Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Video

Updated: Aug 7, 2025

Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy
05:12

Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy

Published on: May 12, 2023

3.8K

Examining National Guideline Changes Association With Hemithyroidectomy Rates by Surgeon Volume.

Brandon L Ellsworth1, Brandy Sinco2, Niki Matusko2

  • 1University of Michigan School of Medicine, Ann Arbor, Michigan.

The Journal of Surgical Research
|March 14, 2023
PubMed
Summary

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Assessing Public Acceptability of AI-Integrated Preoperative Screening in Plastic Surgery.

Plastic and reconstructive surgery·2026
Same author

North American Society for Interventional Thyroidology Statement on Directed Ablative Therapy for the Management of Benign Non-functional Thyroid Nodules.

Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists·2026
Same author

Factors Impacting Delays in Prosthesis Acquisition Following Major Lower Extremity Amputations: A Retrospective Cohort Review.

Plastic and reconstructive surgery·2026
Same author

Disparities in utilization of high-volume thyroid surgeons for Graves disease: a statewide analysis.

Journal of the Endocrine Society·2026
Same author

Long-term physical, mental, and financial decline after major injury in older adults: A national cohort study with matched controls.

Surgery·2026
Same author

The Dilemma of Disclosure: Applicants' Perspectives on Sharing Their Distance Traveled.

Academic medicine : journal of the Association of American Medical Colleges·2026
Same journal

The Price of Progress: Cost Considerations in Hepatocellular Carcinoma Clinical Trials.

The Journal of surgical research·2026
Same journal

Sex Differences in Thrombin Generation Using Calibrated Automated Thrombogram in Patients With Peripheral Artery Disease.

The Journal of surgical research·2026
Same journal

Beyond the Ventilator: Risk Factors for "Trauma-Associated" Pneumonia in the Trauma Intensive Care Unit.

The Journal of surgical research·2026
Same journal

Impact of In-Network Versus Out-of-Network Fragmentation of Care on Long-Term Outcomes After Trauma.

The Journal of surgical research·2026
Same journal

A Mixed-Methods Study of the Variation in Routine Preoperative Clinic Utilization.

The Journal of surgical research·2026
Same journal

Impact of Social Support on Patient-Reported Outcomes in Cardiothoracic Surgery: A Systematic Review.

The Journal of surgical research·2026
See all related articles
This summary is machine-generated.

The 2015 American Thyroid Association guidelines led to more hemithyroidectomies (HT) by low-volume surgeons, but these surgeons still had worse outcomes. High-volume surgeons maintained consistent surgical choices and better results.

Area of Science:

  • Endocrinology
  • Surgical Oncology
  • Public Health

Background:

  • The 2015 American Thyroid Association (ATA) guidelines recommended hemithyroidectomy (HT) for low-risk thyroid cancer.
  • Post-guideline, HT rates increased, but the impact on surgeon volume and surgical extent was unclear.

Purpose of the Study:

  • To investigate the association between surgeon volume and the initial extent of thyroid surgery after the 2015 ATA guidelines.
  • To compare surgical outcomes between high- and low-volume thyroid surgeons.

Main Methods:

  • Analysis of a statewide database of thyroid cancer patients undergoing initial thyroidectomy (2013-2020).
  • Definition of high-volume surgeons as performing >25 procedures annually.
  • Use of a mixed-effect logistic model to assess changes in HT rates pre- and post-2015 ATA guidelines based on surgeon volume.
Keywords:
American thyroid associationComplicationsGuidelinesThyroidectomy

More Related Videos

Computer-Aided Three-Dimensional Visualization in the Treatment of Locally Advanced Thyroid Cancer
03:55

Computer-Aided Three-Dimensional Visualization in the Treatment of Locally Advanced Thyroid Cancer

Published on: June 9, 2023

578
Gasless Endoscopic Thyroidectomy via the Trans-Axillary Approach
05:10

Gasless Endoscopic Thyroidectomy via the Trans-Axillary Approach

Published on: September 15, 2023

1.1K

Related Experiment Videos

Last Updated: Aug 7, 2025

Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy
05:12

Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy

Published on: May 12, 2023

3.8K
Computer-Aided Three-Dimensional Visualization in the Treatment of Locally Advanced Thyroid Cancer
03:55

Computer-Aided Three-Dimensional Visualization in the Treatment of Locally Advanced Thyroid Cancer

Published on: June 9, 2023

578
Gasless Endoscopic Thyroidectomy via the Trans-Axillary Approach
05:10

Gasless Endoscopic Thyroidectomy via the Trans-Axillary Approach

Published on: September 15, 2023

1.1K

Main Results:

  • Hemithyroidectomy (HT) rates increased significantly for low-volume surgeons (23% to 28%) after 2015, but not for high-volume surgeons (19% to 23%).
  • Low-volume surgeons experienced higher rates of readmission, re-operation, complications, and emergency room visits compared to high-volume surgeons.
  • High-volume surgeons performed 48% of all operations despite comprising only 6% of the surgeons.

Conclusions:

  • The 2015 ATA guidelines' impact on increasing hemithyroidectomy (HT) rates was primarily observed among low-volume thyroid surgeons.
  • Low-volume surgeons adopting more HTs did not lead to improved patient outcomes, as they maintained higher complication and readmission rates.
  • Surgical expertise, indicated by high volume, appears crucial for favorable patient outcomes in thyroid cancer surgery.