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10.1007/s40618-021-01641-1

http://scihub22266oqcxt.onion/10.1007/s40618-021-01641-1
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suck abstract from ncbi


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pmid34282552      J+Endocrinol+Invest 2022 ; 45 (1): 181-188
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  • Thyroid surgery during the COVID-19 pandemic: results from a systematic review #MMPMID34282552
  • Scappaticcio L; Maiorino MI; Iorio S; Camponovo C; Piccardo A; Bellastella G; Docimo G; Esposito K; Trimboli P
  • J Endocrinol Invest 2022[Jan]; 45 (1): 181-188 PMID34282552show ga
  • PURPOSE: During the COVID-19 pandemic, elective thyroid surgery is experiencing delays. The problem is that the COVID-19 pandemic is ongoing. The research purposes were to systematically collect the literature data on the characteristics of those thyroid operations performed and to assess the safety/risks associated with thyroid surgery during the COVID-19 pandemic. METHODS: We used all the procedures consistent with the PRISMA guidelines. A comprehensive literature in MEDLINE (PubMed) and Scopus was made using ''Thyroid'' and "coronavirus" as search terms. RESULTS: Of a total of 293 articles identified, 9 studies met the inclusion criteria. The total number of patients undergoing thyroid surgery was 2217. The indication for surgery was malignancy in 1347 cases (60.8%). Screening protocols varied depending on hospital protocol and maximum levels of personal protection equipment were adopted. The hospital length of stay was 2-3 days. Total thyroidectomy was chosen for 1557 patients (1557/1868, 83.4%), of which 596 procedures (596/1558, 38.3%) were combined with lymph node dissections. Cross-infections were registered in 14 cases (14/721, 1.9%), of which three (3/721, 0.4%) with severe pulmonary complications of COVID-19. 377 patients (377/1868, 20.2%) had complications after surgery, of which 285 (285/377, 75.6%) hypoparathyroidism and 71 (71/377, 18.8%) recurrent laryngeal nerve injury. CONCLUSION: The risk of SARS-CoV-2 transmission after thyroid surgery is relatively low. Our study could promote the restart of planned thyroid surgery due to COVID-19. Future studies are warranted to obtain more solid data about the risk of complications after thyroid surgery during the COVID-19 era.
  • |*SARS-CoV-2[MESH]
  • |Adult[MESH]
  • |Aged[MESH]
  • |Aged, 80 and over[MESH]
  • |COVID-19/*epidemiology[MESH]
  • |Comorbidity[MESH]
  • |Cross Infection/epidemiology[MESH]
  • |Elective Surgical Procedures/*adverse effects[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Hypoparathyroidism/epidemiology[MESH]
  • |Laryngeal Nerve Injuries/epidemiology[MESH]
  • |Lymph Node Excision/adverse effects[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Postoperative Complications/*epidemiology[MESH]
  • |Thyroid Diseases/*epidemiology/*surgery[MESH]
  • |Thyroid Neoplasms/surgery[MESH]


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