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Updated: Jan 19, 2026
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Mechanism of Endocrine Signaling
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Accreditation of endocrine surgery units
Thomas J Musholt1, Robert Bränström2, Reto Martin Kaderli3
1Section of Endocrine Surgery, Department of General, Visceral and Transplant Surgery, University Medicine of the Johannes Gutenberg-University Mainz, Langenbeckstraße 1, 55131, Mainz, Germany. musholt@uni-mainz.de.
Langenbeck'S Archives of Surgery
|September 9, 2019
Summary
The European Society of Endocrine Surgeons (ESES) proposes a two-level accreditation system for endocrine surgery centers in Europe. Consensus exists on standards for ESES competence centers, forming a basis for future accreditation.
Area of Science:
- Endocrine Surgery
- Healthcare Quality Improvement
- Surgical Accreditation
Background:
- Formal accreditation is crucial for maintaining and enhancing healthcare quality.
- The European Society of Endocrine Surgeons (ESES) aims to establish an accreditation system for European endocrine surgical centers.
Purpose of the Study:
- To propose a formal accreditation system for endocrine surgical centers in Europe.
- To supplement existing measures that promote high standards in endocrine surgery practice.
Main Methods:
- Analysis of the European endocrine surgery healthcare landscape.
- Distribution of surveys to ESES members regarding unit structure, staffing, caseload, technology, training, and research.
- Inclusion of existing endocrine surgery accreditation models in the analysis.
Main Results:
- A majority of ESES members favor a two-level accreditation model (competence and reference centers).
- Proposed criteria for competence center accreditation include minimum caseload, staff qualifications, unit structure, collaborating disciplines, research, and training capacity.
- Quality indicators for specific tracer diagnoses have been defined.
Conclusions:
- Varied healthcare structures and existing models across Europe present challenges to a pan-European accreditation system.
- Consensus has been reached on the standards for accrediting ESES competence centers.
- These agreed-upon standards will serve as the foundation for the initial accreditation of endocrine surgery units.
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