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Impact of surgical volume and surgical outcome assessing registers on the quality of thyroid surgery.
Best Practice & Research Clinical Endocrinology & Metabolism ( IF 7.4 ) Pub Date : 2019-08-31 , DOI: 10.1016/j.beem.2019.101317
Neil Patel 1 , David Scott-Coombes 1
Affiliation  

The available evidence concerning the relationship between volume and outcome for thyroid surgery is assessed in this article. Morbidity forms the principal surrogate marker of thyroid surgery quality for which postoperative hypocalcaemia and recurrent laryngeal nerve injuries are most commonly reported upon. Whilst there is an abundance of published data for these outcomes, interpretation to recommend annual volume thresholds is challenging. This is due to a lack of consensus on definitions not only for outcomes but high and low volume surgeons. The evidence reviewed in this article supports the notion that high volume surgeons achieve superior outcomes in thyroid surgery quality though it is not possible to recommend minimal annual volumes on the basis of this evidence alone. Every thyroid surgeon should know their own outcomes and how they compare with their peers and engagement in thyroid surgery registries can facilitate this.

中文翻译:

手术量和手术结局评估对甲状腺手术质量的影响。

本文评估了有关甲状腺手术量与预后之间关系的现有证据。发病率是甲状腺手术质量的主要替代指标,最常见的报道是术后低血钙和喉返神经损伤。尽管有大量关于这些结果的公开数据,但解释推荐年度血容量阈值的方法具有挑战性。这是由于不仅对结果的定义缺乏共识,而且对于高容量和低容量的外科医生也缺乏共识。本文中回顾的证据支持以下观点:大手术量的外科医生在甲状腺手术质量上可取得更好的结果,尽管仅凭此证据不可能建议最小的年手术量。
更新日期:2019-08-31
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