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Transoral Robotic Total Thyroidectomy and Bilateral Central Regional Lymph Node Dissection for Papillary Thyroid Carcinoma
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Accurate Operative Time Prediction in Thyroid Surgery: A Rural Tertiary Care Facility Experience.

Kevin P Stavrides1, Timothy L Lindemann1, Evan J Harlor1

  • 1Department of Otolaryngology-Head and Neck/Facial Plastic Surgery, Geisinger Medical Center, Danville, PA, USA.

Ear, Nose, & Throat Journal
|May 12, 2021
PubMed
Summary

Experienced surgeons provide more accurate thyroid surgery time estimates than system averages. This surgeon expertise improves operating room efficiency and reduces costs by minimizing errors in operative time predictions.

Keywords:
OR schedulingsurgical utilizationthyroid surgery

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Area of Science:

  • Surgical Outcomes Research
  • Health Services Research

Background:

  • Operating room efficiency is crucial for hospital financial health.
  • Accurate operative time estimation minimizes costly issues like staff overtime and case cancellations.

Purpose of the Study:

  • To compare the accuracy of surgeon-generated operative time estimates against system-generated averages for thyroid surgery.
  • To evaluate the impact of surgeon experience on operative time prediction accuracy.

Main Methods:

  • Four experienced otolaryngologists predicted operative times for thyroid surgeries.
  • Surgeon estimates were compared to system predictions based on averaging the surgeon's prior 10 cases.
  • Both estimates were compared against actual operative times in a sample of 73 cases.

Main Results:

  • Surgeon-generated estimates were significantly more accurate than system-generated averages (P < .001).
  • This improved accuracy was consistent across individual surgeons and procedure types (hemithyroidectomy, total thyroidectomy).
  • The study achieved over 99% power based on mean differences.

Conclusions:

  • Experienced thyroid surgeons can significantly improve operative time estimation accuracy.
  • Surgeon expertise, considering individual patient factors, outperforms generic system averaging.
  • Enhanced operative time prediction supports more efficient operating room management.