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HERO ID
9664758
Reference Type
Journal Article
Title
Clinical audit of the presentation and outcome of benign thyroid disorders in a tertiary care setting in Pakistan
Author(s)
Saaiq, M; Shah, SA; Zubair, M
Year
2013
Is Peer Reviewed?
1
Journal
Journal of the Pakistan Medical Association
ISSN:
0030-9982
Volume
63
Issue
9
Page Numbers
1172-1175
Language
English
PMID
24601200
Abstract
OBJECTIVE:
To assess the clinical presentation and outcome of surgical management of benign thyroid disorders in a tertiary care set up in Pakistan.
METHODS:
The clinical audit was carried out at the Department of Surgery, Pakistan Institute of Medical Sciences (PIMS), Islamabad, from September 2002 to December 2010. The data were recorded on a pre-designed proforma, which comprehensively encompassed the relevant variables and outcome measures. SPSS 10 was used for statistical analysis.
RESULTS:
Out of 527 patients, there were 474 (89.94%) females and 53 (10.05%) males. The overall age ranged 21-56 years, with a mean of 41.99 +/- 9.07 years. Symptoms due to local pressure effects of the goiter were the commonest presenting features found in 473 (89.75%) patients. The mean duration of thyroid disorder was 11.85 +/- 3.41 years. Hypothroidism was the commonest biochemical abnormality found in 117 (22.20%) patients, while hyperthyroidism was found in 63 (11.95%) patients. Multinodular goitre was the most frequent disorder found in 439 (83.30%) patients. Subtotal thyroidectomy constituted the commonest surgical procedure performed in 398 (75.52%) patients. Temporary hypocalcaemia was the most common post-operative complication observed in 93 (17.64%) patients. The mean hospital stay was 4.76 +/- 2.14 days. There was no in-hospital mortality.
CONCLUSION:
Benign thyroid disorders are prevalent in our population and commonly affect the younger females. Majority of the patients have a family history of thyroid disorders. Most of the patients present with several years history of the disease. Subtotal thyroidectomy is the most frequently offered surgical procedure, which is safe.
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