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Thyroid surgery: changing patterns of practice.

David J Terris1, Melanie W Seybt, Nora Siupsinskiene

  • 1Department of Otolaryngology-Head and Neck Surgery, Medical College of Georgia, Augusta, Georgia 30912-4060, USA. dterris@mcg.edu

The Laryngoscope
|June 1, 2006
PubMed
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Otolaryngologists now perform more thyroidectomies than general surgeons, with their publications and resident procedure numbers significantly increasing. This reflects a major shift in thyroid surgery practice over the last decade.

Area of Science:

  • Otolaryngology
  • General Surgery
  • Surgical Trends

Background:

  • Thyroidectomy practices have evolved with minimally invasive techniques, nerve monitoring, and outpatient procedures.
  • The distribution of thyroid surgery among surgical disciplines has not been well-characterized.

Purpose of the Study:

  • To investigate trends in the disciplines performing thyroid surgery over the past decade.
  • To compare the surgical volumes and publication output of otolaryngologists-head and neck surgeons (OHNS) and general surgeons (GS) in thyroidectomy.

Main Methods:

  • A nonrandomized, case-controlled comparison of surgical volumes and publication analysis.
  • Operative case logs of OHNS and GS graduates (1995-2004) were compared.
  • Scientific articles on thyroid surgery were queried for 1990-1994 and 2000-2004.

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Main Results:

  • Mean thyroidectomies by GS residents increased from 13.2 to 18.2 (1995-2004).
  • Mean thyroidectomies by OHNS residents more than doubled from 15.0 to 33.5.
  • OHNS thyroid publications increased by 250% (14 to 49), with their relative proportion doubling to 33.3%.

Conclusions:

  • A growing proportion of thyroid surgery publications are authored by otolaryngologists.
  • Graduating otolaryngologists perform 84% more thyroid procedures than graduating general surgeons.
  • This indicates a significant shift in thyroid surgery practice towards otolaryngology.