Thyroidectomy for Graves' Disease or Amiodarone-induced Thyrotoxicosis

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorAndrea Goldmann

About this trial

The goal of this observational study is to learn about the potential differences in morbidity of thyroidectomy (removal of the thyroid gland) depending on the preoperative hormonal status. The main question it aims to answer is:

Do patients undergoing thyroidectomy for thyreotoxicosis (thyroid hyperfunction) due to Graves' disease or Amiodarone induced thyreotoxicosis have comparable complication rates depending on their thyroid metabolic status prior or during the procedure.

The data from participants undergoing a thyroidectomy at one of the study sites will be prospectively registered in the EUROCRINE registry, including an add-on module for additional study specific routine data. The operation itself, the preoperative or postoperative treatments are not altered in any way.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Adult patients (≥ 18 years of age) undergoing surgical treatment for Graves' disease or Amiodarone-induced thyrotoxicosis (AIT) with biochemically confirmed hyperthyroidism or on specific medication for the treatment of Graves' disease or AIT.

Patients providing signed informed consent.

Disqualifiers

Children and minors (<18 years).

Pregnant women.

Patients unable or unwilling to provide informed consent due to language barriers or intellectual limitations.

Patients undergoing concurrent parathyroidectomy for primary or secondary hyperparathyroidism, lymph node clearance, or redo surgery.

Trial population

Adult, non- pregnant patients who underwent surgical management of Graves ' disease and AIT (Amiodarone induced thyreotoxicosis) in different functional states.

Trial design

Design model

Case-control

Time perspective

Prospective

Treatments tested in this trial

Not listed

Trial groups

486 Participants
are grouped into 2 trial groups
Group A: euthyreoid
Group B: non-euthyreoid

Trial outcomes

Primary outcomes

1

Complications

transient and permanent nerve palsy, transient and permanent hypoparathyroidism, reoperation for postoperative hemorrhage, occurrence of a "thyroid storm"

Time frame
Day 0= intraoperative until last follow-up postoperatively (e.g. for the recovery from a nerve palsy)= through study completion, an average of 2 years

Secondary outcomes

1

Other complications

Any other intra- or postoperative complication.

Time frame
From day 0= intraoperatively until last follow-up postoperatively (= through study completion, an average of 2 years)
2

Duration of Surgery

Time from start of the procedure until the end of the procedure

Time frame
through study completion, an average of 2 years
3

Estimated Blood Loss

Estimated amount of blood lost during the procedure.

Time frame
During procedure
4

Intraoperative Tachycardia

Elevated heart rate during the procedure

Time frame
During the procedure

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Andrea Goldmann

Lead sponsor

Kantonsspital Winterthur KSW

Sponsor institution

Spital Männedorf

Collaborator

Spital Limmattal Schlieren

Collaborator

Centre Hospitalier Universitaire Vaudois

Collaborator

Ospedale Regionale di Mendrisio

Collaborator

Cantonal Hospital of St. Gallen

Collaborator

Cantonal Hosptal, Baselland

Collaborator

St. Claraspital AG

Collaborator

University Hospital, Geneva

Collaborator

Insel Gruppe AG, University Hospital Bern

Collaborator

ASZ Aalst

Collaborator

University Hospital Virgen de las Nieves

Collaborator

University of Nancy

Collaborator

Hospital Costa del Sol

Collaborator

Evgenidion Hospital Athens, Greece

Collaborator