schliessen

Filtern

 

Bibliotheken

Operative Failures After Parathyroidectomy for Hyperparathyroidism: The Influence of Surgical Volume

OBJECTIVE:: To determine whether surgical volume influences the cause of operative failures after parathyroidectomy for hyperparathyroidism. SUMMARY AND BACKGROUND DATA:: The surgical success rate for hyperparathyroidism from high-volume centers exceeds 95%, but some patients have unsuccessful parat... Full description

Journal Title: Annals of Surgery 2010, Vol.252(4), pp.691-695
Main Author: Chen, S., Herbert
Other Authors: Wang, W. F., Tracy , Yen, S., Tina , Doffek, D., Kara , Krzywda, D., Elizabeth , Schaefer, D., Sarah , Sippel, D., Rebecca , Wilson, D., Stuart
Format: Electronic Article Electronic Article
Language:
Subjects:
ID: ISSN: 0003-4932 ; DOI: 10.1097/SLA.0b013e3181f698df
Link: http://ovidsp.ovid.com/ovidweb.cgi?T=JS&NEWS=n&CSC=Y&PAGE=fulltext&D=ovft&AN=00000658-201010000-00015
Zum Text:
SendSend as email Add to Book BagAdd to Book Bag
Staff View
recordid: ovid00000658-201010000-00015
title: Operative Failures After Parathyroidectomy for Hyperparathyroidism: The Influence of Surgical Volume
format: Article
creator:
  • Chen, S., Herbert
  • Wang, W. F., Tracy
  • Yen, S., Tina
  • Doffek, D., Kara
  • Krzywda, D., Elizabeth
  • Schaefer, D., Sarah
  • Sippel, D., Rebecca
  • Wilson, D., Stuart
subjects:
  • Body Temperature
  • Gastrointestinal Tract -- Surgery
  • Surgical Wound Infection -- Prevention & Control
ispartof: Annals of Surgery, 2010, Vol.252(4), pp.691-695
description: OBJECTIVE:: To determine whether surgical volume influences the cause of operative failures after parathyroidectomy for hyperparathyroidism. SUMMARY AND BACKGROUND DATA:: The surgical success rate for hyperparathyroidism from high-volume centers exceeds 95%, but some patients have unsuccessful parathyroidectomies. Although operative failure can be due to hyperfunctioning parathyroid glands in ectopic locations, less experienced surgeons may be more likely to miss an abnormal parathyroid in normal anatomic locations, which we describe as “preventable operative failure.” METHODS:: We used 2 prospective databases containing over 2000 consecutive patients who underwent parathyroidectomy. We identified 159 patients with persistent/recurrent hyperparathyroidism subsequently cured with additional surgery. The initially failed operations were classified as being performed at high- (>50 cases/yr) or low-volume (
language:
source:
identifier: ISSN: 0003-4932 ; DOI: 10.1097/SLA.0b013e3181f698df
fulltext: fulltext
issn:
  • 0003-4932
  • 00034932
url: Link


@attributes
ID107941075
RANK0.07
NO1
SEARCH_ENGINEprimo_central_multiple_fe
SEARCH_ENGINE_TYPEPrimo Central Search Engine
LOCALfalse
PrimoNMBib
record
control
sourcerecordid00000658-201010000-00015
sourceidovid
recordidTN_ovid00000658-201010000-00015
sourceformatXML
sourcesystemPC
pqid756297698
display
typearticle
titleOperative Failures After Parathyroidectomy for Hyperparathyroidism: The Influence of Surgical Volume
creatorChen, S., Herbert ; Wang, W. F., Tracy ; Yen, S., Tina ; Doffek, D., Kara ; Krzywda, D., Elizabeth ; Schaefer, D., Sarah ; Sippel, D., Rebecca ; Wilson, D., Stuart
ispartofAnnals of Surgery, 2010, Vol.252(4), pp.691-695
identifierISSN: 0003-4932 ; DOI: 10.1097/SLA.0b013e3181f698df
descriptionOBJECTIVE:: To determine whether surgical volume influences the cause of operative failures after parathyroidectomy for hyperparathyroidism. SUMMARY AND BACKGROUND DATA:: The surgical success rate for hyperparathyroidism from high-volume centers exceeds 95%, but some patients have unsuccessful parathyroidectomies. Although operative failure can be due to hyperfunctioning parathyroid glands in ectopic locations, less experienced surgeons may be more likely to miss an abnormal parathyroid in normal anatomic locations, which we describe as “preventable operative failure.” METHODS:: We used 2 prospective databases containing over 2000 consecutive patients who underwent parathyroidectomy. We identified 159 patients with persistent/recurrent hyperparathyroidism subsequently cured with additional surgery. The initially failed operations were classified as being performed at high- (>50 cases/yr) or low-volume (<50 cases/yr) hospitals. Hospital volume was obtained from a Wisconsin state database of 89 hospitals, which reported 6336 parathyroid operations during the same decade. RESULTS:: Patients who initially failed their operation performed at the high- or low-volume centers were similar with regard to age, laboratory values, gender, and parathyroid weights. Despite a higher incidence of multigland disease (which increases the likelihood of operative failure) in the high-volume group, patients in the low-volume group were more likely to have a missed parathyroid gland in a normal anatomic location (89% vs. 13%, P < 0.0001), and thus a higher proportion of preventable operative failures. CONCLUSIONS:: Surgical volume influences the failure pattern after parathyroidectomy for hyperparathyroidism. Preventable operative failures are more common in low-volume centers.
source
subjectBody Temperature ; Gastrointestinal Tract -- Surgery ; Surgical Wound Infection -- Prevention & Control;
version14
lds50peer_reviewed
links
openurl$$Topenurl_article
backlink$$Uhttp://ovidsp.ovid.com/ovidweb.cgi?T=JS&NEWS=n&CSC=Y&PAGE=fulltext&D=ovft&AN=00000658-201010000-00015$$EView_record_at_Wolters_Kluwer_Health_Ovid_Technologies
openurlfulltext$$Topenurlfull_article
addlink$$Uhttp://exlibris-pub.s3.amazonaws.com/aboutOvid.html$$EView_Wolters_Kluwer_Health,_Lippincott,_Williams_&_Wilkins_Copyright_Statement
search
creatorcontrib
0Chen, S, Herbert
1Wang, W. F, Tracy
2Yen, S, Tina
3Doffek, D, Kara
4Krzywda, D, Elizabeth
5Schaefer, D, Sarah
6Sippel, D, Rebecca
7Wilson, D, Stuart
titleOperative Failures After Parathyroidectomy for Hyperparathyroidism: The Influence of Surgical Volume
descriptionOBJECTIVE:: To determine whether surgical volume influences the cause of operative failures after parathyroidectomy for hyperparathyroidism. SUMMARY AND BACKGROUND DATA:: The surgical success rate for hyperparathyroidism from high-volume centers exceeds 95%, but some patients have unsuccessful parathyroidectomies. Although operative failure can be due to hyperfunctioning parathyroid glands in ectopic locations, less experienced surgeons may be more likely to miss an abnormal parathyroid in normal anatomic locations, which we describe as “preventable operative failure.” METHODS:: We used 2 prospective databases containing over 2000 consecutive patients who underwent parathyroidectomy. We identified 159 patients with persistent/recurrent hyperparathyroidism subsequently cured with additional surgery. The initially failed operations were classified as being performed at high- (>50 cases/yr) or low-volume (<50 cases/yr) hospitals. Hospital volume was obtained from a Wisconsin state database of 89 hospitals, which reported 6336 parathyroid operations during the same decade. RESULTS:: Patients who initially failed their operation performed at the high- or low-volume centers were similar with regard to age, laboratory values, gender, and parathyroid weights. Despite a higher incidence of multigland disease (which increases the likelihood of operative failure) in the high-volume group, patients in the low-volume group were more likely to have a missed parathyroid gland in a normal anatomic location (89% vs. 13%, P < 0.0001), and thus a higher proportion of preventable operative failures. CONCLUSIONS:: Surgical volume influences the failure pattern after parathyroidectomy for hyperparathyroidism. Preventable operative failures are more common in low-volume centers.
general
010.1097/SLA.0b013e3181f698df
1© 2010 Lippincott Williams & Wilkins, Inc.
2Lippincott Williams & Wilkins - Journals
sourceidovid
recordidovid00000658-201010000-00015
issn
00003-4932
100034932
rsrctypearticle
creationdate2010
addtitleAnnals of Surgery
searchscopeovid
scopeovid
lsr30VSR-Enriched:[eissn, subject, pqid]
sort
titleOperative Failures After Parathyroidectomy for Hyperparathyroidism: The Influence of Surgical Volume
authorChen, S., Herbert ; Wang, W. F., Tracy ; Yen, S., Tina ; Doffek, D., Kara ; Krzywda, D., Elizabeth ; Schaefer, D., Sarah ; Sippel, D., Rebecca ; Wilson, D., Stuart
creationdate20101000
facets
frbrgroupid5608248037157701478
frbrtype5
newrecords20170719
creationdate2010
collectionLippincott Williams & Wilkins Journals (Wolters Kluwer Health)
prefilterarticles
rsrctypearticles
creatorcontrib
0Chen, S., Herbert
1Wang, W. F., Tracy
2Yen, S., Tina
3Doffek, D., Kara
4Krzywda, D., Elizabeth
5Schaefer, D., Sarah
6Sippel, D., Rebecca
7Wilson, D., Stuart
jtitleAnnals of Surgery
toplevelpeer_reviewed
delivery
delcategoryRemote Search Resource
fulltextfulltext
addata
aulast
0Chen
1Wang
2Yen
3Doffek
4Krzywda
5Schaefer
6Sippel
7Wilson
aufirst
0Herbert
1Tracy
2Tina
3Kara
4Elizabeth
5Sarah
6Rebecca
7Stuart
auinitm
0S.
1W. F.
2D.
au
0Chen, S., Herbert
1Wang, W. F., Tracy
2Yen, S., Tina
3Doffek, D., Kara
4Krzywda, D., Elizabeth
5Schaefer, D., Sarah
6Sippel, D., Rebecca
7Wilson, D., Stuart
atitleOperative Failures After Parathyroidectomy for Hyperparathyroidism: The Influence of Surgical Volume
jtitleAnnals of Surgery
risdate201010
volume252
issue4
spage691
epage695
pages691-695
issn0003-4932
formatjournal
genrearticle
ristypeJOUR
abstractOBJECTIVE:: To determine whether surgical volume influences the cause of operative failures after parathyroidectomy for hyperparathyroidism. SUMMARY AND BACKGROUND DATA:: The surgical success rate for hyperparathyroidism from high-volume centers exceeds 95%, but some patients have unsuccessful parathyroidectomies. Although operative failure can be due to hyperfunctioning parathyroid glands in ectopic locations, less experienced surgeons may be more likely to miss an abnormal parathyroid in normal anatomic locations, which we describe as “preventable operative failure.” METHODS:: We used 2 prospective databases containing over 2000 consecutive patients who underwent parathyroidectomy. We identified 159 patients with persistent/recurrent hyperparathyroidism subsequently cured with additional surgery. The initially failed operations were classified as being performed at high- (>50 cases/yr) or low-volume (<50 cases/yr) hospitals. Hospital volume was obtained from a Wisconsin state database of 89 hospitals, which reported 6336 parathyroid operations during the same decade. RESULTS:: Patients who initially failed their operation performed at the high- or low-volume centers were similar with regard to age, laboratory values, gender, and parathyroid weights. Despite a higher incidence of multigland disease (which increases the likelihood of operative failure) in the high-volume group, patients in the low-volume group were more likely to have a missed parathyroid gland in a normal anatomic location (89% vs. 13%, P < 0.0001), and thus a higher proportion of preventable operative failures. CONCLUSIONS:: Surgical volume influences the failure pattern after parathyroidectomy for hyperparathyroidism. Preventable operative failures are more common in low-volume centers.
pub© 2010 Lippincott Williams & Wilkins, Inc.
doi10.1097/SLA.0b013e3181f698df
eissn15281140
date2010-10