Can total thyroidectomy be safely performed by residents? A comparative retrospective multicenter study
| Autor: | Mario Testini, Giovanna Di Meo, Marco Raffaelli, Fausto Palazzo, Alessandro Pasculli, Salvatore Tolone, Marilisa Citton, Celestino Pio Lombardi, Giuseppe Cavallaro, Paolo Miccoli, Giovanni Docimo, Rocco Domenico Alfonso Bellantone, Gabriele Materazzi, Frederic Sebag, Michele Minuto, Ilaria Fabiola Franco, Maurizio Iacobone, Vasilis A. Constantinides, Angela Gurrado, Giovanni Conzo |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Male
Settore MED/18 - CHIRURGIA GENERALE medicine.medical_treatment 030230 surgery Female Humans Group B Adult Aged Cohort Studies 0302 clinical medicine 80 and over Child Aged 80 and over General Medicine Middle Aged Child Cohort Studies Treatment Outcome 030220 oncology & carcinogenesis Thyroidectomy Female Cohort study Research Article Adolescent Adult Aged Humans Retrospective Studies Young Adult Internship and Residency medicine.medical_specialty Observational Study Male Middle Aged Retrospective Studies Thyroidectomy adverse effects Thyroidectomy/education* Treatment Outcome Young Adult 03 medical and health sciences medicine business.industry Retrospective cohort study 1103 Clinical Sciences Odds ratio medicine.disease Confidence interval Surgery Arthritis & Rheumatology Endocrine surgery Hypoparathyroidism adverse effects business |
| Zdroj: | Medicine |
| Popis: | This retrospective comparative multicenter study aims to analyze the impact on patient outcomes of total thyroidectomy (TT) performed by resident surgeons (RS) with close supervision and assistance of attending surgeons (AS). All patients who underwent TT between 2009 and 2013 in 10 Units of endocrine surgery (8 in Italy, 1 in France, and 1 in UK) were evaluated. Demographic data, preoperative diagnosis, extension of goiter, type of surgical access, surgical approach, operative time, use and duration of drain, length of hospitalization, histology, and postoperative complications were recorded. Patients were divided into 3 groups: A, when treated by an AS assisted by an RS; B and C, when treated by a junior and a senior RS, respectively, assisted by an AS. The 8908 patients (mean age 51.1 ± 13.6 years), with 6602 (74.1%) females were enrolled. Group A counted 7092 (79.6%) patients, Group B 261 (2.9%) and Group C 1555 (17.5%). Operative time was significantly greater (P |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|