{"id":6419,"date":"2021-03-26T16:40:02","date_gmt":"2021-03-26T16:40:02","guid":{"rendered":"https:\/\/www.library.sath.nhs.uk\/research\/?p=6419"},"modified":"2021-03-26T16:40:02","modified_gmt":"2021-03-26T16:40:02","slug":"daycase-parathyroidectomy-time-to-change-the-norm-2020","status":"publish","type":"post","link":"https:\/\/www.library.sath.nhs.uk\/research\/2021\/03\/26\/daycase-parathyroidectomy-time-to-change-the-norm-2020\/","title":{"rendered":"'Daycase parathyroidectomy: Time to change the norm?' (2020)"},"content":{"rendered":"<p><strong>Type of publication:<\/strong><br \/>\nConference abstract<\/p>\n<p><strong>Author(s):<\/strong><br \/>\nChang J.; Neophytou C.; Howard E.; Houghton A.<\/p>\n<p><strong>Citation:<\/strong><br \/>\nBritish Journal of Surgery; 2020; vol. 107 ; p. 37<\/p>\n<p><strong>Abstract:<\/strong><br \/>\nIntroduction: The most recent BAETs audit report of 2017 shows a surprisingly low rate of same-day discharge following parathyroidectomy (10%). In our unit we have developed a simple and safe protocol which allows same day discharge for almost all patients (95%). The 2017 BAETS report has 11,463 patients recorded for primary hyperparathyroidism. Following this simple protocol could save over 9,500 inpatient bed days.<br \/>\nMethod(s): Demographics, histology, biochemistry and length of stay were identified for all patients undergoing parathyroidectomy for primary hyperparathyroidism between 01\/01\/2010 and 31\/12\/2019. Following surgery all patients were discharged on Calcichew D3 one tablet tds, with arrangements for serum calcium analysis and outpatient appointment at 7 and 10 days Results: We performed 264 parathyroid procedures during the study period. The cohort had a median age of 63 (range 15 \u2013 90). Day-case procedures were carried out in 95% (n=249). 10 patients stayed 24 hours, 4 for 48 hours and 1 patient for 4 days (urgent parathyroidectomy following acute medical admission with symptomatic hypercalcaemia). 1 patient was admitted overnight for observation of bleeding wound (no return to theatre). The remainder were admitted for a mixture of social and anaesthetic reasons. 6 patients (2%) had 30 day morbidity: 2with symptoms of relative hypocalcaemia (not admitted), 1 patient with hypocalcaemia requiring intravenous calcium, 1 seroma, 1 patient presented with an exacerbation of COPD and 1 haematoma.<br \/>\nConclusion(s): We have shown that same-day discharge after parathyroid surgery is safe and ought to become the norm in other units.<\/p>\n<p><a href=\"https:\/\/bjssjournals.onlinelibrary.wiley.com\/doi\/full\/10.1002\/bjs.12067\" target=\"_blank\" rel=\"noopener noreferrer\" data-auth=\"NotApplicable\">Link to full-text<\/a> [no password required]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Type of publication: Conference abstract Author(s): Chang J.; Neophytou C.; Howard E.; Houghton A. Citation: British Journal of Surgery; 2020; vol. 107 ; p. 37 Abstract: Introduction: The most recent BAETs audit report of 2017 shows a surprisingly low rate<span class=\"ellipsis\">&hellip;<\/span><\/p>\n<div class=\"read-more\"><a href=\"https:\/\/www.library.sath.nhs.uk\/research\/2021\/03\/26\/daycase-parathyroidectomy-time-to-change-the-norm-2020\/\">Read more <span class=\"screen-reader-text\">'Daycase parathyroidectomy: Time to change the norm?' (2020)<\/span><span class=\"meta-nav\"> &#8250;<\/span><\/a><\/div>\n<p><!-- end of .read-more --><\/p>\n","protected":false},"author":12,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"content-type":"","footnotes":""},"categories":[200],"tags":[917,684,228,542],"class_list":["post-6419","post","type-post","status-publish","format-standard","hentry","category-staff-publication","tag-917","tag-day-surgery","tag-surgery","tag-thyroid-surgery"],"_links":{"self":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts\/6419","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/users\/12"}],"replies":[{"embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/comments?post=6419"}],"version-history":[{"count":1,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts\/6419\/revisions"}],"predecessor-version":[{"id":6420,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts\/6419\/revisions\/6420"}],"wp:attachment":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/media?parent=6419"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/categories?post=6419"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/tags?post=6419"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}