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Published on: August 17, 2022
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Surgical Subspecialty and Parathyroidectomy Outcomes: A National Analysis
Owais M Aftab1, Roshan V Patel1, Avneet Randhawa1
1Department of Otolaryngology- Head and Neck Surgery, Rutgers New Jersey Medical School, 90 Bergen, Street, Suite 8100, Newark, NJ 07103 USA.
Summary
This study compared parathyroidectomy outcomes between general surgeons and otolaryngologists. While surgical subspecialty affected operative time, it did not significantly impact patient complications or mortality.
Area of Science:
- Endocrine Surgery
- Surgical Outcomes Research
- Health Services Research
Background:
- Parathyroidectomy (PT) is a common procedure for hyperparathyroidism.
- Understanding the impact of surgical subspecialty on PT outcomes is crucial for patient care.
Purpose of the Study:
- To investigate the association between surgical subspecialty (general surgery vs. otolaryngology) and adverse outcomes in patients undergoing parathyroidectomy.
- To compare complication rates and operative times based on the surgeon's specialty.
Main Methods:
- Retrospective cohort analysis of the 2005-2018 National Surgery Quality Improvement Program (NSQIP) database.
- Identification of PT procedures using Current Procedural Terminology (CPT) codes.
- Comparison of demographics, comorbidities, and complication incidences between general surgery and otolaryngology cohorts using chi-square and logistic regression analyses.
Main Results:
- A total of 57,262 PT procedures were analyzed.
- Otolaryngologist-performed PT was associated with lower unadjusted rates of unplanned reoperation and readmission.
- However, adjusted analyses revealed that otolaryngologist-performed PT had increased odds of prolonged operation time.
- No significant differences were found in mortality, medical, or surgical complications between the two subspecialties.
Conclusions:
- Surgical subspecialty is linked to variations in parathyroidectomy operative time.
- Surgical subspecialty does not appear to be associated with significant differences in perioperative complications following parathyroidectomy.
