Details

Autor(en) / Beteiligte

• Vuong, Christopher D.
• Watson, WayAnne B.
• Kwon, Daniel I.
• Mohan, Sonia S.
• Perez, Mia N.
• Lee, Steve C.
• Simental, Alfred A.

Titel

Cost effectiveness of intraoperative pathology in the management of indeterminate thyroid nodules

Ist Teil von

• Archives of Endocrinology and Metabolism, 2020

Ort / Verlag

Sociedade Brasileira de Endocrinologia e Metabologia

Erscheinungsjahr

2020

Beschreibungen/Notizen

• ABSTRACT Objective This study aims to determine the cost effectiveness of rapid frozen section (RFS) for indeterminate thyroid nodules. Materials and methods A retrospective chart review was conducted between January 2009 and June 2013 at a tertiary care institution. Main outcomes were number needed to treat, RFS efficacy, and cost-savings of avoiding second completion thyroidectomy. Cost-effectiveness was estimated using 2015 Medicare reimbursement rate. Results Out of 1,114 patients undergoing thyroid surgery, 314 had preoperative AUS/FLUS cytopathology and subsequent thyroid lobectomy with RFS. RFS identified 13 of the 32 patients with malignancy resulting in a total thyroidectomy. 19 of the 29 malignancies not detected by RFS were papillary microcarcinomas. Conclusions Completion thyroidectomy was avoided in 1 out of every 24 patients resulting in cost-savings of $ 80.04 per patient. In the era of outpatient thyroid surgery, intraoperative RFS for indeterminate thyroid nodules is cost-effective.