Effect of surgeons’ annual operative volume on the risk of permanent Hypoparathyroidism, recurrent laryngeal nerve palsy and Haematoma following thyroidectomy: analysis of United Kingdom registry of endocrine and thyroid surgery (UKRETS)

Autor: D. Oweis, Sebastian Aspinall, D. Chadwick
Rok vydání: 2019
Předmět:
Zdroj: Langenbeck's Archives of Surgery. 404:421-430
ISSN: 1435-2451
1435-2443
DOI: 10.1007/s00423-019-01798-7
Popis: Categorize data to investigate the surgeon volume outcome relationship in thyroidectomies. Determine the evidence base for recommending a minimum number of thyroidectomies performed per year to maintain surgical competency.Data on thyroid operations in the United Kingdom Registry of Endocrine and Thyroid Surgery (UKRETS) from 01/09/2010 to 31/08/2016 was analysed. The primary outcome measure was permanent hypoparathyroidism (PH). Recurrent laryngeal nerve palsy (RLN) and post-operative haematoma were also examined. Exclusion criteria included patient age 85 or 18 years, and surgeons contributing10 operations. Data analysis was performed using general additive models and mixed effect logistic regression for PH and binary logistic regression for others.For PH 10313 bilateral thyroid operations were analysed. The Annual rate (AR, p = 0.012) and nodal dissection (P 10Surgeon annual operative volume is a factor in determining outcome from thyroid surgery. Results are limited by a high proportion of missing data, which could potentially bias the outcome, but tentatively suggests the minimum recommended number of thyroid operations / year should be 50 cases.
Databáze: OpenAIRE
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