{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T00:37:44Z","timestamp":1761007064921,"version":"build-2065373602"},"reference-count":21,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2018,2,13]],"date-time":"2018-02-13T00:00:00Z","timestamp":1518480000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2018,5]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>Identify risk factors for 30\u2010day reoperation and readmission after parathyroidectomy for primary hyperparathyroidism.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Retrospective analysis of the American College of Surgeons National Surgical Quality Improvement Program (NSQIP) database from 2012 through 2014.<\/jats:p><\/jats:sec><jats:sec><jats:title>Subjects and Methods<\/jats:title><jats:p>Patients undergoing parathyroidectomy and parathyroid reexploration for primary hyperparathyroidism. Univariate and multivariate analyses were conducted to determine risk factors for reoperation and readmission.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 9439 patients who underwent parathyroidectomy, 72 patients underwent 1 reoperation in the first 30\u00a0days after surgery, and 8 patients underwent 2 reoperations. The most common reasons were hematoma (25%) and persistent hyperparathyroidism (15.9%). Risk factors included smoking (odds ratio [OR], 1.86; 95% confidence interval [CI], 0.97\u20103.31), insulin\u2010dependent diabetes (OR, 2.38; 95% CI, 1.02\u20104.86), and history of bleeding disorder (OR, 3.95; 95% CI, 1.48\u20108.79). In total, 182 (1.9%) patients were readmitted within 30\u00a0days of surgery; the most common cause was hypocalcemia (17.0%). Risk factors included operative time (hours) (OR, 1.3; 95% CI, 1.1\u20101.5), insulin\u2010dependent diabetes mellitus (OR, 2.01; 95% CI, 1.2\u20103.3), dyspnea with moderate exertion (OR, 5.77; 95% CI, 0.86\u201014.67), and age (decade) (OR, 1.16; 95% CI, 1.02\u20101.32). Patients undergoing outpatient surgery were less likely to be readmitted (OR, 0.49; 95% CI, 0.35\u20100.69) or undergo reoperation (OR, 0.44; 95% CI, 0.27\u20100.73).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Thirty\u2010day reoperation rate after parathyroidectomy was low and most commonly occurred due to hematoma. Risk factors for readmission were multifactorial and associated with perioperative factors, patient factors, and medical comorbidities. Preoperative counseling for patients at increased risk of readmission and reoperation may decrease these rates.<\/jats:p><\/jats:sec>","DOI":"10.1177\/0194599818758019","type":"journal-article","created":{"date-parts":[[2018,2,13]],"date-time":"2018-02-13T08:07:43Z","timestamp":1518509263000},"page":"828-834","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Predictors of Readmission and Reoperation in Patients Undergoing Parathyroidectomy for Primary Hyperparathyroidism"],"prefix":"10.1002","volume":"158","author":[{"given":"Ansley M.","family":"Roche","sequence":"first","affiliation":[{"name":"Department of Otolaryngology Icahn School of Medicine at Mount Sinai New York New York USA"},{"name":"Division of Otolaryngology\u2013Head and Neck Surgery Hofstra Northwell School of Medicine Staten Island New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jason A.","family":"Brant","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology\u2013Head and Neck Surgery Hospitals of the University of Pennsylvania Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raymond L.","family":"Chai","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Icahn School of Medicine at Mount Sinai New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,2,13]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"RangelCB.H.R.3590<@151<Patient Protection and Affordable Care Act. Vol Public Law No: 111\u2010148.2010."},{"key":"e_1_2_8_3_1","unstructured":"Centers for Medicare & Medicaid Services. Readmissions Reduction Program.https:\/\/www.cms.gov\/Medicare\/Medicare\u2010Fee\u2010for\u2010Service\u2010Payment\/AcuteInpatientPPS\/Readmissions\u2010Reduction\u2010Program.html. 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