Surgeon volume as a predictor of outcomes in inpatient and outpatient endocrine surgery

Stavrakis, Alexandra I.; Ituarte, Philip H.G.; Ko, Clifford Y.; Yeh, Michael W.

doi:10.1016/j.surg.2007.09.003

Cited by 351 publications

(251 citation statements)

References 18 publications

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“…The surgeon's experience, in large part, determines cure and complication rates of PTx (C-4) (120,121). Neck exploration with direct visualization and identification of all abnormal parathyroid glands, with their subsequent removal, is the gold standard in the surgical treatment of PHPT (30).…”

Section: Surgical Proceduresmentioning

confidence: 99%

Diagnosis and management of primary hyperparathyroidism: a scientific statement from the Department of Bone Metabolism, the Brazilian Society for Endocrinology and Metabolism

Bandeira

Griz

Chaves

et al. 2013

Arq Bras Endocrinol Metab

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Objective: To conduct a literature review on the diagnosis and management of primary hyperparathyroidism including the classical hipercalcemic form as well as the normocalcemic variant. Materials and methods: This scientific statement was generated by a request from the Brazilian Medical Association (AMB) to the Brazilian Society for Endocrinology as part of its Clinical Practice Guidelines program. Articles were identified by searching in PubMed and Cochrane databases as well as abstracts presented at the Endocrine Society, Brazilian Society for Endocrinology Annual Meetings and the American Society for Bone and Mineral Research Annual Meeting during the last 5 years. Grading quality of evidence and strength of recommendation were adapted from the first report of the Oxford Centre for Evidence-based Medicine. All grades of recommendation, including "D" , are based on scientific evidence. The differences between A, B, C and D, are due exclusively to the methods employed in generating evidence. Conclusion:We present a scientific statement on primary hyperparathyroidism providing the level of evidence and the degree of recommendation regarding causes, clinical presentation as well as surgical and medical treatment. Arq Bras Endocrinol Metab. 2013;57(6):406-24 KeywordsPrimary hyperparathyroidism; normocalcemic primary hyperparathyroidism; diagnosis; treatment; parathyroidectomy ReSumoObjetivo: Conduzir uma atualização das últimas evidências científicas a respeito da apresentação, do diagnóstico e do manejo clínico e cirúrgico do hiperparatireoidismo primário clássico e normocalcêmico. Materiais e métodos: Este documento foi concebido pelo Departamento de Metabolismo Ósseo da Sociedade Brasileira de Endocrinologia e Metabologia (SBEM) a partir daquele oriundo do Programa de Diretrizes da Associação Médica Brasileira (AMB) da SBEM. Realizamos uma revisão dos artigos mais relevantes obtidos nos bancos de dados PubMed e Cochrane, além de abstracts apresentados nos encontros anuais da Endocrine Society, da Sociedade Brasileira de Endocrinologia e da American Society for Bone and Mineral Research dos últimos cinco anos, e classificamos as evidências em níveis de recomendações de acordo com a força científica por tipo de estudo, adaptando o primeiro relato do "Oxford Centre for Evidence-based Medicine" . Todos os graus de recomendação, incluindo-se o "D" , foram baseados em evidência científica, sendo as diferenças entre o A, B, C e D devidas exclusivamente ao desenho empregado na geração da evidência. Conclusão: Apresentamos uma atualização científica a respeito do hiperparatireoidismo primário, classificando e graduando em níveis de recomendações as principais evidências científicas sobre as suas causas, as variadas formas de apresentação, seu diagnóstico e tratamento. Arq Bras Endocrinol Metab. 2013;57(6):406-24 Descritores Hiperparatireoidismo primário; hiperparatireoidismo primário normocalcêmico; diagnóstico; tratamento; paratireoidectomia

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Section: Surgical Proceduresmentioning

confidence: 99%

Diagnosis and management of primary hyperparathyroidism: a scientific statement from the Department of Bone Metabolism, the Brazilian Society for Endocrinology and Metabolism

Bandeira

Griz

Chaves

et al. 2013

Arq Bras Endocrinol Metab

View full text Add to dashboard Cite

show abstract

“…Since the median surgeon volume of supracondylar humerus fixation is only 9 cases per year in Ontario, 9 however, referrals may be selffulfilling over time, with transfers begetting transfers as case volumes and associated technical competence decreases, particularly in the context of increasing specialization. 3,[11][12][13][14][15][16][17][18] Significant increases in rates of direct presentation of patients with supracondylar humerus fractures were also observed, which may reflect parental preference for treatment at a dedicated pediatric centre. In contrast, rates of direct presentation of patients with femur fractures did not increase.…”

Section: Discussionmentioning

confidence: 99%

Informal regionalization of pediatric fracture care in the Greater Toronto Area: a retrospective cross-sectional study

et al. 2017

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“…Finally, NSQIP does not allow comparisons between high volume and low volume surgeons as well as high volume and low volume institutions; therefore conclusions cannot be made regarding surgical outcomes among these groups. Each of these factors has been found to be associated with mortality, complication rates and length of stay for different surgical procedures [37]. Regardless of these limitations, these data are important for patient informed consent, and quality improvement processes.…”

Section: Discussionmentioning

confidence: 99%

Surgical Risk after Unilateral Lobectomy versus Total Thyroidectomy: A Review of 47,434 Patients

Saha¹

2014

Surgery Curr Res

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Surgeon volume as a predictor of outcomes in inpatient and outpatient endocrine surgery

Cited by 351 publications

References 18 publications

Diagnosis and management of primary hyperparathyroidism: a scientific statement from the Department of Bone Metabolism, the Brazilian Society for Endocrinology and Metabolism

Diagnosis and management of primary hyperparathyroidism: a scientific statement from the Department of Bone Metabolism, the Brazilian Society for Endocrinology and Metabolism

Informal regionalization of pediatric fracture care in the Greater Toronto Area: a retrospective cross-sectional study

Surgical Risk after Unilateral Lobectomy versus Total Thyroidectomy: A Review of 47,434 Patients

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