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 in | BMC endocrine disorders Vol. 25; no. 1; pp. 70 - 13 |
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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. |
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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 |
Author_xml | – sequence: 1 givenname: Yue surname: Chen fullname: Chen, Yue – sequence: 2 givenname: Junxin surname: Chen fullname: Chen, Junxin – sequence: 3 givenname: Yanrui surname: Huang fullname: Huang, Yanrui – sequence: 4 givenname: Weijian surname: Ke fullname: Ke, Weijian – sequence: 5 givenname: Shuang surname: Yu fullname: Yu, Shuang – sequence: 6 givenname: Weiwei surname: Liang fullname: Liang, Weiwei – sequence: 7 givenname: Haipeng surname: Xiao fullname: Xiao, Haipeng – sequence: 8 givenname: Yanbing surname: Li fullname: Li, Yanbing – sequence: 9 givenname: Hongyu surname: Guan fullname: Guan, Hongyu |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/40098033$$D View this record in MEDLINE/PubMed |
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Keywords | Thyroid nodule Thyroid cancer Thyroidectomy Postoperative complications Smoking |
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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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