Surgeon volume in thyroid surgery: Surgical efficiency, outcomes, and utilization

  title={Surgeon volume in thyroid surgery: Surgical efficiency, outcomes, and utilization},
  author={Charles J Meltzer and Marc H. Klau and Deepak Gurushanthaiah and Joanne Tsai and Di Meng and Linda Radler and Alvina Sundang},
  journal={The Laryngoscope},
To test our hypothesis that high‐surgeon volume is associated with improved surgical efficiency and 30‐day outcomes, and lower hospital utilization. 

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This study examines the association between surgeon volume and 30-day rates of complications, mortality, and postdischarge utilization among patients undergoing parathyroidectomy.

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To investigate national trends in admission status after thyroidectomy in the United States and to evaluate the factors associated with 30‐day unplanned readmission and reoperation.

Surgeon volume and prognosis of patients with advanced papillary thyroid cancer and lateral nodal metastasis

Surgery is the most important treatment modality for papillary thyroid cancer (PTC). However, the relationship between surgeon volume and long‐term oncological outcomes has not been explored.

Impact of resident training on operative time and safety in hemithyroidectomy

An assessment of the impact of resident participation on operative duration and outcomes after hemithyroidectomy is presented, which may identify opportunities for optimization of educational programs, reduction in cost of healthcare delivery, and maximizing patient safety, while continuing to train a competent physician workforce for the future.

Thyroidectomy in octogenarians is not associated with poorer postoperative outcomes

The elderly represents one of the most rapidly growing subsets of the population. This population experiences a higher incidence of thyroid pathology. However, there are concerns that the elderly

Online and call center referral for endocrine surgical pathology within institutions

We hypothesized that self‐referred patients to academic centers will be equally distributed between general surgery and otolaryngology departments that perform thyroid surgery. We sought to quantify

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Is Outpatient Thyroid Surgery for Everyone?

Outpatient thyroidectomy may not be suitable for all surgeons, hospitals, or patients, and when evaluating whether to implement an outpatient thyroid program, a practice should consider a number of important factors including the team performing the procedure, the hospital, and the patient.

Surgeon Thyroidectomy Case Volume Impacts Disease-free Survival in the Management of Thyroid Cancer.

Both high-volume surgeons and hospitals are predictors of better DFS in patients with WDTC, and both are higher among surgeons performing more than 40 thyroidectomies a year.



National trends in laryngeal cancer surgery and the effect of surgeon and hospital volume on short‐term outcomes and cost of care

The past 2 decades have witnessed an increase in the use of chemoradiation in the treatment of laryngeal cancer and the effect of volume status on surgical care and short‐term outcomes is characterized.

Association of Surgeon Volume With Outcomes and Cost Savings Following Thyroidectomy: A National Forecast.

It is estimated that considerable cost savings are attainable if higher-volume surgeons perform thyroid procedures in the United States, and a surgeon's expertise (measured by surgical volume of procedures per year) is associated with favorable clinical as well as financial outcomes.

The importance of surgeon experience for clinical and economic outcomes from thyroidectomy.

Individual surgeon experience is significantly associated with complication rates and length of stay for thyroidectomy, and they were more likely to operate on patients with cancer.

Total Thyroidectomy is Associated with Increased Risk of Complications for Low- and High-Volume Surgeons

Nationwide Inpatient Sample from 2003 to 2009 was used to perform cross-sectional analysis of all adult patients who underwent TT and UT for benign or malignant conditions and to evaluate the effect of surgeon's experience on outcomes.

Volume-based trends in thyroid surgery.

Thyroid cancer surgery was less likely to be performed by high-volume surgeons and in 2000-2009 despite an increase in surgical cases, and surgeon volume was significantly associated with complication rates.

Outpatient thyroidectomy.

Surgical learning curves and operative efficiency: a cross-specialty observational study

Common trends in surgical learning exist, Dependent on the procedure, experience can serve as a powerful driver of improvement or have clinically insignificant impacts on operative time.