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Published on: January 17, 2018
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[EUROCRINE®: adrenal surgery 2015-2019- surprising initial results].
J I Staubitz1, T Clerici2, P Riss3
1Sektion Endokrine Chirurgie der Klinik für Allgemein-, Viszeral- und Transplantationschirurgie, Universitätsmedizin Mainz, Langenbeckstraße 1, Mainz, 55131, Deutschland.
Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen
|September 18, 2020
Summary
Adrenal gland surgery data from 2015-2019 reveals unexpected high rates of adrenal metastases. Adherence to international guidelines for adrenal surgery needs improvement, particularly for adrenocortical carcinoma.
Area of Science:
- Endocrine Surgery
- Surgical Oncology
- Adrenal Gland Neoplasms
Background:
- The European registry EUROCRINE® has collected endocrine surgery data since 2015.
- This study analyzes adrenal surgery in German-speaking countries within this registry.
- The goal is to describe the current situation and assess guideline adherence.
Purpose of the Study:
- To describe the current healthcare situation for adrenal surgery in German-speaking countries.
- To assess adherence to international treatment guidelines for adrenal gland operations.
- To analyze preoperative diagnostics, operative techniques, and histological findings.
Main Methods:
- Analysis of adrenal gland operations registered in EUROCRINE® from 2015-2019.
- Inclusion of data from Germany, Switzerland, and Austria.
- Examination of preoperative diagnostics, surgical techniques, and histology.
Main Results:
- 658 adrenal operations were performed across 21 hospitals.
- Adrenocortical adenoma (41%) and pheochromocytoma (23%) were common, with metastases being the third most frequent (15%).
- Minimally invasive approaches were used more frequently for pheochromocytoma (82%) than for adrenocortical carcinoma (28%) or metastases (66%).
Conclusions:
- Adrenal gland metastases are a significant indication for surgery, surprisingly ranking third most common.
- Discrepancies exist between current surgical practices and international guidelines, especially for adrenocortical carcinoma.
- An updated EUROCRINE® module will address documentation and adherence issues for adrenal surgery.
