A Randomized Control Trial for Patient Reported Outcomes and Safety in Outpatient Thyroid Lobectomy

Launched by M.D. ANDERSON CANCER CENTER · Oct 10, 2023

Keywords

ClinConnect Summary

This clinical trial is looking at how patients feel about their recovery after a thyroid lobectomy, which is a surgery to remove part of the thyroid gland. The researchers want to compare two different ways of handling recovery: some patients will go home on the same day as their surgery, while others will stay in the hospital overnight or longer. The goal is to understand which option is safer, how patients prefer to recover, and how these choices impact healthcare resources and costs.

To participate, you need to be at least 18 years old and scheduled for your first thyroid lobectomy. The trial welcomes patients who speak English and those who don’t. However, there are some people who cannot join, such as those at high risk of bleeding or with certain health issues that require them to stay in the hospital. If you live more than 50 miles from the hospital or don’t have someone to help you at home after surgery, you also wouldn’t be eligible. If you decide to join, you can expect to be part of a study that aims to improve how recovery is managed and to learn more about what works best for patients.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • 1. Patients ≥18 years of age
• • 2. Patients undergoing initial partial or complete thyroid lobectomy
• • 3. English and non-English speaking patients are eligible
• Exclusion Criteria:
• • 1. Increased risk of bleeding (e.g., Aspirin, antiplatelet therapy, or anticoagulation that cannot be held 5 days before surgery, baseline thrombocytopenia \<50,000/µL)
• • 2. Pre-existing medical comorbidities or poor performance status (Eastern Cooperative Oncology Group performance status \>2) that would otherwise dictate overnight in-hospital postoperative observation
• • 3. Increased distance of residence from index hospital (\>50 miles) or inability to stay within the targeted area (\<50 miles) postoperatively prohibiting timely return to the index hospital in emergent situations
• • 4. Lives alone or unable to independently perform Activities of Daily Living and no available caregiver in the immediate postoperative period (POD 0-3)
• • 5. Pregnant women will not be included in this study