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Cost effectiveness of intraoperative pathology in the management of indeterminate thyroid nodules
- Source :
- Archives of Endocrinology and Metabolism, Issue: ahead, Published: 29 JUN 2020, Archives of Endocrinology and Metabolism, Volume: 64, Issue: 4, Pages: 356-361, Published: 29 JUN 2020, Archives of Endocrinology and Metabolism v.64 n.4 2020, Arquivos de Endocrinologia e Metabolismo, Sociedade Brasileira de Endocrinologia e Metabologia (SBEM), instacron:SBEM, Archives of Endocrinology and Metabolism, Vol 64, Iss 4, Pp 356-361 (2020)
- Publication Year :
- 2020
- Publisher :
- Sociedade Brasileira de Endocrinologia e Metabologia, 2020.
-
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.
- Subjects :
- Thyroid nodules
medicine.medical_specialty
genetic structures
Cost effectiveness
Endocrinology, Diabetes and Metabolism
medicine.medical_treatment
Thyroid Lobectomy
Malignancy
Diseases of the endocrine glands. Clinical endocrinology
medicine
skin and connective tissue diseases
Completion thyroidectomy
business.industry
thyroid nodules
Thyroid
Thyroidectomy
RC648-665
medicine.disease
frozen section
medicine.anatomical_structure
Cytopathology
thyroidectomy
Medicine
Radiology
business
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Journal :
- Archives of Endocrinology and Metabolism, Issue: ahead, Published: 29 JUN 2020, Archives of Endocrinology and Metabolism, Volume: 64, Issue: 4, Pages: 356-361, Published: 29 JUN 2020, Archives of Endocrinology and Metabolism v.64 n.4 2020, Arquivos de Endocrinologia e Metabolismo, Sociedade Brasileira de Endocrinologia e Metabologia (SBEM), instacron:SBEM, Archives of Endocrinology and Metabolism, Vol 64, Iss 4, Pp 356-361 (2020)
- Accession number :
- edsair.doi.dedup.....c59f45b81f0cf92e0bda2a26811d5705