Abstract | OBJECTIVE: To determine demographics and cost for outpatients undergoing parathyroid surgery at hospitals belonging to the University Health System Consortium (UHC). STUDY DESIGN: SETTING: The University Health System Consortium, Oak Brook, Illinois, was formed in 1984 and consists of 112 academic medical centers and 250 of their affiliated hospitals. This represents 90% of the nonprofit academic medical centers in the United States (www.uhc.edu). SUBJECTS AND METHODS: Patients enrolled in the UHC database were studied retrospectively. Data were compiled from discharge summaries into a secure, interactive, Web-based database. The outpatient data collection set has been a recent addition to the originally established UHC inpatient discharge database. RESULTS: There were 21,057 patients who had outpatient parathyroid surgery. The average age was 59.0 (0.8-96.2) yrs. Seventy-six percent of patients were female. Outpatient parathyroidectomy had lower charges than inpatient surgery ($12,738 and $14,657, respectively; P = 0.004, Wilcoxon signed-rank test). Complications were low but were likely underreported. CONCLUSION: Parathyroid surgery is increasingly being done in the outpatient setting in the United States. By virtue of omitting inpatient hospitalization, the outpatient approach becomes a more economical way to manage parathyroid disease. This is the largest known series reporting experience with outpatient parathyroid surgery.
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Authors | Brendan C Stack Jr, Horace Spencer, Evan Moore, Sofia Medvedev, Donald Bodenner |
Journal | Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery
(Otolaryngol Head Neck Surg)
Vol. 147
Issue 3
Pg. 438-43
(Sep 2012)
ISSN: 1097-6817 [Electronic] England |
PMID | 22535912
(Publication Type: Comparative Study, Journal Article)
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Topics |
- Academic Medical Centers
(economics)
- Adenoma
(economics, surgery)
- Adolescent
- Adult
- Aged
- Aged, 80 and over
- Ambulatory Surgical Procedures
(economics)
- Child
- Child, Preschool
- Cost Savings
- Female
- Hospital Charges
- Humans
- Illinois
- Infant
- Male
- Middle Aged
- Parathyroid Diseases
(economics, surgery)
- Parathyroid Neoplasms
(economics, surgery)
- Parathyroidectomy
(economics, methods)
- Postoperative Complications
(economics, etiology)
- Young Adult
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