{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T01:37:42Z","timestamp":1769045862133,"version":"3.49.0"},"reference-count":25,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2020,3,26]],"date-time":"2020-03-26T00:00:00Z","timestamp":1585180800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Otolaryngology"],"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Parotidectomy is often performed as an inpatient procedure largely due to drain insertion; however, outpatient parotidectomy has increasingly become an attractive alternative for its shorter hospital stays and greater efficiency in cost\u2010effectiveness.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective of review<\/jats:title><jats:p>To assess the safety and feasibility of outpatient (or same\u2010day discharge) parotidectomy compared with inpatient parotidectomy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Type of review<\/jats:title><jats:p>Systematic review of the literature and meta\u2010analysis, in accordance with the PRISMA guidelines.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Pubmed\/Medline, Embase, CINAHL, Google Scholar, Web of Science, The Cochrane Library, Cochrane Central Register of Controlled Trials (CENTRAL) were searched for articles published in English between 01\/01\/1990 and 05\/10\/2019. The Newcastle\u2010Ottawa Scale was used for quality assessment and Review Manager 5.3 for meta\u2010analyses.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measures<\/jats:title><jats:p>Primary outcomes assessed were postoperative complications including bleeding\/haematoma, surgical site infection, seroma and facial weakness. Secondary outcome was readmission rate.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Out of 445 studies identified, 6 were selected for systematic review. The overall quality of evidence was moderate. A total of 3664 patients were included (1646 in the outpatient group and 2018 in the inpatient group). Comparing the outpatient with inpatient cohorts, there were lower complications in outpatient groups though not statistically significant for haematoma (OR\u00a0=\u00a00.45; 95% CI\u00a0=\u00a00.11\u20101.92; <jats:italic>P<\/jats:italic>\u00a0=\u00a0.28), surgical site infection (OR\u00a0=\u00a00.88; 95% CI\u00a0=\u00a00.46\u20101.69; <jats:italic>P<\/jats:italic>\u00a0=\u00a0.70), seroma (0.79; 95% CI\u00a0=\u00a00.21\u20103.03; <jats:italic>P<\/jats:italic>\u00a0=\u00a0.74), facial nerve weakness (OR 0.39; 95% CI\u00a0=\u00a00.14\u20101.08; <jats:italic>P<\/jats:italic>\u00a0=\u00a0.07) and hospital readmission (OR 0.58; 95% CI\u00a0=\u00a00.33\u20101.04; <jats:italic>P<\/jats:italic>\u00a0=\u00a0.07).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Outpatient parotidectomy appears to be safe and compares favourably to inpatient procedure in postoperative complication and readmission rates.<\/jats:p><\/jats:sec>","DOI":"10.1111\/coa.13519","type":"journal-article","created":{"date-parts":[[2020,2,27]],"date-time":"2020-02-27T15:11:00Z","timestamp":1582816260000},"page":"529-537","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Outpatient (same\u2010day discharge) versus inpatient parotidectomy: A systematic review and meta\u2010analysis"],"prefix":"10.1111","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6196-3706","authenticated-orcid":false,"given":"Susanne","family":"Flach","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology and Head &amp; Neck Surgery Hospital of the Ludwig\u2010Maximilians\u2010University Munich Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3845-2566","authenticated-orcid":false,"given":"Shi Ying","family":"Hey","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology and Head &amp; Neck Surgery Ninewells Hospital Dundee UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5950-7728","authenticated-orcid":false,"given":"Alison","family":"Lim","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology and Head &amp; Neck Surgery Ninewells Hospital Dundee UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pavithran","family":"Maniam","sequence":"additional","affiliation":[{"name":"School of Medicine University of Dundee Dundee UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhi","family":"Li","sequence":"additional","affiliation":[{"name":"Dundee Epidemiology and Biostatistics Unit (DEBU) Population Health Sciences (PHS) The Medical School University of Dundee Dundee UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter T.","family":"Donnan","sequence":"additional","affiliation":[{"name":"Dundee Epidemiology and Biostatistics Unit (DEBU) Population Health Sciences (PHS) The Medical School University of Dundee Dundee UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jaiganesh","family":"Manickavasagam","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology and Head &amp; Neck Surgery Ninewells Hospital Dundee UK"},{"name":"Tayside Medical Science Centre (TASC) University of Dundee Dundee UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,3,26]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-2197.2007.04388.x"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/0036933015584260"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2009.12.037"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.anorl.2017.08.004"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-018-5071-8"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.2310\/7070.2005.4032"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.3121\/cmr.2008.787"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1308\/003588410X12699663904754"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1982.00790590045013"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.20801"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.125.8.833"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.b2535"},{"key":"e_1_2_7_14_1","unstructured":"HowickJ ChalmersI GlasziouP GreenhalghT HeneghanC AlessandroL et al.The Oxford Levels of Evidence.2016;2:https:\/\/www.cebm.net\/2016\/05\/ocebm\u2010levels\u2010of\u2010evidence\/"},{"key":"e_1_2_7_15_1","unstructured":"WellsGA SheaB O'ConnellD PetersonJ WelchV LososM et al.The Newcastle\u2010Ottawa Scale (NOS) for assessing the quality of nonrandomised studies in meta\u2010analyses[Internet].2019[cited 2019 Oct 3]. pp.1\u20104. Available from:http:\/\/www.ohri.ca\/programs\/clinical_epidemiology\/oxford.asp"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(91)90136-2"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.25671"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2018.04.032"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-017-4641-5"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1996.01890220019004"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.27358"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.9448"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/coa.12837"},{"key":"e_1_2_7_24_1","first-page":"208","article-title":"Use of tissue sealant for day surgery parotidectomy","volume":"37","author":"Conboy P","year":"2008","journal-title":"J Otolaryngol Head Neck Surg"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1308\/003588412X13171221590971"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjoms.2014.05.014"}],"container-title":["Clinical Otolaryngology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fcoa.13519","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/coa.13519","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/coa.13519","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/coa.13519","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,6]],"date-time":"2023-09-06T12:54:58Z","timestamp":1694004898000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/coa.13519"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,3,26]]},"references-count":25,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2020,7]]}},"alternative-id":["10.1111\/coa.13519"],"URL":"https:\/\/doi.org\/10.1111\/coa.13519","archive":["Portico"],"relation":{},"ISSN":["1749-4478","1749-4486"],"issn-type":[{"value":"1749-4478","type":"print"},{"value":"1749-4486","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,3,26]]},"assertion":[{"value":"2019-11-15","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-01-15","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-03-26","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}