{"key":"op_457_ES","page":{"url":"https://pt.bookimed.com/clinics/country=spain/procedure=complex-treatment-of-thyroid-cancer/","procedure":{"id":457,"slug":"complex-treatment-of-thyroid-cancer","name":"Tratamento complexo do cancro da tiroide","name_forms":{"plural":{"status":"missing","reason":"not_collected"},"genitive":{"status":"missing","reason":"not_collected"}},"type":"therapy","grammar_number":{"status":"missing","reason":"not_collected"},"parent_id":"oncology","family_attribute":{"status":"missing","reason":"not_collected"}},"country":{"id":34,"iso":"ES","name":"Espanha"},"currency":"USD","data_date":"2026-09-25"},"pages":{"clinics_url":"https://pt.bookimed.com/clinics/country=spain/procedure=complex-treatment-of-thyroid-cancer/","cost_url":"https://pt.bookimed.com/clinics/country=spain/procedure=complex-treatment-of-thyroid-cancer/cost/","best_url":{"status":"missing","reason":"template not live"}},"price":{"from":8000,"to":20000,"avg":{"status":"missing","reason":"no_offers"},"us":{"from":55000,"to":85000},"uk":{"from":24000,"to":45000},"by_technique":{"status":"missing","reason":"not_collected"},"by_city":[{"city":"Madrid","from":8000},{"city":"Alicante","from":14000},{"city":"Barcelona","from":16500}],"per_unit":{"status":"missing","reason":"not_collected"},"factors":{"status":"missing","reason":"not_collected"},"tiers":{"status":"missing","reason":"no_offers"},"comparison":[{"country_iso":"UA","from":4500,"to":8500},{"country_iso":"FR","from":14000,"to":25000},{"country_iso":"GB","from":24000,"to":45000},{"country_iso":"US","from":55000,"to":85000},{"country_iso":"IL","from":24000,"to":38000},{"country_iso":"TR","from":6500,"to":13500},{"country_iso":"MX","from":190,"to":17500},{"country_iso":"DE","from":16500,"to":27000},{"country_iso":"CA","from":22000,"to":42000},{"country_iso":"AE","from":14000,"to":27000},{"country_iso":"TH","from":9500,"to":18500},{"country_iso":"PL","from":6500,"to":11000},{"country_iso":"KR","from":9500,"to":18000},{"country_iso":"CZ","from":9500,"to":15500},{"country_iso":"AT","from":17500,"to":27500},{"country_iso":"IT","from":12000,"to":22000},{"country_iso":"CN","from":14000,"to":24000},{"country_iso":"AU","from":24000,"to":35000},{"country_iso":"IN","from":6200,"to":11500},{"country_iso":"MY","from":9500,"to":16000},{"country_iso":"VN","from":6500,"to":11000},{"country_iso":"BR","from":8500,"to":14000}],"base_country":"US","base_is_fallback":false},"savings":{"pct":85,"variant":">=15%"},"package":{"included":{"status":"missing","reason":"no_offers"},"excluded":{"status":"missing","reason":"no_offers"},"extra_charges":{"status":"missing","reason":"not_collected"}},"clinics":{"count":3,"items":[{"id":6225,"name":"Hospital Ruber Internacional","city":"Madrid","rating":5,"reviews_count":3,"accreditations":["Joint Commission International","International Organization for Standardization"],"rank":1,"has_procedure":true,"why_ranked":{"status":"missing","reason":"not_collected"},"bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":{"status":"missing","reason":"no_offers"}},{"id":422,"name":"Hospital HM Nou Delfos","city":"Barcelona","rating":4.6,"reviews_count":5,"accreditations":["European Foundation for Quality Management","Certification according to DIN EN ISO 9001 by TÜV NORD CERT"],"rank":2,"has_procedure":true,"why_ranked":{"status":"missing","reason":"not_collected"},"bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":{"status":"missing","reason":"no_offers"}},{"id":953,"name":"GenesisCare Clinics","city":"Madrid","rating":{"status":"missing","reason":"not_collected"},"reviews_count":{"status":"missing","reason":"not_collected"},"accreditations":{"status":"missing","reason":"not_collected"},"rank":3,"has_procedure":true,"why_ranked":{"status":"missing","reason":"not_collected"},"bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":{"status":"missing","reason":"no_offers"}}]},"doctors":{"count":1,"languages":{"status":"missing","reason":"not_collected"}},"cities":[{"id":346,"slug":"madrid","name":"Madrid","clinics_count":1,"price_from":8000,"profile":{"city_type":"Capital and largest city of Spain","access":["Madrid Barajas Airport (MAD), 13 km from Puerta del Sol"],"sources":["https://en.wikipedia.org/wiki/Madrid","https://en.wikipedia.org/wiki/Madrid–Barajas_Airport"],"checked_at":"2026-11-03","status":"ok"}},{"id":441,"slug":"alicante","name":"Alicante","clinics_count":{"status":"missing","reason":"not_collected"},"price_from":14000,"profile":{"city_type":"Mediterranean port city in Spain","access":["Alicante Airport (ALC), 9 km from the city"],"sources":["https://en.wikipedia.org/wiki/Alicante","https://en.wikipedia.org/wiki/Alicante%E2%80%93Elche_Airport"],"checked_at":"2026-11-03","status":"ok"}},{"id":98,"slug":"barcelona","name":"Barcelona","clinics_count":{"status":"missing","reason":"not_collected"},"price_from":16500,"profile":{"city_type":"Mediterranean coastal city in Spain","access":["Barcelona Airport (BCN), 15 km southwest of city center"],"sources":["https://en.wikipedia.org/wiki/Barcelona","https://en.wikipedia.org/wiki/Barcelona–El_Prat_Airport"],"checked_at":"2026-11-03","status":"ok"}}],"offers":{"active":{"status":"missing","reason":"no_offers"},"active_with_related":{"status":"missing","reason":"no_offers"},"hospital_nights_median":{"status":"missing","reason":"no_offers"},"days_in_country_median":{"status":"missing","reason":"no_offers"},"top_offers":{"status":"missing","reason":"no_offers"},"packages":{"status":"missing","reason":"no_offers"},"related_packages":{"status":"missing","reason":"no_offers"},"other_packages":{"status":"missing","reason":"no_offers"}},"medical":{"indications":["Confirmed differentiated thyroid carcinoma (papillary or follicular)","Medullary thyroid carcinoma","Nodal or extrathyroidal spread, or high-risk features"],"contraindications":["Pregnancy or breastfeeding (radioiodine)","Uncontrolled severe cardiopulmonary disease","Uncorrected bleeding disorder","Unfit for general anesthesia"],"operation_hours":{"min":2,"max":4,"unit":"hours","qualifier":"Operating time for thyroidectomy; neck dissection extends it; radioiodine dosing takes minutes."},"anesthesia":["general"],"sessions_or_stages":{"sessions":{"min":2,"max":3,"unit":"visits","qualifier":"Surgery, radioiodine therapy, and sometimes a repeat radioiodine dose."},"stages":[{"code":"thyroidectomy","label":"Total thyroidectomy","after":{"min":0,"max":0,"unit":"days","qualifier":"First stage."}},{"code":"radioiodine","label":"Radioactive iodine ablation","after":{"min":28,"max":56,"unit":"days","qualifier":"Earlier with rhTSH-aided protocol."}},{"code":"response_assessment","label":"Response assessment and hormone adjustment","after":{"min":180,"max":365,"unit":"days","qualifier":"Thyroglobulin and ultrasound."}}],"qualifier":"Risk-adapted; low-risk patients may need no radioiodine."},"hospital_nights":{"value":{"min":2,"max":4,"unit":"nights","qualifier":"Thyroidectomy admission 1-2 nights plus radioiodine isolation 1-2 nights where required."},"source":"parsed_details"},"treatment_conditions":["inpatient"],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"Ordinary recovery after thyroidectomy; voice and calcium stabilization may extend it."},"fly_home_after_days":{"min":3,"max":7,"unit":"days","qualifier":"After thyroidectomy once calcium and voice are stable; radioiodine is a separate trip."},"back_to_work_days":{"min":14,"max":28,"unit":"days","qualifier":"After thyroidectomy and radioiodine; depends on job demands, radiation precautions and calcium stability."},"exercise_resume_weeks":{"min":2,"max":4,"unit":"weeks","qualifier":"Light activity first; strenuous exercise after neck wound heals and surgeon clears."},"final_result_months":{"min":6,"max":12,"unit":"months","qualifier":"Response assessed by thyroglobulin and ultrasound 6-12 months after radioiodine."},"result_longevity":"Cure is long-term in most low-risk cases, but lifelong monitoring and thyroid hormone therapy are needed. Recurrence can occur years later.","main_risks":["Surgery: bleeding, hypocalcemia, voice-changing nerve injury, infection.","Radioactive iodine: dry mouth, taste change, salivary gland effects.","Over- or under-replacement of thyroid hormone if dosed incorrectly."],"complication_rate_pct":{"min":10,"max":30,"unit":"percent","qualifier":"Any surgical or radioiodine complication; transient hypocalcemia most common, permanent hypoparathyroidism or nerve injury under 5%."},"revision_rate_pct":{"min":5,"max":20,"unit":"percent","qualifier":"Repeat radioiodine or further surgery for persistent or recurrent disease within 5 years; risk-dependent."},"success":{"metric":"10-year disease-specific survival, differentiated thyroid cancer","value":95,"horizon":"10 years","source":{"status":"missing","reason":"not_collected"},"evidence_status":"proven"},"scars":"Single low transverse neck scar about 4-7 cm, fading to a fine line over 6-12 months.","pain":"Mild to moderate neck pain and sore throat for 2-5 days after surgery, controlled with oral analgesics. Radioiodine is usually painless, with occasional neck or salivary tenderness.","preparation":["Neck ultrasound and biopsy confirmation","Vocal cord assessment (laryngoscopy)","Baseline calcium, PTH, TSH, thyroglobulin","Stop blood thinners as advised","Fast 6-8 hours before surgery","Low-iodine diet 1-2 weeks before radioiodine","Pregnancy test before radioiodine"],"recovery_timeline":[{"phase":"Days 0-2","description":"Hospital stay after thyroidectomy; calcium and voice monitored.","restrictions":["No driving","Avoid neck strain"]},{"phase":"Weeks 1-2","description":"Neck wound heals; levothyroxine dose titrated; low-iodine diet if radioiodine planned.","restrictions":["No heavy lifting","Low-iodine diet before radioiodine"]},{"phase":"Weeks 4-8","description":"Radioiodine therapy with short isolation and precautions.","restrictions":["Limit close contact with children and pregnant women","Follow radiation safety rules"]},{"phase":"Months 3-12","description":"Hormone dose adjustment and response assessment.","restrictions":{"status":"missing","reason":"not_collected"}}],"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"After surgery; includes calcium and pathology review."}},{"purpose":"assessment","requirement":"conditional","after":{"min":28,"max":56,"unit":"days","qualifier":"Pre-radioiodine assessment with TSH and thyroglobulin."}},{"purpose":"result_review","requirement":"routine","after":{"min":180,"max":365,"unit":"days","qualifier":"Thyroglobulin, neck ultrasound, response assessment."}}],"sources":{"status":"missing","reason":"not_collected"},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery generally","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Verify that the surgeon is trained and experienced in performing the procedure you are considering.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C2","text":"Ask for certification information and the name of the body that certified the surgical setting","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Ask for certification information and the name of the certifying body when assessing a surgical setting.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C3","text":"Check that the surgeon who consults with you is the same person who will carry out the procedure","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Check that the surgeon you consult with, will be the same person carrying out the procedure.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C4","text":"Ask whether a doctor is always present in the clinic and whether a high dependency or intensive care unit exists","scope":"treatment_abroad","source":{"url":"https://www.bapras.org.uk/public/patient-information/cosmetic-surgery/cosmetic-surgery-abroad","host":"bapras.org.uk","quote":"Is there always a doctor in the clinic and is there a high dependency or intensive care unit?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Ask whether the surgeon and the facility use a surgical safety checklist, which can reduce complications","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Do the surgeon and his/her facility use a safety checklist?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F2","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"A price that sounds too good to be true probably is","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/will-economic-uncertainty-drive-more-patients-overseas-for-plastic-surgery-what-to-consider-and-how-to-stretch-your-dollar-back-home","host":"plasticsurgery.org","quote":"If the price sounds too good to be true, it probably is.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Bleeding from the neck wound","urgency":"contact_clinic","general":false,"source":{"url":"https://www.chelwest.nhs.uk/your-visit/patient-leaflets/ent-audiology/thyroid-and-parathyroid-disorders-and-treatments","host":"chelwest.nhs.uk","quote":"Approximately one per cent risk of bleeding in the wound, usually within a day of surgery, which may require a second operation to resolve","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Hoarseness that does not improve after surgery","urgency":"contact_clinic","general":false,"source":{"url":"https://www.chelwest.nhs.uk/your-visit/patient-leaflets/ent-audiology/thyroid-and-parathyroid-disorders-and-treatments","host":"chelwest.nhs.uk","quote":"Approximately one per cent risk of permanent injury to a laryngeal nerve, which may lead to a permanent hoarseness or a change in the quality of your voice.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Wound infection in the neck incision","urgency":"contact_clinic","general":false,"source":{"url":"https://www.chelwest.nhs.uk/your-visit/patient-leaflets/ent-audiology/thyroid-and-parathyroid-disorders-and-treatments","host":"chelwest.nhs.uk","quote":"One to two per cent risk of wound infection, which rarely requires more than antibiotic treatment","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W4","text":"Neck swelling causing breathing difficulty","urgency":"emergency","general":false,"source":{"url":"https://www.uclh.nhs.uk/patients-and-visitors/patient-information-pages/thyroid-surgery","host":"uclh.nhs.uk","quote":"In more severe cases it can make breathing difficult.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T2","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1}},"parsed_details":{"procedure_type":"therapy","fields":{"anesthesia":["general"],"back_to_work_days":{"min":14,"max":28,"unit":"days","qualifier":"After thyroidectomy and radioiodine; depends on job demands, radiation precautions and calcium stability."},"complication_rate_pct":{"min":10,"max":30,"unit":"percent","qualifier":"Any surgical or radioiodine complication; transient hypocalcemia most common, permanent hypoparathyroidism or nerve injury under 5%."},"contraindications":["Pregnancy or breastfeeding (radioiodine)","Uncontrolled severe cardiopulmonary disease","Uncorrected bleeding disorder","Unfit for general anesthesia"],"days_in_clinic":{"min":2,"max":4,"unit":"nights","qualifier":"Thyroidectomy admission 1-2 nights plus radioiodine isolation 1-2 nights where required."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":2,"max":4,"unit":"weeks","qualifier":"Light activity first; strenuous exercise after neck wound heals and surgeon clears."},"final_result_months":{"min":6,"max":12,"unit":"months","qualifier":"Response assessed by thyroglobulin and ultrasound 6-12 months after radioiodine."},"fly_home_after_days":{"min":3,"max":7,"unit":"days","qualifier":"After thyroidectomy once calcium and voice are stable; radioiodine is a separate trip."},"follow_up_visits":[{"purpose":"wound_check","after":{"min":7,"max":14,"unit":"days","qualifier":"After surgery; includes calcium and pathology review."},"requirement":"routine"},{"purpose":"assessment","after":{"min":28,"max":56,"unit":"days","qualifier":"Pre-radioiodine assessment with TSH and thyroglobulin."},"requirement":"conditional"},{"purpose":"result_review","after":{"min":180,"max":365,"unit":"days","qualifier":"Thyroglobulin, neck ultrasound, response assessment."},"requirement":"routine"}],"indications":["Confirmed differentiated thyroid carcinoma (papillary or follicular)","Medullary thyroid carcinoma","Nodal or extrathyroidal spread, or high-risk features"],"main_risks":["Surgery: bleeding, hypocalcemia, voice-changing nerve injury, infection.","Radioactive iodine: dry mouth, taste change, salivary gland effects.","Over- or under-replacement of thyroid hormone if dosed incorrectly."],"pain":"Mild to moderate neck pain and sore throat for 2-5 days after surgery, controlled with oral analgesics. Radioiodine is usually painless, with occasional neck or salivary tenderness.","preparation":["Neck ultrasound and biopsy confirmation","Vocal cord assessment (laryngoscopy)","Baseline calcium, PTH, TSH, thyroglobulin","Stop blood thinners as advised","Fast 6-8 hours before surgery","Low-iodine diet 1-2 weeks before radioiodine","Pregnancy test before radioiodine"],"recovery_timeline":[{"phase":"Days 0-2","description":"Hospital stay after thyroidectomy; calcium and voice monitored.","restrictions":["No driving","Avoid neck strain"]},{"phase":"Weeks 1-2","description":"Neck wound heals; levothyroxine dose titrated; low-iodine diet if radioiodine planned.","restrictions":["No heavy lifting","Low-iodine diet before radioiodine"]},{"phase":"Weeks 4-8","description":"Radioiodine therapy with short isolation and precautions.","restrictions":["Limit close contact with children and pregnant women","Follow radiation safety rules"]},{"phase":"Months 3-12","description":"Hormone dose adjustment and response assessment.","restrictions":[]}],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"Ordinary recovery after thyroidectomy; voice and calcium stabilization may extend it."},"result_longevity":"Cure is long-term in most low-risk cases, but lifelong monitoring and thyroid hormone therapy are needed. Recurrence can occur years later.","revision_rate_pct":{"min":5,"max":20,"unit":"percent","qualifier":"Repeat radioiodine or further surgery for persistent or recurrent disease within 5 years; risk-dependent."},"scars":"Single low transverse neck scar about 4-7 cm, fading to a fine line over 6-12 months.","sessions_or_stages":{"sessions":{"min":2,"max":3,"unit":"visits","qualifier":"Surgery, radioiodine therapy, and sometimes a repeat radioiodine dose."},"stages":[{"code":"thyroidectomy","label":"Total thyroidectomy","after":{"min":0,"max":0,"unit":"days","qualifier":"First stage."}},{"code":"radioiodine","label":"Radioactive iodine ablation","after":{"min":28,"max":56,"unit":"days","qualifier":"Earlier with rhTSH-aided protocol."}},{"code":"response_assessment","label":"Response assessment and hormone adjustment","after":{"min":180,"max":365,"unit":"days","qualifier":"Thyroglobulin and ultrasound."}}],"qualifier":"Risk-adapted; low-risk patients may need no radioiodine."},"success":{"metric":"10-year disease-specific survival, differentiated thyroid cancer","value":95,"unit":"percent","horizon":"10 years","population":"Adults with differentiated thyroid cancer treated with thyroidectomy and risk-adapted radioiodine","evidence_status":"proven"},"techniques":[{"name":"Total thyroidectomy with radioiodine","suits_whom":"Intermediate or high-risk differentiated cancer","recovery":"Surgery recovery 1-2 weeks, then short isolation."},{"name":"Total thyroidectomy with central neck dissection","suits_whom":"Nodal spread or medullary cancer","recovery":"Slightly longer recovery, higher hypoparathyroidism risk."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":2,"max":4,"unit":"hours","qualifier":"Operating time for thyroidectomy; neck dissection extends it; radioiodine dosing takes minutes."},"initial_assessment_documents":["Thyroid and neck ultrasound report","Fine-needle biopsy (FNA) cytology report","Histology report of prior thyroid surgery (if available)","Thyroid blood tests: TSH, thyroglobulin, calcitonin","Neck CT or MRI (if available)","Chest CT report (if available)"],"travel_trips":{"min":2,"max":2,"one_trip_possible":false,"qualifier":"Surgery, then radioiodine 4-8 weeks later; single trip not usual."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery generally","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Verify that the surgeon is trained and experienced in performing the procedure you are considering.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C2","text":"Ask for certification information and the name of the body that certified the surgical setting","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Ask for certification information and the name of the certifying body when assessing a surgical setting.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C3","text":"Check that the surgeon who consults with you is the same person who will carry out the procedure","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Check that the surgeon you consult with, will be the same person carrying out the procedure.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C4","text":"Ask whether a doctor is always present in the clinic and whether a high dependency or intensive care unit exists","scope":"treatment_abroad","source":{"url":"https://www.bapras.org.uk/public/patient-information/cosmetic-surgery/cosmetic-surgery-abroad","host":"bapras.org.uk","quote":"Is there always a doctor in the clinic and is there a high dependency or intensive care unit?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Ask whether the surgeon and the facility use a surgical safety checklist, which can reduce complications","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Do the surgeon and his/her facility use a safety checklist?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F2","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"A price that sounds too good to be true probably is","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/will-economic-uncertainty-drive-more-patients-overseas-for-plastic-surgery-what-to-consider-and-how-to-stretch-your-dollar-back-home","host":"plasticsurgery.org","quote":"If the price sounds too good to be true, it probably is.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Bleeding from the neck wound","urgency":"contact_clinic","general":false,"source":{"url":"https://www.chelwest.nhs.uk/your-visit/patient-leaflets/ent-audiology/thyroid-and-parathyroid-disorders-and-treatments","host":"chelwest.nhs.uk","quote":"Approximately one per cent risk of bleeding in the wound, usually within a day of surgery, which may require a second operation to resolve","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Hoarseness that does not improve after surgery","urgency":"contact_clinic","general":false,"source":{"url":"https://www.chelwest.nhs.uk/your-visit/patient-leaflets/ent-audiology/thyroid-and-parathyroid-disorders-and-treatments","host":"chelwest.nhs.uk","quote":"Approximately one per cent risk of permanent injury to a laryngeal nerve, which may lead to a permanent hoarseness or a change in the quality of your voice.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Wound infection in the neck incision","urgency":"contact_clinic","general":false,"source":{"url":"https://www.chelwest.nhs.uk/your-visit/patient-leaflets/ent-audiology/thyroid-and-parathyroid-disorders-and-treatments","host":"chelwest.nhs.uk","quote":"One to two per cent risk of wound infection, which rarely requires more than antibiotic treatment","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W4","text":"Neck swelling causing breathing difficulty","urgency":"emergency","general":false,"source":{"url":"https://www.uclh.nhs.uk/patients-and-visitors/patient-information-pages/thyroid-surgery","host":"uclh.nhs.uk","quote":"In more severe cases it can make breathing difficult.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T2","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"alternatives":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-13","next_check_at":"2027-02-11"},"technique_details":{"status":"ok","items":[{"id":"total-thyroidectomy-radioiodine","name":"Total thyroidectomy with radioiodine","how_it_works":{"text":"Radioiodine treatment may follow surgery to destroy remaining thyroid cells","source":{"url":"https://www.chelwest.nhs.uk/your-visit/patient-leaflets/ent-audiology/thyroid-and-parathyroid-disorders-and-treatments","host":"chelwest.nhs.uk","quote":"Sometime after surgery, you may be given radioiodine treatment to destroy any remaining thyroid cells.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"total-thyroidectomy-central-neck","name":"Total thyroidectomy with central neck dissection","how_it_works":{"text":"The whole thyroid and nearby central lymph nodes are removed","source":{"url":"https://www.chelwest.nhs.uk/your-visit/patient-leaflets/ent-audiology/thyroid-and-parathyroid-disorders-and-treatments","host":"chelwest.nhs.uk","quote":"The surgery for thyroid cancer nearly always involves removal of the entire thyroid gland (a total thyroidectomy), frequently with removal of the lymph nodes around the thyroid also – this is called a central node dissection.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1}}},"techniques":[{"id":"total-thyroidectomy-radioiodine","name":"Total thyroidectomy with radioiodine","how_it_works":{"id":"H1","text":"Radioiodine treatment may follow surgery to destroy remaining thyroid cells","source":{"url":"https://www.chelwest.nhs.uk/your-visit/patient-leaflets/ent-audiology/thyroid-and-parathyroid-disorders-and-treatments","host":"chelwest.nhs.uk","quote":"Sometime after surgery, you may be given radioiodine treatment to destroy any remaining thyroid cells.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"},"suits_whom":"Intermediate or high-risk differentiated cancer","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Surgery recovery 1-2 weeks, then short isolation."},{"id":"total-thyroidectomy-central-neck","name":"Total thyroidectomy with central neck dissection","how_it_works":{"id":"H1","text":"The whole thyroid and nearby central lymph nodes are removed","source":{"url":"https://www.chelwest.nhs.uk/your-visit/patient-leaflets/ent-audiology/thyroid-and-parathyroid-disorders-and-treatments","host":"chelwest.nhs.uk","quote":"The surgery for thyroid cancer nearly always involves removal of the entire thyroid gland (a total thyroidectomy), frequently with removal of the lymph nodes around the thyroid also – this is called a central node dissection.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"},"suits_whom":"Nodal spread or medullary cancer","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Slightly longer recovery, higher hypoparathyroidism risk."}],"alternatives":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-13","next_check_at":"2027-02-11"},"diagnostic":{"status":"not_applicable"},"country":{"why":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-11","next_check_at":"2027-02-09"},"travel":{"status":"ok","items":[{"id":"V1","item":"passport_validity","audience":"uk","volatile":true,"text":"The passport must have an expiry date at least 3 months after you plan to leave the Schengen area","source":{"url":"https://www.gov.uk/foreign-travel-advice/spain/entry-requirements","host":"gov.uk","quote":"have an ‘expiry date’ at least 3 months after the day you plan to leave the Schengen area (the expiry date does not need to be within 10 years of the date of issue)","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V2","item":"medicines","audience":"all","volatile":false,"text":"Carry prescription medication in its original packaging, along with your doctor's prescription","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Spain.html","host":"travel.state.gov","quote":"Always carry your prescription medication in original packaging, along with your doctor’s prescription.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V3","item":"prescriptions","audience":"us","volatile":false,"text":"Medications that require a prescription in the United States also require a local doctor's prescription in Spain","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Spain.html","host":"travel.state.gov","quote":"Medications requiring prescriptions in the United States also require a local doctor’s prescription in Spain.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V4","item":"ghic","audience":"uk","volatile":false,"text":"A GHIC or EHIC is needed to get medically necessary state healthcare in Spain","source":{"url":"https://www.gov.uk/foreign-travel-advice/spain/health","host":"gov.uk","quote":"To get medically necessary state healthcare in Spain, you need a Global Health Insurance Card ( GHIC ) or a European Health Insurance Card ( EHIC ).","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V5","item":"hospital_payment","audience":"all","volatile":false,"text":"Private hospitals usually require payment or proof of insurance or funds before admitting a patient","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Spain.html","host":"travel.state.gov","quote":"Private hospitals usually require payment or proof insurance or funds before admitting a patient.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V6","item":"emergency_number","audience":"all","volatile":false,"text":"Dial 112 and ask for an ambulance","source":{"url":"https://www.gov.uk/foreign-travel-advice/spain/health","host":"gov.uk","quote":"Dial 112 and ask for an ambulance.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2026-12-11","version":1},"other_countries_with_page":["china","germany","india","israel","kazakhstan","malaysia","republic-of-korea","thailand","turkey","ukraine","united-states"]},"often_combined_with":{"status":"missing","reason":"not_collected"},"reviews":{"avg_rating":4.75,"count":8,"scope":"clinic","rating_scale":5,"pros":{"status":"missing","reason":"not_collected"},"cons":{"status":"missing","reason":"not_collected"}},"current":{"seo_text":"

Complex treatment of thyroid cancer in Spain typically costs from _op_457_price_from_ to _op_457_price_to_. Final pricing depends on the surgical approach, required radioiodine therapy, and the choice of medical facility. In the US, this procedure costs _price_compare_US_average_ on average. Most Spanish medical programs include specialist consultations, surgical intervention, and inpatient hospital stays.

\n\n\n\n

Bookimed Expert Insight. Spain offers exceptional oncological care at JCI-accredited facilities like Hospital Ruber Internacional. This clinic is ranked among the top six in Spain by Forbes. Patients access advanced technologies including the Da Vinci Xi and Gamma Knife ICON. Expert surgeons like Dr. Jose Maria Raventos bring Mayo Clinic training to complex cases. High-volume centers often provide better outcomes for endocrine surgeries.

","faq":{"status":"missing","reason":"not_collected"},"h2":[{"text":"Qual é o Custo de Tratamento complexo do cancro da tiroide em Espanha? Descubra Agora","kind":"content"},{"text":"Seus Benefícios e Garantias com a Bookimed","kind":"content"},{"text":"Seu assistente Bookimed pessoal","kind":"content"},{"text":"Descubra as Melhores Clínicas de Tratamento complexo do cancro da tiroide em Espanha: 3 opções Verificadas e Preços","kind":"content"},{"text":"Visão geral de Tratamento complexo do cancro da tiroide em Espanha","kind":"content"},{"text":"Obtenha uma avaliação médica para Tratamento complexo do cancro da tiroide em Espanha: escolha seu especialista entre os melhores da área","kind":"content"},{"text":"Histórias em vídeo de pacientes da Bookimed","kind":"content"},{"text":"Avaliações sobre Bookimed: descubra percepções de pacientes","kind":"content"},{"text":"Compartilhar este conteúdo","kind":"content"},{"text":"Obtenha uma consulta gratuita","kind":"content"}]},"placeholders":{"price_from":"{{price_from}}","clinics_count":"{{clinics_count}}","cities_count":"{{cities_count}}","savings_pct":"{{savings_pct}}","data_date":"{{data_date}}"},"legal":{"restricted_markets":{"status":"missing","reason":"not_collected"}},"conflicts":[]}