Smoking is associated with adverse clinical outcomes after thyroidectomy: a 5-year retrospective analysis

Tobacco use has been confirmed to be a risk factor for postoperative complications, but the impact of smoking on adverse outcomes following thyroidectomy remains largely unknown. Using data spanning 2016-2020 from the National Inpatient Sample, patients aged ≥ 18 years who underwent thyroidectomy fo...

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Published inBMC endocrine disorders Vol. 25; no. 1; pp. 70 - 13
Main Authors Chen, Yue, Chen, Junxin, Huang, Yanrui, Ke, Weijian, Yu, Shuang, Liang, Weiwei, Xiao, Haipeng, Li, Yanbing, Guan, Hongyu
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Published England BioMed Central Ltd 17.03.2025
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Abstract Tobacco use has been confirmed to be a risk factor for postoperative complications, but the impact of smoking on adverse outcomes following thyroidectomy remains largely unknown. Using data spanning 2016-2020 from the National Inpatient Sample, patients aged ≥ 18 years who underwent thyroidectomy for thyroid malignancy or other thyroid disorders were identified and classified into two groups: current smokers and non-smokers. We compared outcome variables between the two groups via univariate analysis and adjusted multivariate logistic regression. The present study included 13,737 records of patients who underwent thyroidectomy, among whom 1,360 (9.90%) were identified as current smokers. After propensity score matching, logistic regression analysis suggested that smoking was associated with a heightened risk of unfavorable discharge (aOR = 1.27, 95% CI [1.05-1.54], P = 0.012), vocal dysfunction (aOR = 1.25, 95% CI [1.00-1.55], P = 0.049), hypocalcemia (aOR = 1.23, 95% CI [1.05-1.44], P = 0.010), hypomagnesemia (aOR = 1.58, 95% CI [1.19-2.09], P = 0.001), and respiratory complications (aOR = 1.39, 95% CI [1.16-1.68], P < 0.001). Similar results were observed in both patients who underwent thyroidectomy for thyroid malignancy and those who underwent thyroidectomy for other thyroid disorders when a stratified analysis by surgical indications was performed. Smoking is an independent risk factor for adverse clinical outcomes after thyroidectomy.
AbstractList Objective Tobacco use has been confirmed to be a risk factor for postoperative complications, but the impact of smoking on adverse outcomes following thyroidectomy remains largely unknown. Methods Using data spanning 2016-2020 from the National Inpatient Sample, patients aged [greater than or equal to] 18 years who underwent thyroidectomy for thyroid malignancy or other thyroid disorders were identified and classified into two groups: current smokers and non-smokers. We compared outcome variables between the two groups via univariate analysis and adjusted multivariate logistic regression. Results The present study included 13,737 records of patients who underwent thyroidectomy, among whom 1,360 (9.90%) were identified as current smokers. After propensity score matching, logistic regression analysis suggested that smoking was associated with a heightened risk of unfavorable discharge (aOR = 1.27, 95% CI [1.05-1.54], P = 0.012), vocal dysfunction (aOR = 1.25, 95% CI [1.00-1.55], P = 0.049), hypocalcemia (aOR = 1.23, 95% CI [1.05-1.44], P = 0.010), hypomagnesemia (aOR = 1.58, 95% CI [1.19-2.09], P = 0.001), and respiratory complications (aOR = 1.39, 95% CI [1.16-1.68], P < 0.001). Similar results were observed in both patients who underwent thyroidectomy for thyroid malignancy and those who underwent thyroidectomy for other thyroid disorders when a stratified analysis by surgical indications was performed. Conclusion Smoking is an independent risk factor for adverse clinical outcomes after thyroidectomy. Keywords: Thyroidectomy, Thyroid cancer, Thyroid nodule, Postoperative complications, Smoking
Abstract Objective Tobacco use has been confirmed to be a risk factor for postoperative complications, but the impact of smoking on adverse outcomes following thyroidectomy remains largely unknown. Methods Using data spanning 2016–2020 from the National Inpatient Sample, patients aged ≥ 18 years who underwent thyroidectomy for thyroid malignancy or other thyroid disorders were identified and classified into two groups: current smokers and non-smokers. We compared outcome variables between the two groups via univariate analysis and adjusted multivariate logistic regression. Results The present study included 13,737 records of patients who underwent thyroidectomy, among whom 1,360 (9.90%) were identified as current smokers. After propensity score matching, logistic regression analysis suggested that smoking was associated with a heightened risk of unfavorable discharge (aOR = 1.27, 95% CI [1.05–1.54], P = 0.012), vocal dysfunction (aOR = 1.25, 95% CI [1.00–1.55], P = 0.049), hypocalcemia (aOR = 1.23, 95% CI [1.05–1.44], P = 0.010), hypomagnesemia (aOR = 1.58, 95% CI [1.19–2.09], P = 0.001), and respiratory complications (aOR = 1.39, 95% CI [1.16–1.68], P < 0.001). Similar results were observed in both patients who underwent thyroidectomy for thyroid malignancy and those who underwent thyroidectomy for other thyroid disorders when a stratified analysis by surgical indications was performed. Conclusion Smoking is an independent risk factor for adverse clinical outcomes after thyroidectomy.
ObjectiveTobacco use has been confirmed to be a risk factor for postoperative complications, but the impact of smoking on adverse outcomes following thyroidectomy remains largely unknown.MethodsUsing data spanning 2016–2020 from the National Inpatient Sample, patients aged ≥ 18 years who underwent thyroidectomy for thyroid malignancy or other thyroid disorders were identified and classified into two groups: current smokers and non-smokers. We compared outcome variables between the two groups via univariate analysis and adjusted multivariate logistic regression.ResultsThe present study included 13,737 records of patients who underwent thyroidectomy, among whom 1,360 (9.90%) were identified as current smokers. After propensity score matching, logistic regression analysis suggested that smoking was associated with a heightened risk of unfavorable discharge (aOR = 1.27, 95% CI [1.05–1.54], P = 0.012), vocal dysfunction (aOR = 1.25, 95% CI [1.00–1.55], P = 0.049), hypocalcemia (aOR = 1.23, 95% CI [1.05–1.44], P = 0.010), hypomagnesemia (aOR = 1.58, 95% CI [1.19–2.09], P = 0.001), and respiratory complications (aOR = 1.39, 95% CI [1.16–1.68], P < 0.001). Similar results were observed in both patients who underwent thyroidectomy for thyroid malignancy and those who underwent thyroidectomy for other thyroid disorders when a stratified analysis by surgical indications was performed.ConclusionSmoking is an independent risk factor for adverse clinical outcomes after thyroidectomy.
Tobacco use has been confirmed to be a risk factor for postoperative complications, but the impact of smoking on adverse outcomes following thyroidectomy remains largely unknown. Using data spanning 2016-2020 from the National Inpatient Sample, patients aged ≥ 18 years who underwent thyroidectomy for thyroid malignancy or other thyroid disorders were identified and classified into two groups: current smokers and non-smokers. We compared outcome variables between the two groups via univariate analysis and adjusted multivariate logistic regression. The present study included 13,737 records of patients who underwent thyroidectomy, among whom 1,360 (9.90%) were identified as current smokers. After propensity score matching, logistic regression analysis suggested that smoking was associated with a heightened risk of unfavorable discharge (aOR = 1.27, 95% CI [1.05-1.54], P = 0.012), vocal dysfunction (aOR = 1.25, 95% CI [1.00-1.55], P = 0.049), hypocalcemia (aOR = 1.23, 95% CI [1.05-1.44], P = 0.010), hypomagnesemia (aOR = 1.58, 95% CI [1.19-2.09], P = 0.001), and respiratory complications (aOR = 1.39, 95% CI [1.16-1.68], P < 0.001). Similar results were observed in both patients who underwent thyroidectomy for thyroid malignancy and those who underwent thyroidectomy for other thyroid disorders when a stratified analysis by surgical indications was performed. Smoking is an independent risk factor for adverse clinical outcomes after thyroidectomy.
Tobacco use has been confirmed to be a risk factor for postoperative complications, but the impact of smoking on adverse outcomes following thyroidectomy remains largely unknown.OBJECTIVETobacco use has been confirmed to be a risk factor for postoperative complications, but the impact of smoking on adverse outcomes following thyroidectomy remains largely unknown.Using data spanning 2016-2020 from the National Inpatient Sample, patients aged ≥ 18 years who underwent thyroidectomy for thyroid malignancy or other thyroid disorders were identified and classified into two groups: current smokers and non-smokers. We compared outcome variables between the two groups via univariate analysis and adjusted multivariate logistic regression.METHODSUsing data spanning 2016-2020 from the National Inpatient Sample, patients aged ≥ 18 years who underwent thyroidectomy for thyroid malignancy or other thyroid disorders were identified and classified into two groups: current smokers and non-smokers. We compared outcome variables between the two groups via univariate analysis and adjusted multivariate logistic regression.The present study included 13,737 records of patients who underwent thyroidectomy, among whom 1,360 (9.90%) were identified as current smokers. After propensity score matching, logistic regression analysis suggested that smoking was associated with a heightened risk of unfavorable discharge (aOR = 1.27, 95% CI [1.05-1.54], P = 0.012), vocal dysfunction (aOR = 1.25, 95% CI [1.00-1.55], P = 0.049), hypocalcemia (aOR = 1.23, 95% CI [1.05-1.44], P = 0.010), hypomagnesemia (aOR = 1.58, 95% CI [1.19-2.09], P = 0.001), and respiratory complications (aOR = 1.39, 95% CI [1.16-1.68], P < 0.001). Similar results were observed in both patients who underwent thyroidectomy for thyroid malignancy and those who underwent thyroidectomy for other thyroid disorders when a stratified analysis by surgical indications was performed.RESULTSThe present study included 13,737 records of patients who underwent thyroidectomy, among whom 1,360 (9.90%) were identified as current smokers. After propensity score matching, logistic regression analysis suggested that smoking was associated with a heightened risk of unfavorable discharge (aOR = 1.27, 95% CI [1.05-1.54], P = 0.012), vocal dysfunction (aOR = 1.25, 95% CI [1.00-1.55], P = 0.049), hypocalcemia (aOR = 1.23, 95% CI [1.05-1.44], P = 0.010), hypomagnesemia (aOR = 1.58, 95% CI [1.19-2.09], P = 0.001), and respiratory complications (aOR = 1.39, 95% CI [1.16-1.68], P < 0.001). Similar results were observed in both patients who underwent thyroidectomy for thyroid malignancy and those who underwent thyroidectomy for other thyroid disorders when a stratified analysis by surgical indications was performed.Smoking is an independent risk factor for adverse clinical outcomes after thyroidectomy.CONCLUSIONSmoking is an independent risk factor for adverse clinical outcomes after thyroidectomy.
Tobacco use has been confirmed to be a risk factor for postoperative complications, but the impact of smoking on adverse outcomes following thyroidectomy remains largely unknown. Using data spanning 2016-2020 from the National Inpatient Sample, patients aged [greater than or equal to] 18 years who underwent thyroidectomy for thyroid malignancy or other thyroid disorders were identified and classified into two groups: current smokers and non-smokers. We compared outcome variables between the two groups via univariate analysis and adjusted multivariate logistic regression. The present study included 13,737 records of patients who underwent thyroidectomy, among whom 1,360 (9.90%) were identified as current smokers. After propensity score matching, logistic regression analysis suggested that smoking was associated with a heightened risk of unfavorable discharge (aOR = 1.27, 95% CI [1.05-1.54], P = 0.012), vocal dysfunction (aOR = 1.25, 95% CI [1.00-1.55], P = 0.049), hypocalcemia (aOR = 1.23, 95% CI [1.05-1.44], P = 0.010), hypomagnesemia (aOR = 1.58, 95% CI [1.19-2.09], P = 0.001), and respiratory complications (aOR = 1.39, 95% CI [1.16-1.68], P < 0.001). Similar results were observed in both patients who underwent thyroidectomy for thyroid malignancy and those who underwent thyroidectomy for other thyroid disorders when a stratified analysis by surgical indications was performed. Smoking is an independent risk factor for adverse clinical outcomes after thyroidectomy.
ArticleNumber 70
Audience Academic
Author Chen, Junxin
Liang, Weiwei
Yu, Shuang
Guan, Hongyu
Xiao, Haipeng
Ke, Weijian
Chen, Yue
Huang, Yanrui
Li, Yanbing
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Issue 1
Keywords Thyroid nodule
Thyroid cancer
Thyroidectomy
Postoperative complications
Smoking
Language English
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Snippet Tobacco use has been confirmed to be a risk factor for postoperative complications, but the impact of smoking on adverse outcomes following thyroidectomy...
Objective Tobacco use has been confirmed to be a risk factor for postoperative complications, but the impact of smoking on adverse outcomes following...
ObjectiveTobacco use has been confirmed to be a risk factor for postoperative complications, but the impact of smoking on adverse outcomes following...
Abstract Objective Tobacco use has been confirmed to be a risk factor for postoperative complications, but the impact of smoking on adverse outcomes following...
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SubjectTerms Adult
Aged
Care and treatment
Clinical outcomes
Codes
Comorbidity
Comparative analysis
Complications
Complications and side effects
Disease
Ethnicity
Family income
Female
Follow-Up Studies
Health aspects
Hospitals
Humans
Hypocalcemia
Hypomagnesemia
Male
Malignancy
Middle Aged
Mortality
Nonsmokers
Patient outcomes
Patients
Population
Postoperative
Postoperative complications
Postoperative Complications - epidemiology
Postoperative Complications - etiology
Prognosis
Regression analysis
Retrospective Studies
Risk Factors
Smokers
Smoking
Smoking - adverse effects
Statistics
Surgery
Thyroid
Thyroid cancer
Thyroid diseases
Thyroid Diseases - surgery
Thyroid gland
Thyroid Neoplasms - surgery
Thyroid nodule
Thyroidectomy
Thyroidectomy - adverse effects
Tobacco
Vitamin deficiency
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Title Smoking is associated with adverse clinical outcomes after thyroidectomy: a 5-year retrospective analysis
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