Volume-outcome relationship in parathyroid surgery.
Neeta J Erinjeri1, Robert Udelsman2
1Endocrine Neoplasia Institute, Miami Cancer Institute, Miami, FL, USA.
Summary
Surgeon experience significantly impacts parathyroidectomy outcomes. Higher surgical volumes correlate with improved cure rates and fewer complications, though specific minimum case numbers remain undefined.
Area of Science:
- Endocrine Surgery
- Surgical Outcomes Research
Background:
- Surgeon experience is recognized as a factor influencing parathyroid surgery outcomes.
- A definitive consensus on the minimum operative experience for optimal surgical results is lacking.
Purpose of the Study:
- To review and summarize existing data on the surgeon volume-outcome relationship in parathyroidectomy.
- To explore the impact of surgeon experience on parathyroid surgery effectiveness and safety.
Main Methods:
- Conducted an electronic literature review, initially identifying 85 publications.
- Included 11 publications after selection and an additional 9 from reference reviews.
Main Results:
- Higher operative volumes are associated with improved cure rates for parathyroidectomy.
- Increased surgeon experience correlates with reduced complication rates, recurrent disease, and perioperative costs.
Conclusions:
- Insufficient data exists to establish a strict minimum case requirement for surgeons.
- Endocrine Surgery fellowships and mentorships can enhance surgeon preparedness.
- While firm minimums are not set, higher volumes generally lead to better patient outcomes.
Keywords:
hyperparathyroidismparathyroidectomysurgeon experiencesurgeon volumesurgeon volume–outcome relationshipMore Related Videos
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