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Cost effectiveness of intraoperative pathology in the management of indeterminate thyroid nodules
Vuong, Christopher D.; Watson, WayAnne B.; Kwon, Daniel I.; Department of PathologyMohan, Sonia S.; Department of PathologyPerez, Mia N.; Lee, Steve C.; Simental, Alfred A..
Afiliação
  • Vuong, Christopher D.; Loma Linda University Medical Center. Department of Otolaryngology- Head and Neck Surgery. Loma Linda. US
  • Watson, WayAnne B.; Loma Linda University Medical Center. Loma Linda School of Medicine. Loma Linda. US
  • Kwon, Daniel I.; University of Southern California. Department of Otolaryngology-Head and Neck Surgery. Los Angeles. US
  • Department of PathologyMohan, Sonia S.; Loma Linda University Medical Center. Laboratory Medicine. Department of PathologyMohan, Sonia S.. Loma Linda. US
  • Department of PathologyPerez, Mia N.; Loma Linda University Medical Center. Laboratory Medicine. Department of PathologyPerez, Mia N.. Loma Linda. US
  • Lee, Steve C.; Loma Linda University Medical Center. Department of Otolaryngology- Head and Neck Surgery. Loma Linda. US
  • Simental, Alfred A.; Loma Linda University Medical Center. Department of Otolaryngology- Head and Neck Surgery. Loma Linda. US
Arch. endocrinol. metab. (Online) ; 64(4): 356-361, July-Aug. 2020. tab, graf
Article em En | LILACS | ID: biblio-1131102
Biblioteca responsável: BR1.1
ABSTRACT
ABSTRACT Objective This study aims to determine the cost effectiveness of rapid frozen section (RFS) for indeterminate thyroid nodules. Materials and methods A retrospective chart review was conducted between January 2009 and June 2013 at a tertiary care institution. Main outcomes were number needed to treat, RFS efficacy, and cost-savings of avoiding second completion thyroidectomy. Cost-effectiveness was estimated using 2015 Medicare reimbursement rate. Results Out of 1,114 patients undergoing thyroid surgery, 314 had preoperative AUS/FLUS cytopathology and subsequent thyroid lobectomy with RFS. RFS identified 13 of the 32 patients with malignancy resulting in a total thyroidectomy. 19 of the 29 malignancies not detected by RFS were papillary microcarcinomas. Conclusions Completion thyroidectomy was avoided in 1 out of every 24 patients resulting in cost-savings of $ 80.04 per patient. In the era of outpatient thyroid surgery, intraoperative RFS for indeterminate thyroid nodules is cost-effective.
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Texto completo: 1 Coleções: 01-internacional Base de dados: LILACS Assunto principal: Nódulo da Glândula Tireoide Tipo de estudo: Health_economic_evaluation / Observational_studies Limite: Humans País/Região como assunto: America do norte Idioma: En Revista: Arch. endocrinol. metab. (Online) Assunto da revista: ENDOCRINOLOGIA / METABOLISMO Ano de publicação: 2020 Tipo de documento: Article País de afiliação: Estados Unidos País de publicação: Brasil
Texto completo
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Texto completo: 1 Coleções: 01-internacional Base de dados: LILACS Assunto principal: Nódulo da Glândula Tireoide Tipo de estudo: Health_economic_evaluation / Observational_studies Limite: Humans País/Região como assunto: America do norte Idioma: En Revista: Arch. endocrinol. metab. (Online) Assunto da revista: ENDOCRINOLOGIA / METABOLISMO Ano de publicação: 2020 Tipo de documento: Article País de afiliação: Estados Unidos País de publicação: Brasil