54.1"},"reference-count":44,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2017,11,9]],"date-time":"2017-11-09T00:00:00Z","timestamp":1510185600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Sidney Liswood Library at Mount Sinai Hospital"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Head &amp; Neck"],"published-print":{"date-parts":[[2018,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Outpatient thyroidectomy has gained popularity due to improved resource utilization.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted a systematic review and meta\u2010analysis using MEDLINE, EMBASE, CINAHL, Web of Science, and the Cochrane library. We included all studies examining the outcomes of outpatient thyroidectomy as compared with those of inpatient thyroidectomy. Risk of bias was assessed using the Newcastle\u2010Ottawa scale. Postoperative complications (hematoma, hypocalcemia, and recurrent laryngeal nerve injury) and readmission\/reintervention rates were compared.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>After screening 1665 records, 10 nonrandomized observational studies were included. There were fewer complication rates in the outpatient group than the inpatient group (relative risk [RR] 0.56; 95% confidence interval [CI] 0.37\u20100.83). There was no difference in readmission\/reintervention rates (RR 0.60; 95% CI 0.33\u20101.09).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The results suggest outpatient thyroidectomy may be as safe as inpatient thyroidectomy in appropriately selected patients. The results are limited by high risk of bias. Well\u2010designed prospective studies are necessary to further assess the safety of outpatient thyroidectomy.<\/jats:p><\/jats:sec>","DOI":"10.1002\/hed.24934","type":"journal-article","created":{"date-parts":[[2017,11,9]],"date-time":"2017-11-09T14:46:52Z","timestamp":1510238812000},"page":"192-202","source":"Crossref","is-referenced-by-count":70,"title":["Outpatient versus inpatient thyroidectomy: A systematic review and meta\u2010analysis"],"prefix":"10.1002","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4057-2858","authenticated-orcid":false,"given":"Daniel J.","family":"Lee","sequence":"first","affiliation":[{"name":"Department of Otolaryngology \u2013 Head &amp; Neck Surgery University of Toronto Toronto Canada"},{"name":"Faculty of Medicine University of Toronto Toronto Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4477-764X","authenticated-orcid":false,"given":"Christopher J.","family":"Chin","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head &amp; Neck Surgery University of Toronto Toronto Canada"},{"name":"Division of Otolaryngology \u2013 Head &amp; Neck Surgery, Department of Surgery Dalhousie Medicine New Brunswick, St. John New Brunswick Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chris J.","family":"Hong","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head &amp; Neck Surgery University of Toronto Toronto Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefan","family":"Perera","sequence":"additional","affiliation":[{"name":"Faculty of Medicine University of Toronto Toronto Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ian J.","family":"Witterick","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head &amp; Neck Surgery University of Toronto Toronto Canada"},{"name":"Faculty of Medicine University of Toronto Toronto Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,11,9]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2273.2002.00560.x"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1089\/thy.2015.0020"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1089\/thy.2010.0417"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599814521583"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599813477823"},{"issue":"7","key":"e_1_2_8_7_1","doi-asserted-by":"crossref","first-page":"709","DOI":"10.1001\/jama.2014.4","article-title":"Surgical site infections following ambulatory surgery procedures","volume":"311","author":"Owens PL","year":"2014","journal-title":"JAMA."},{"issue":"1","key":"e_1_2_8_8_1","first-page":"17","article-title":"Outpatient hemi\u2010thyroidectomy: is it safe? Ambul Surg","volume":"16","author":"Almeida C","year":"2010","journal-title":"April"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-015-3097-2"},{"issue":"1","key":"e_1_2_8_10_1","first-page":"S96","article-title":"Safety of outpatient thyroidectomy","volume":"22","author":"Black J","year":"2015","journal-title":"Ann Surg Oncol."},{"issue":"8","key":"e_1_2_8_11_1","first-page":"720","article-title":"Ambulatory thyroid surgery: an audit of safety and outcomes","volume":"48","author":"Chin CW","year":"2007","journal-title":"Singapore Med J."},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599810390453"},{"key":"e_1_2_8_13_1","first-page":"P194","article-title":"The safety of outpatient total thyroidectomy","volume":"1","author":"Khichi SS","year":"2013","journal-title":"Otolaryngol Head Neck Surg."},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.anorl.2013.01.005"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.2880130203"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2012.08.033"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-014-2673-1"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(97)00019-6"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2015.08.007"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.20866"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2006.09.024"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00423-009-0527-3"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2011.01.023"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1089\/thy.2007.0148"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-014-3785-4"},{"issue":"1","key":"e_1_2_8_26_1","first-page":"S1","article-title":"Outpatient thyroidectomy: safety and patients' satisfaction","volume":"41","author":"Sahmkow SI","year":"2012","journal-title":"J Otolaryngol Head Neck Surg."},{"issue":"6","key":"e_1_2_8_27_1","first-page":"458","article-title":"Outpatient thyroid surgery in a Toronto community hospital","volume":"40","author":"Sklar M","year":"2011","journal-title":"J Otolaryngol Head Neck Surg."},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2009.12.037"},{"key":"e_1_2_8_29_1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.141.2.167"},{"key":"e_1_2_8_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2005.04.034"},{"issue":"3","key":"e_1_2_8_31_1","first-page":"182","article-title":"Outpatient thyroid surgery: should patients be discharged on the day of their procedures?","volume":"52","author":"Trottier DC","year":"2009","journal-title":"Can J Surg."},{"key":"e_1_2_8_32_1","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-010-1398-0"},{"key":"e_1_2_8_33_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-151-4-200908180-00136"},{"key":"e_1_2_8_34_1","doi-asserted-by":"crossref","unstructured":"Lee DJ ChinC HongC PereraS WitterickI.Comparison between outpatient thyroidectomy and inpatient thyroidectomy: a systematic review and meta\u2010analysis. PROSPERO 2015: CRD42015023743.http:\/\/www.crd.york.ac.uk\/PROSPERO\/display_record.asp?ID=CRD42015023743. Accessed March 1 2017.","DOI":"10.1002\/hed.24934"},{"key":"e_1_2_8_35_1","doi-asserted-by":"publisher","DOI":"10.1002\/9780470712184"},{"key":"e_1_2_8_36_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10654-010-9491-z"},{"key":"e_1_2_8_37_1","unstructured":"WellsGA SheaBJ O'ConnellD et al.The Newcastle\u2010Ottawa Scale (NOS) for assessing the quality of nonrandomised studies in meta\u2010analyses.2014.http:\/\/www.medicine.mcgill.ca\/rtamblyn\/Readings\/The%20Newcastle%20\u2010%20Scale%20for%20assessing%20the%20quality%20of%20nonrandomised%20studies%20in%20meta\u2010analyses.pdf. Accessed March 1 2017."},{"key":"e_1_2_8_38_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-008-9867-2"},{"issue":"10","key":"e_1_2_8_39_1","doi-asserted-by":"crossref","first-page":"1049","DOI":"10.1001\/archotol.1996.01890220019004","article-title":"Outpatient parotidectomy at the Fallon Clinic. The first 2 years","volume":"122","author":"Bentkover SH","year":"1996","journal-title":"Arch Otolaryngol Head Neck Surg."},{"issue":"8","key":"e_1_2_8_40_1","doi-asserted-by":"crossref","first-page":"1108","DOI":"10.1381\/0960892041975631","article-title":"Outpatient laparoscopic gastric banding: initial experience","volume":"14","author":"Waele B","year":"2004","journal-title":"Obes Surg."},{"issue":"2","key":"e_1_2_8_41_1","doi-asserted-by":"crossref","first-page":"152","DOI":"10.1016\/S1072-7515(97)00041-0","article-title":"Laparoscopic cholecystectomy as an outpatient procedure","volume":"185","author":"Lam D","year":"1997","journal-title":"J Am Coll Surg."},{"key":"e_1_2_8_42_1","doi-asserted-by":"publisher","DOI":"10.1016\/0165-5876(87)90092-9"},{"key":"e_1_2_8_43_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1074-3804(05)60149-1"},{"key":"e_1_2_8_44_1","doi-asserted-by":"publisher","DOI":"10.1089\/thy.2013.0049"},{"key":"e_1_2_8_45_1","doi-asserted-by":"publisher","DOI":"10.1016\/0140-6736(91)90201-Y"}],"container-title":["Head &amp; Neck"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fhed.24934","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/hed.24934","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,29]],"date-time":"2023-09-29T21:33:51Z","timestamp":1696023231000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/hed.24934"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,11,9]]},"references-count":44,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2018,1]]}},"alternative-id":["10.1002\/hed.24934"],"URL":"https:\/\/doi.org\/10.1002\/hed.24934","archive":["Portico"],"relation":{},"ISSN":["1043-3074","1097-0347"],"issn-type":[{"value":"1043-3074","type":"print"},{"value":"1097-0347","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,11,9]]}}}