Health services research in endocrine surgery
Sanziana Roman1, Leon Boudourakis, Julie A Sosa
1Section of Endocrine Surgery, Department of Surgery, Yale University School of Medicine, New Haven, Connecticut 06520, USA. sanziana.roman@yale.edu
Current Opinion in Oncology
|November 29, 2007
Summary
Health services research in endocrine surgery is growing, focusing on patient quality of life and cost-effectiveness. Studies favor parathyroidectomy and show its safety in older adults, while projecting future surgeon demand.
Area of Science:
- Endocrine Surgery
- Health Services Research
Background:
- Growing use of the internet for health information necessitates accurate online resources for thyroid disease.
- Ongoing debate regarding optimal treatment for primary hyperparathyroidism.
Purpose of the Study:
- Review recent health services research in endocrine surgery.
- Examine clinical and economic outcomes in endocrine surgery.
Main Methods:
- Literature review of health services research studies.
- Analysis of clinical and economic outcomes.
Main Results:
- Focus on internet use in medicine, patient quality of life, cost-effectiveness of surgical technologies, and workforce modeling.
- Parathyroidectomy favored for primary hyperparathyroidism based on quality of life and cost-effectiveness.
- Parathyroidectomy demonstrated safety in elderly patients (octogenarians and nonagenarians).
- Projected growth in endocrine surgeon supply may not meet future demand.
Conclusions:
- Health services research is a rapidly developing field within endocrine surgery.
- Further development is crucial for enhancing patient care in thyroid, parathyroid, adrenal, and endocrine pancreatic diseases.
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