{"id":"https://openalex.org/W2056733459","doi":"https://doi.org/10.1001/archsurg.2009.48","title":"Outcomes Following Thyroid and Parathyroid Surgery in Pregnant Women","display_name":"Outcomes Following Thyroid and Parathyroid Surgery in Pregnant Women","publication_year":2009,"publication_date":"2009-05-18","ids":{"openalex":"https://openalex.org/W2056733459","doi":"https://doi.org/10.1001/archsurg.2009.48","mag":"2056733459","pmid":"https://pubmed.ncbi.nlm.nih.gov/19451480"},"language":"en","primary_location":{"id":"doi:10.1001/archsurg.2009.48","doi":"https://doi.org/10.1001/archsurg.2009.48","is_oa":false,"landing_page_url":"https://doi.org/10.1001/archsurg.2009.48","pdf_url":null,"source":{"id":"https://openalex.org/S61251237","display_name":"Archives of Surgery","issn_l":"0004-0010","issn":["0004-0010","0272-5533","1538-3644","2376-3590"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core"],"host_organization":"https://openalex.org/P4310320259","host_organization_name":"American Medical Association","host_organization_lineage":["https://openalex.org/P4310320259"],"host_organization_lineage_names":["American Medical Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Archives of Surgery","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5031861433","display_name":"SreyRam Kuy","orcid":"https://orcid.org/0000-0003-4023-1762","observed_orcids":["https://orcid.org/0000-0003-4023-1762"]},"institutions":[{"id":"https://openalex.org/I32971472","display_name":"Yale University","ror":"https://ror.org/03v76x132","country_code":"US","type":"education","lineage":["https://openalex.org/I32971472"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"SreyRam Kuy","raw_affiliation_strings":["Department of Surgery, Division of Endocrine Surgery, Yale University School of Medicine, New Haven, CT 06520-8062, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, Division of Endocrine Surgery, Yale University School of Medicine, New Haven, CT 06520-8062, USA","institution_ids":["https://openalex.org/I32971472"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5031861433"],"corresponding_institution_ids":["https://openalex.org/I32971472"],"apc_list":null,"apc_paid":null,"fwci":13.1182,"has_fulltext":false,"cited_by_count":124,"citation_normalized_percentile":{"value":0.99119753,"is_in_top_1_percent":true,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":88,"max":100},"biblio":{"volume":"144","issue":"5","first_page":"399","last_page":"399"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11728","display_name":"Thyroid and Parathyroid Surgery","score":0.9940999746322632,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11728","display_name":"Thyroid and Parathyroid Surgery","score":0.9940999746322632,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10293","display_name":"Thyroid Disorders and Treatments","score":0.0031999999191612005,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10329","display_name":"Thyroid Cancer Diagnosis and Treatment","score":0.00039999998989515007,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/thyroid-surgery","display_name":"thyroid surgery","score":0.9589999914169312},{"id":"https://openalex.org/keywords/parathyroidectomy","display_name":"parathyroidectomy","score":0.9990000128746033},{"id":"https://openalex.org/keywords/pregnancy","display_name":"pregnancy","score":0.9670000076293945},{"id":"https://openalex.org/keywords/surgical-complications","display_name":"surgical complications","score":0.7490000128746033},{"id":"https://openalex.org/keywords/fetal-complications","display_name":"fetal complications","score":0.6309999823570251},{"id":"https://openalex.org/keywords/maternal-complications","display_name":"maternal complications","score":0.9490000009536743},{"id":"https://openalex.org/keywords/in-hospital-mortality","display_name":"in-hospital mortality","score":0.8330000042915344},{"id":"https://openalex.org/keywords/length-of-hospital-stay","display_name":"length of hospital stay","score":0.9700000286102295},{"id":"https://openalex.org/keywords/hospitalization-costs","display_name":"hospital costs","score":0.9990000128746033},{"id":"https://openalex.org/keywords/surgeon-volume","display_name":"surgeon volume","score":0.8410000205039978},{"id":"https://openalex.org/keywords/racial-disparities","display_name":"racial disparities","score":0.9380000233650208},{"id":"https://openalex.org/keywords/insurance-status","display_name":"insurance status","score":0.9369999766349792},{"id":"https://openalex.org/keywords/thyroid-cancer","display_name":"thyroid cancer","score":0.7329999804496765},{"id":"https://openalex.org/keywords/endocrine-complications","display_name":"endocrine complications","score":0.47099998593330383}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9714138507843018},{"id":"https://openalex.org/C2779195980","wikidata":"https://www.wikidata.org/wiki/Q5691206","display_name":"Healthcare Cost and Utilization Project","level":3,"score":0.6005805134773254},{"id":"https://openalex.org/C131872663","wikidata":"https://www.wikidata.org/wiki/Q5284418","display_name":"Obstetrics","level":1,"score":0.5618799924850464},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.5423877835273743},{"id":"https://openalex.org/C156957248","wikidata":"https://www.wikidata.org/wiki/Q1862216","display_name":"Odds ratio","level":2,"score":0.538975179195404},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.509722888469696},{"id":"https://openalex.org/C2779234561","wikidata":"https://www.wikidata.org/wiki/Q11995","display_name":"Pregnancy","level":2,"score":0.4984149932861328},{"id":"https://openalex.org/C526584372","wikidata":"https://www.wikidata.org/wiki/Q16399","display_name":"Thyroid","level":2,"score":0.4922312796115875},{"id":"https://openalex.org/C38180746","wikidata":"https://www.wikidata.org/wiki/Q1952580","display_name":"Multivariate analysis","level":2,"score":0.42483559250831604},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.3464270830154419},{"id":"https://openalex.org/C29456083","wikidata":"https://www.wikidata.org/wiki/Q1221899","display_name":"Gynecology","level":1,"score":0.34438446164131165},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.26481059193611145},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.22265955805778503},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C54355233","wikidata":"https://www.wikidata.org/wiki/Q7162","display_name":"Genetics","level":1,"score":0.0},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003430","descriptor_name":"Cross-Sectional Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007902","descriptor_name":"Length of Stay","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D007902","descriptor_name":"Length of Stay","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D010279","descriptor_name":"Parathyroid Diseases","qualifier_ui":"Q000401","qualifier_name":"mortality","is_major_topic":false},{"descriptor_ui":"D010279","descriptor_name":"Parathyroid Diseases","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D011247","descriptor_name":"Pregnancy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012044","descriptor_name":"Regression Analysis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012307","descriptor_name":"Risk Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013959","descriptor_name":"Thyroid Diseases","qualifier_ui":"Q000401","qualifier_name":"mortality","is_major_topic":false},{"descriptor_ui":"D013959","descriptor_name":"Thyroid Diseases","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D016009","descriptor_name":"Chi-Square Distribution","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016896","descriptor_name":"Treatment Outcome","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017052","descriptor_name":"Hospital Mortality","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1001/archsurg.2009.48","doi":"https://doi.org/10.1001/archsurg.2009.48","is_oa":false,"landing_page_url":"https://doi.org/10.1001/archsurg.2009.48","pdf_url":null,"source":{"id":"https://openalex.org/S61251237","display_name":"Archives of Surgery","issn_l":"0004-0010","issn":["0004-0010","0272-5533","1538-3644","2376-3590"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core"],"host_organization":"https://openalex.org/P4310320259","host_organization_name":"American Medical Association","host_organization_lineage":["https://openalex.org/P4310320259"],"host_organization_lineage_names":["American Medical Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Archives of Surgery","raw_type":"journal-article"},{"id":"pmid:19451480","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/19451480","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Archives of surgery (Chicago, Ill. : 1960)","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":1.0}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":34,"referenced_works":["https://openalex.org/W34495536","https://openalex.org/W164983659","https://openalex.org/W313490208","https://openalex.org/W1150487935","https://openalex.org/W1858708606","https://openalex.org/W1968399064","https://openalex.org/W1979082001","https://openalex.org/W1981565562","https://openalex.org/W1988184971","https://openalex.org/W1995335669","https://openalex.org/W2000445173","https://openalex.org/W2006332571","https://openalex.org/W2010548811","https://openalex.org/W2020441165","https://openalex.org/W2025610086","https://openalex.org/W2028977355","https://openalex.org/W2033882181","https://openalex.org/W2040133484","https://openalex.org/W2061326496","https://openalex.org/W2062582797","https://openalex.org/W2064970639","https://openalex.org/W2079348390","https://openalex.org/W2094949430","https://openalex.org/W2124070987","https://openalex.org/W2124173888","https://openalex.org/W2134453798","https://openalex.org/W2140998061","https://openalex.org/W2142104529","https://openalex.org/W2142286205","https://openalex.org/W2153250440","https://openalex.org/W2163274218","https://openalex.org/W2412361042","https://openalex.org/W2414670788","https://openalex.org/W2416789666"],"related_works":["https://openalex.org/W2068136643","https://openalex.org/W2003004505","https://openalex.org/W2612099040","https://openalex.org/W2963719999","https://openalex.org/W2130331602","https://openalex.org/W4245744130","https://openalex.org/W4385151185","https://openalex.org/W2052660188","https://openalex.org/W6987566778","https://openalex.org/W2077803060"],"abstract_inverted_index":{"OBJECTIVES:":[0],"To":[1],"perform":[2],"the":[3,22,28],"first":[4],"population-based":[5],"measurement":[6],"of":[7,24,30,48,83,91,144,164,205,219,239],"clinical":[8,256],"and":[9,14,20,27,64,76,85,100,106,125,152,174,187,193,227,248,257,262,276],"economic":[10,258],"outcomes":[11,259,271],"after":[12],"thyroid":[13,63,96,128,261],"parathyroid":[15,65,101,263],"surgery":[16,264],"in":[17,270],"pregnant":[18,54,93,138],"women":[19,94,133,253],"identify":[21],"characteristics":[23],"this":[25],"population":[26],"predictors":[29,238],"outcome.":[31],"DESIGN:":[32],"Retrospective":[33],"cross-sectional":[34],"study.":[35],"SETTING:":[36],"Health":[37],"Care":[38],"Utilization":[39],"Project":[40],"Nationwide":[41],"Inpatient":[42],"Sample":[43],"(HCUP-NIS),":[44],"a":[45,141],"20%":[46],"sample":[47],"nonfederal":[49],"US":[50],"hospitals.":[51],"PATIENTS:":[52],"All":[53],"women,":[55,60,267],"compared":[56],"with":[57,131,268],"age-matched":[58],"nonpregnant":[59,132,266],"who":[61],"underwent":[62,95],"procedures":[66,105],"from":[67],"1999":[68],"to":[69,278],"2005.":[70],"MAIN":[71],"OUTCOME":[72],"MEASURES:":[73],"Fetal,":[74],"maternal,":[75],"surgical":[77,208],"complications,":[78],"in-hospital":[79],"mortality,":[80],"median":[81],"length":[82,218],"stay,":[84],"hospital":[86,177,230],"costs.":[87],"RESULTS:":[88],"A":[89],"total":[90],"201":[92],"(n":[97,102,134],"=":[98,103,135,183],"165)":[99],"36)":[104],"were":[107,117,120,191,241],"examined":[108],"together.":[109],"The":[110,185],"mean":[111],"age":[112],"was":[113,201],"29":[114],"years,":[115],"60%":[116],"white,":[118],"25%":[119],"emergent":[121],"or":[122,246],"urgent":[123],"admissions,":[124],"46%":[126],"had":[127,140],"cancer.":[129],"Compared":[130],"31":[136],"155),":[137],"patients":[139],"higher":[142,175,206,228],"rate":[143],"endocrine":[145],"(15.9":[146],"vs":[147,156,168,180],"8.1%;":[148],"P":[149,158,171,182,213,224,233],"<":[150,159,172,214,225,234],".001)":[151],"general":[153],"complications":[154,209],"(11.4":[155],"3.6%;":[157],".001),":[160,173,215,226],"longer":[161,216],"unadjusted":[162,176],"lengths":[163],"stay":[165,220],"(2":[166],"days":[167,222],"1":[169],"day;":[170],"costs":[178,231],"($6873":[179],"$5963;":[181],".007).":[184],"fetal":[186],"maternal":[188],"complication":[189],"rates":[190],"5.5%":[192],"4.5%,":[194],"respectively.":[195],"On":[196],"multivariate":[197],"regression":[198],"analysis,":[199],"pregnancy":[200],"an":[202],"independent":[203,237],"predictor":[204],"combined":[207],"(odds":[210],"ratio,":[211],"2;":[212],"adjusted":[217,229],"(0.3":[221],"longer;":[223],"($300;":[232],".001).":[235],"Other":[236],"outcome":[240],"surgeon":[242],"volume,":[243],"patient":[244],"race":[245],"ethnicity,":[247],"insurance":[249],"status.":[250],"CONCLUSIONS:":[251],"Pregnant":[252],"have":[254],"worse":[255],"following":[260],"than":[265],"disparities":[269],"based":[272],"on":[273],"race,":[274],"insurance,":[275],"access":[277],"high-volume":[279],"surgeons.":[280]},"counts_by_year":[{"year":2026,"cited_by_count":3},{"year":2025,"cited_by_count":6},{"year":2024,"cited_by_count":2},{"year":2023,"cited_by_count":1},{"year":2022,"cited_by_count":6},{"year":2021,"cited_by_count":5},{"year":2020,"cited_by_count":9},{"year":2019,"cited_by_count":8},{"year":2018,"cited_by_count":3},{"year":2017,"cited_by_count":8},{"year":2016,"cited_by_count":7},{"year":2015,"cited_by_count":14},{"year":2014,"cited_by_count":5},{"year":2013,"cited_by_count":9},{"year":2012,"cited_by_count":13}],"updated_date":"2026-11-07T11:25:07.637180","created_date":"2016-06-24T00:00:00"}