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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; Mohan, Sonia S; Perez, Mia N; Lee, Steve C; Simental, Alfred A.
Afiliação
  • Vuong CD; Department of Otolaryngology- Head and Neck Surgery, Loma Linda University Medical Center, Loma Linda, California, United States.
  • Watson WB; Loma Linda School of Medicine, Loma Linda University Medical Center, Loma Linda, California, United States.
  • Kwon DI; Department of Otolaryngology-Head and Neck Surgery, University of Southern California, Los Angeles, California, United States.
  • Mohan SS; Department of Pathology, Laboratory Medicine, Loma Linda University Medical Center, Loma Linda, California, United States.
  • Perez MN; Department of Pathology, Laboratory Medicine, Loma Linda University Medical Center, Loma Linda, California, United States.
  • Lee SC; Department of Otolaryngology- Head and Neck Surgery, Loma Linda University Medical Center, Loma Linda, California, United States.
  • Simental AA; Department of Otolaryngology- Head and Neck Surgery, Loma Linda University Medical Center, Loma Linda, California, United States.
Arch Endocrinol Metab ; 64(4): 356-361, 2020 Aug.
Article em En | MEDLINE | ID: mdl-32609146
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: MEDLINE 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 Ano de publicação: 2020 Tipo de documento: Article País de afiliação: Estados Unidos País de publicação: Brasil
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE 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 Ano de publicação: 2020 Tipo de documento: Article País de afiliação: Estados Unidos País de publicação: Brasil