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Invited Commentary| Volume 224, ISSUE 4, P1032-1033, October 2022

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Beyond the standard preoperative evaluation: The impact of functional dependency on complications after thyroidectomy

Published:June 24, 2022DOI:https://doi.org/10.1016/j.amjsurg.2022.06.016
Beyond the standard preoperative evaluation: The impact of functional dependency on complications after thyroidectomy
Previous ArticleDiversity, equity, and inclusion in presidential leadership of academic medical and surgical societies
Next ArticleDependent status is a risk factor for complications after thyroidectomy
      Functional dependency is defined as difficulty carrying out activities of daily living needed for self-care.
      • Fried L.P.
      • Ferrucci L.
      • Darer J.
      • Williamson J.D.
      • Anderson G.
      Untangling the concepts of disability, frailty, and comorbidity: implications for improved targeting and care.
      J Gerontol Biol Med Sci. 2004 Mar; 59: 255-263https://doi.org/10.1093/gerona/59.3.m255.PMID:15031310
      Unlike frailty, which is a “physiologic state of increased vulnerability to stressors that results from decreased physiologic reserves, and even dysregulation, of multiple physiologic systems,”
      • Fried L.P.
      • Ferrucci L.
      • Darer J.
      • Williamson J.D.
      • Anderson G.
      Untangling the concepts of disability, frailty, and comorbidity: implications for improved targeting and care.
      J Gerontol Biol Med Sci. 2004 Mar; 59: 255-263https://doi.org/10.1093/gerona/59.3.m255.PMID:15031310
      dependency is easier to measure and thus can act as a surrogate to measure perioperative outcomes.
      • Clifton J.C.
      • Engoren M.
      • Shotwell M.S.
      • et al.
      The impact of functional dependence and related surgical complications on postoperative mortality.
      J Med Syst. 2021 Nov 25; 46: 6https://doi.org/10.1007/s10916-021-01779-8.PMID:34822038;PMCID:PMC8709534
      Similar to frailty, functional dependence is an established risk factor for post-surgical complications. In this issue of American Journal of Surgery, Mounsey et al. provided a retrospective analysis of the National Surgical Quality Improvement Program (NSQIP) database to examine the association between dependent status and complications after thyroid surgery.
      • Mounsey M.
      • Gillis A.
      • Ata A.
      • Stain S.
      • Tafen M.
      Dependent status is a risk factor for complications after thyroidectomy.
      Am J Surg. 2022; 224: 1034-1037https://doi.org/10.1016/j.amjsurg.2022.05.035
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      Article info

      Publication history

      Published online: June 24, 2022
      Accepted: June 22, 2022
      Received: June 20, 2022

      Identification

      DOI: https://doi.org/10.1016/j.amjsurg.2022.06.016

      Copyright

      © 2022 Elsevier Inc. All rights reserved.

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