The relationships of surgeon volume and specialty with outcomes following pediatric thyroidectomy

Relationships Between Hospital and Surgeon Operative Volumes and Surgical Outcomes in Hirschsprung's Disease

“…As in previous studies, we created a multi-level categorical variable that accounted for both surgeon and hospital-level operative volume. 39,47 A multinomial logistic regression model that included all evaluated patientlevel preoperative characteristics was then used to estimate each patient's probability of having their surgery performed by a lower or higher volume surgeon and at a lower or higher volume hospital. We then used an inverse probability of treatment weighting using estimated propensity scores to concurrently estimate the effects of both surgeon and hospital operative volume on patients surgical outcomes.…”

“…[26][27][28][29] Relationships between hospital or surgeon operative volume and outcomes in neonatal and pediatric surgery have been reported in several studies examining surgical repair of biliary atresia (BA), craniosynostosis, cleft lip, congenital diaphragmatic hernia (CDH), gastroschisis, pyloric stenosis, and thyroidectomy. [30][31][32][33][34][35][36][37][38][39][40] However, other studies of these same procedures, namely surgical repair of BA, CDH, and gastroschisis, and a recent study examining repair of esophageal atresia/tracheoesophageal fistula (EA/TEF), have failed to show such a relationship. 32,[40][41][42][43][44][45][46][47] Outcomes after Hirschsprungs PT may depend on surgical and pathological expertise, as well as perioperative care, and therefore, may be related to surgeon or hospital experience.…”

Important considerations when choosing pharmacotherapy for Graves’ disease in children

“…Thyroidectomy is usually indicated for patients with a high volume of goiter (>80 g). The complications such as hypoparathyroidism, recurrent laryngeal nerve injury, and keloid formation may occur in children population with an estimated whole number of incidences of approximately 15%, so the high-volume surgeon presence is crucial [14,15].…”

State of telemedicine use in pediatric surgery in the USA—where we stand and what we can gain from the COVID-19 pandemic: a scoping review

“…8 On 20 January 2020, the first reported case of infection in the USA by the SARS-CoV-2 virus was reported. The disease that results, Coronavirus disease 2019 (COVID- 19), quickly spread throughout the country, necessitating that measures be taken to reduce the rate of transmission, including: suspension of elective procedures, postponement of in-person clinic appointments, and reduction of hospital staffing. These drastic measures forced the expedited adoption of telemedicine across specialties.…”