The Importance of Surgeon Experience for Clinical and Economic Outcomes From Thyroidectomy
Open accessAbstract
OBJECTIVE: To determine whether individual surgeon experience is associated with improved short-term clinical and economic outcomes for patients with benign and malignant thyroid disease who underwent thyroid procedures in Maryland between 1991 and 1996. SUMMARY BACKGROUND DATA: There is a prevailing belief that surgeon experience affects patient outcomes in endocrine surgery, but there is a paucity of objective evidence outside of clinical series published by experienced surgeons that supports this view. METHODS: A cross-sectional analysis of all patients who underwent thyroidectomy in Maryland between 1991 and 1996 was conducted using a computerized statewide hospital discharge data base. Surgeons were categorized by volume of thyroidectomies over the 6-year study period: A (1 to 9 cases), B (10 to 29 cases), C (30 to 100 cases), and D (>100 cases). Multivariate regression was used to assess the relation between surgeon caseload and in-hospital complications, length of stay, and total hospital charges, adjusting for case mix and hospital volume. RESULTS: The highest-volume surgeons (group D) performed the greatest proportion of total thyroidectomies among the 5860 discharges, and they were more likely to operate on patients with cancer. After adjusting for case mix and hospital volume, highest-volume surgeons had the shortest length of stay (1.4 days vs. 1.7 days for groups B and C and 1.9 days for group A) and the lowest complication rate (5.1 % vs. 6.1% for groups B and C and 8.6% for group A). Length of stay and complications were more determined by surgeon experience than hospital volume, which had no consistent association with outcomes. CONCLUSIONS: Individual surgeon experience is significantly associated with complication rates and length of stay for thyroidectomy.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The text we found for this paper looks like another document, so the self-check wasn’t run.
Cites
Charlson, M. E., Pompei, P., Ales, K. L., & MacKenzie, C. R. (1987) · Journal of Chronic Diseases · doi:10.1016/0021-9681(87)90171-8 · Cited by 49,742 · see citing works
Adapting a clinical comorbidity index for use with ICD-9-CM administrative databases
DEYO, R. (1992) · Journal of Clinical Epidemiology · doi:10.1016/0895-4356(92)90133-8 · Cited by 10,452 · see citing works
THE SPECTRUM OF THYROID DISEASE IN A COMMUNITY: THE WHICKHAM SURVEY
Tunbridge, W. M. G., Evered, D. C., Hall, R., Appleton, D. R., BREWIS, M., CLARK, F., Evans, J. G., Young, E. T., Bird, T., & Smith, P. (1977) · Clinical Endocrinology · doi:10.1111/j.1365-2265.1977.tb01340.x · Cited by 2,665 · see citing works
Should Operations Be Regionalized?
Luft, H. S., Bunker, J. P., & Enthoven, A. C. (1979) · New England Journal of Medicine · doi:10.1056/nejm197912203012503 · Cited by 1,770 · see citing works
Romano, P. S., Roos, L. L., & Jollis, J. G. (1993) · Journal of Clinical Epidemiology · doi:10.1016/0895-4356(93)90103-8 · Cited by 1,717 · see citing works
Lieberman, M. D., Kilburn, H. C., Lindsey, M., & Brennan, M. F. (1995) · Annals of Surgery · doi:10.1097/00000658-199511000-00006 · Cited by 576 · see citing works
Hannan, E. L. (1989) · JAMA · doi:10.1001/jama.1989.03430040075029 · Cited by 538 · see citing works
The Effects of Regionalization on Cost and Outcome for One General High-Risk Surgical Procedure
Gordon, T. A., Burleyson, G. P., Tielsch, J. M., & Cameron, J. L. (1995) · Annals of Surgery · doi:10.1097/00000658-199501000-00005 · Cited by 471 · see citing works
Self-citationThe Complications of Coronary Arteriography
Adams, D. F., FRASER, D. B., & Abrams, H. L. (1973) · Circulation · doi:10.1161/01.cir.48.3.609 · Cited by 331 · see citing works
Jollis, J. G., Peterson, E. D., DeLong, E. R., Mark, D. B., Collins, S. R., Muhlbaier, L. H., & Pryor, D. B. (1994) · New England Journal of Medicine · doi:10.1056/nejm199412153312406 · Cited by 278 · see citing works
Total thyroidectomy: Complications and technique
Harness, J. K., Fung, L. K., Thompson, N. W., Burney, R. E., & McLeod, M. K. (1986) · World Journal of Surgery · doi:10.1007/bf01655238 · Cited by 258 · see citing works
Lavernia, C. J., & Guzman, J. F. (1995) · The Journal of Arthroplasty · doi:10.1016/s0883-5403(05)80119-6 · Cited by 216 · see citing works
BECKER, W. F. (1977) · Annals of Surgery · doi:10.1097/00000658-197705000-00001 · Cited by 144 · see citing works
Parathyroidectomy in Maryland: Effects of an endocrine center
Chen, H., Zeiger, M. A., Gordon, T. A., & Udelsman, R. (1996) · Surgery · doi:10.1016/s0039-6060(96)80039-0 · Cited by 129 · see citing works
Self-citationComplications, comorbidities, and mortality: improving classification and prediction.
Roos, L. L., Stranc, L., James, R., & Li, J. (1997) · Europe PMC (PubMed Central) · Cited by 106 · see citing works
Hannan, E. L. (1989) · JAMA · doi:10.1001/jama.262.4.503 · Cited by 88 · see citing works
Complications of thyroid surgery performed by residents.
Shaha, A. R., & Jaffe, B. M. (1988) · PubMed · Cited by 86 · see citing works
Reeve, T. S. (1994) · Archives of Surgery · doi:10.1001/archsurg.1994.01420320060011 · Cited by 76 · see citing works
Complications of Thyroidectomy
Farrar, W. B. (1983) · Surgical Clinics of North America · doi:10.1016/s0039-6109(16)43193-2 · Cited by 65 · see citing works
Prevention and Management of Complications Associated with Thyroid and Parathyroid Surgery
Edis, A. J. (1979) · Surgical Clinics of North America · doi:10.1016/s0039-6109(16)41735-4 · Cited by 65 · see citing works
Safety of thyroidectomy in residency: A review of 186 consecutive cases
Shindo, M. L., Sinha, U. K., & Rice, D. H. (1995) · The Laryngoscope · doi:10.1288/00005537-199511000-00006 · Cited by 64 · see citing works
Risks of complication following thyroidectomy
Burge, M. R., Zeise, T. M., Johnsen, M. W., Conway, M. J., & Qualls, C. (1998) · Journal of General Internal Medicine · doi:10.1046/j.1525-1497.1998.00004.x · Cited by 60 · see citing works
Early postoperative morbidity after surgical treatment of thyroid carcinoma.
van Heerden, J. A., Groh, M. A., & Grant, C. S. (1987) · PubMed · Cited by 49 · see citing works
Thyroid and parathyroid surgical complications
Harris, S. C. (1992) · The American Journal of Surgery · doi:10.1016/0002-9610(92)90391-4 · Cited by 37 · see citing works
Loré, J. M. (1980) · Otolaryngologic Clinics of North America · doi:10.1016/s0030-6665(20)32394-x · Cited by 33 · see citing works
TRAINEE SURGERY IN TEACHING HOSPITALS: IS THERE A COST?
Martin, L., Delbridge, L., Martin, J., Poole, A. G., Crummer, P., & Reeve, T. S. (1989) · Australian and New Zealand Journal of Surgery · doi:10.1111/j.1445-2197.1989.tb01511.x · Cited by 31 · see citing works
Zur Pathologie und Therapie des Kropfes
Kocher, T. (1878) · Deutsche Zeitschrift für Chirurgie · doi:10.1007/bf02792513 · Cited by 28 · see citing works
Zur pathologie und therapie des kropfes
Kocher, T. (1874) · Deutsche Zeitschrift für Chirurgie · doi:10.1007/bf02811103 · Cited by 17 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Haugen, B. R., Alexander, E. K., Bible, K. C., Doherty, G. M., Mandel, S. J., Nikiforov, Y. E., Pacini, F., Randolph, G. W., Sawka, A. M., Schlumberger, M., et al. (2016) · Thyroid® · doi:10.1089/thy.2015.0020 · Cited by 16,535 · see citing works
Self-citationCooper, D. S., Doherty, G. M., Haugen, B. R., Kloos, R. T., Lee, S. L., Mandel, S. J., Mazzaferri, E. L., McIver, B., Pacini, F., Schlumberger, M., et al. (2009) · Thyroid · doi:10.1089/thy.2009.0110 · Cited by 6,707 · see citing works
Ross, D. S., Burch, H. B., Cooper, D. S., Greenlee, M. C., Laurberg, P., Maia, A. L., Rivkees, S. A., Samuels, M., Sosa, J. A., Stan, M. N., et al. (2016) · Thyroid® · doi:10.1089/thy.2016.0229 · Cited by 2,938 · see citing works
“Data show that surgeons who perform more than 25 thyroid surgeries per year have superior patient clinical and economic outcomes compared to those who perform fewer; complication rates are 51% higher on average when surgery is performed by low-volume surgeons (62,199,200).”
BackgroundSelf-citationCooper, D. S., Doherty, G. M., Haugen, B. R., Kloos, R. T., Lee, S. L., Mandel, S. J., Mazzaferri, E. L., McIver, B., Sherman, S. I., & Tuttle, R. M. (2006) · Thyroid · doi:10.1089/thy.2006.16.109 · Cited by 2,014 · see citing works
Breast Cancer, Version 4.2017, NCCN Clinical Practice Guidelines in Oncology
Gradishar, W. J., Anderson, B. O., Balassanian, R., Blair, S. L., Burstein, H. J., Cyr, A. E., ELIAS, A. D., Farrar, W. B., Forero, A., Giordano, S. H., et al. (2018) · Journal of the National Comprehensive Cancer Network · doi:10.6004/jnccn.2018.0012 · Cited by 1,607 · see citing works
Garber, J. R., Cobin, R. H., Gharib, H., Hennessey, J. V., Klein, I., Mechanick, J. I., Pessah-Pollack, R., Singer, P. A., & Woeber, K. A. (2012) · Endocrine Practice · doi:10.4158/ep12280.gl · Cited by 1,567 · see citing works
Current Approaches to Primary Therapy for Papillary and Follicular Thyroid Cancer
Mazzaferri, E. L., & Kloos, R. T. (2001) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem.86.4.7407 · Cited by 1,392 · see citing works
Guidelines for the management of thyroid cancer
Perros, P., Boelaert, K., Colley, S., Evans, C., Evans, R. M., Gerrard, G. E., Gilbert, J., Harrison, B. J., Johnson, S. J., Giles, T. E., et al. (2014) · Clinical Endocrinology · doi:10.1111/cen.12515 · Cited by 1,390 · see citing works
Preoperative Diagnosis of Benign Thyroid Nodules with Indeterminate Cytology
Alexander, E. K., Kennedy, G. C., Baloch, Z. W., Cibas, E. S., Chudova, D. I., Diggans, J., Friedman, L., Kloos, R. T., LiVolsi, V. A., Mandel, S. J., et al. (2012) · New England Journal of Medicine · doi:10.1056/nejmoa1203208 · Cited by 1,164 · see citing works
Bahn, R. S., Burch, H. B., Cooper, D. S., Garber, J. R., Greenlee, M. C., Klein, I., Laurberg, P., McDougall, I. R., Montori, V. M., Rivkees, S. A., et al. (2011) · Endocrine Practice · doi:10.4158/ep.17.3.456 · Cited by 1,098 · see citing works
Self-citationAnalysis of errors reported by surgeons at three teaching hospitals
Gawande, A. A., Zinner, M. J., Studdert, D. M., & Brennan, T. A. (2003) · Surgery · doi:10.1067/msy.2003.169 · Cited by 1,086 · see citing works
Garber, J. R., Cobin, R. H., Gharib, H., Hennessey, J. V., Klein, I., Mechanick, J. I., Pessah-Pollack, R., Singer, P. A., & Woeber for the American Association, K. A. (2012) · Thyroid · doi:10.1089/thy.2012.0205 · Cited by 1,053 · see citing works
The incidence and nature of surgical adverse events in Colorado and Utah in 1992
Gawande, A. A., Thomas, E. J., Zinner, M. J., & Brennan, T. A. (1999) · Surgery · doi:10.1067/msy.1999.98664 · Cited by 977 · see citing works
2018 European Thyroid Association Guideline for the Management of Graves’ Hyperthyroidism
Kahaly, G. J., Bartalena, L., Hegedüs, L., Leenhardt, L., Poppe, K. G., & Pearce, S. H. S. (2018) · European Thyroid Journal · doi:10.1159/000490384 · Cited by 982 · see citing works
The American Thyroid Association and American Association of Clinical Endocrinologists Taskforce on Hyperthyroidism and Other Causes of Thyrotoxicosis, Bahn, R. S., Burch, H. B., Cooper, D. S., Garber, J. R., Greenlee, M. C., Klein, I., Laurberg, P., McDougall, I. R., Montori, V. M., et al. (2011) · Thyroid · doi:10.1089/thy.2010.0417 · Cited by 898 · see citing works
Self-citationRingel, M. D., Sosa, J. A., Baloch, Z. W., Bischoff, L. A., Bloom, G., Brent, G. A., Brock, P. L., Chou, R., Flavell, R. R., Goldner, W. S., et al. (2025) · Thyroid · doi:10.1177/10507256251363120 · Cited by 835 · see citing works
Self-citationBergenfelz, A. O. J., Jansson, S., Kristoffersson, A., Mårtensson, H., Reihnér, E., Wallin, G., & Lausen, I. M. G. (2008) · Langenbeck s Archives of Surgery · doi:10.1007/s00423-008-0366-7 · Cited by 720 · see citing works
Management of Simple Nodular Goiter: Current Status and Future Perspectives
Hegedűs, L. D., Bonnema, S. J., & Bennedbæk, F. N. (2003) · Endocrine Reviews · doi:10.1210/er.2002-0016 · Cited by 707 · see citing works
Extent of Surgery Affects Survival for Papillary Thyroid Cancer
Bilimoria, K. Y., Bentrem, D. J., Ko, C. Y., Stewart, A. K., Winchester, D. P., Talamonti, M. S., & Sturgeon, C. (2007) · Annals of Surgery · doi:10.1097/sla.0b013e31814697d9 · Cited by 702 · see citing works
Dralle, H., Sekulla, C., Haerting, J., Timmermann, W., Neumann, H. J., Kruse, E., Grond, S., Mühlig, H. P., Richter, C., Voß, J., et al. (2004) · Surgery · doi:10.1016/j.surg.2004.07.018 · Cited by 658 · see citing works
A systematic review of the impact of volume of surgery and specialization on patient outcome
Chowdhury, M. M., Dagash, H., & Pierro, A. (2007) · British journal of surgery · doi:10.1002/bjs.5714 · Cited by 610 · see citing works
Chen, D., Lang, B. H., McLeod, D. S. A., Newbold, K. L., & Haymart, M. R. (2023) · The Lancet · doi:10.1016/s0140-6736(23)00020-x · Cited by 624 · see citing works
Thomusch, O., Machens, A., Sekulla, C., Ukkat, J., Lippert, H., Gastinger, I., & Dralle, H. (2000) · World Journal of Surgery · doi:10.1007/s002680010221 · Cited by 551 · see citing works
Prognosis of medullary thyroid carcinoma
Roman, S. A., Lin, R., & Sosa, J. A. (2006) · Cancer · doi:10.1002/cncr.22244 · Cited by 549 · see citing works
Self-citationPatel, K. N., Yip, L., Lubitz, C. C., Grubbs, E. G., Miller, B. S., Shen, W. T., Angelos, P., Chen, H., Doherty, G. M., Fahey, T. J., et al. (2020) · Annals of Surgery · doi:10.1097/sla.0000000000003580 · Cited by 553 · see citing works
Self-citationOrloff, L. A., Wiseman, S. M., Bernet, V. J., Fahey, T. J., Shaha, A. R., Shindo, M. L., Snyder, S. M., Stack, B. C., Sunwoo, J. B., & Wang, M. B. (2018) · Thyroid · doi:10.1089/thy.2017.0309 · Cited by 523 · see citing works
Thyroid Carcinoma, Version 2.2022, NCCN Clinical Practice Guidelines in Oncology
Haddad, R. I., Bischoff, L. A., Ball, D. W., Bernet, V. J., Blomain, E. S., Busaidy, N. L., Campbell, M. J., Dickson, P. V., Duh, Q., Ehya, H., et al. (2022) · Journal of the National Comprehensive Cancer Network · doi:10.6004/jnccn.2022.0040 · Cited by 516 · see citing works
Intraoperative Monitoring of the Recurrent Laryngeal Nerve in Thyroid Surgery
Dralle, H., Sekulla, C., Lorenz, K., Brauckhoff, M., Machens, A., & the German IONM Study Group (2008) · World Journal of Surgery · doi:10.1007/s00268-008-9483-2 · Cited by 511 · see citing works
Barker, F. G., Klibanski, A., & Swearingen, B. (2003) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2003-030461 · Cited by 501 · see citing works
Thomusch, O., Machens, A., Sekulla, C., Ukkat, J., Brauckhoff, M., & Dralle, H. (2003) · Surgery · doi:10.1067/msy.2003.61 · Cited by 500 · see citing works
Diagnosis of recurrent laryngeal nerve palsy after thyroidectomy: a systematic review
Jeannon, J.-P., Orabi, A. A., Bruch, G., Abdalsalam, H. A., & Simó, R. (2009) · International Journal of Clinical Practice · doi:10.1111/j.1742-1241.2008.01875.x · Cited by 463 · see citing works
Analysis of surgical errors in closed malpractice claims at 4 liability insurers
Rogers, S. O., Gawande, A. A., Kwaan, M. R., Puopolo, A. L., Yoon, C. S., Brennan, T. A., & Studdert, D. M. (2006) · Surgery · doi:10.1016/j.surg.2006.01.008 · Cited by 411 · see citing works
Davies, T. F., Andersen, S., Latif, R., Nagayama, Y., Barbesino, G., Brito, M., Eckstein, A. K., Stagnaro‐Green, A., & Kahaly, G. J. (2020) · Nature Reviews Disease Primers · doi:10.1038/s41572-020-0184-y · Cited by 421 · see citing works
Harmon, J. W., Tang, D. G., Gordon, T. A., Bowman, H. M., Choti, M. A., Kaufman, H. S., Bender, J. S., Duncan, M. D., Magnuson, T. H., Lillemoe, K. D., et al. (1999) · Annals of Surgery · doi:10.1097/00000658-199909000-00013 · Cited by 394 · see citing works
Self-citationHannan, E. L., Radzyner, M. H., Rubin, D. M., Dougherty, J., & Brennan, M. F. (2002) · Surgery · doi:10.1067/msy.2002.120238 · Cited by 390 · see citing works
Is There a Minimum Number of Thyroidectomies a Surgeon Should Perform to Optimize Patient Outcomes?
Adam, M. A., Thomas, S. M., Youngwirth, L. M., Hyslop, T., Reed, S. D., Scheri, R. P., Roman, S. A., & Sosa, J. A. (2016) · Annals of Surgery · doi:10.1097/sla.0000000000001688 · Cited by 381 · see citing works
Self-citationHauch, A. T., Al‐Qurayshi, Z., Randolph, G. W., & Kandil, E. H. (2014) · Annals of Surgical Oncology · doi:10.1245/s10434-014-3846-8 · Cited by 379 · see citing works
Cooper, D. S. (2003) · The Lancet · doi:10.1016/s0140-6736(03)14073-1 · Cited by 377 · see citing works
Surgeon volume as a predictor of outcomes in inpatient and outpatient endocrine surgery
Stavrakis, A. I., Ituarte, P. H. G., Ko, C. Y., & Yeh, M. W. (2007) · Surgery · doi:10.1016/j.surg.2007.09.003 · Cited by 371 · see citing works
Zambudio, A. R., guez, J. R., Riquelme, J., Soria, T., Canteras, M., & Parrilla, P. (2004) · Annals of Surgery · doi:10.1097/01.sla.0000129357.58265.3c · Cited by 359 · see citing works
Burch, H. B., & Cooper, D. S. (2015) · JAMA · doi:10.1001/jama.2015.16535 · Cited by 336 · see citing works
Carling, T., & Udelsman, R. (2013) · Annual Review of Medicine · doi:10.1146/annurev-med-061512-105739 · Cited by 331 · see citing works
Self-citationClinical and Economic Outcomes of Thyroid and Parathyroid Surgery in Children
Sosa, J. A., Tuggle, C. T., Wang, T. S., Thomas, D. C., Boudourakis, L., Rivkees, S., & Roman, S. A. (2008) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2008-0660 · Cited by 329 · see citing works
Self-citationLaryngeal Recurrent Nerve Injury in Surgery for Benign Thyroid Diseases
Hermann, M., Alk, G., Roka, R., Glaser, K. S., & Freissmuth, M. (2002) · Annals of Surgery · doi:10.1097/00000658-200202000-00015 · Cited by 323 · see citing works
Hospital Volume, Length of Stay, and Readmission Rates in High-Risk Surgery
Goodney, P. P., Stukel, T. A., Lucas, F. L., Finlayson, E. V. A., & Birkmeyer, J. D. (2003) · Annals of Surgery · doi:10.1097/01.sla.0000081094.66659.c3 · Cited by 314 · see citing works
American Thyroid Association Statement on Outpatient Thyroidectomy
Terris, D. J., Snyder, S. M., Carneiro-Pla, D. M., Inabnet, W. B., Kandil, E. H., Orloff, L. A., Shindo, M. L., Tufano, R. P., Tuttle, R. M., & Urken, M. L. (2013) · Thyroid · doi:10.1089/thy.2013.0049 · Cited by 301 · see citing works
Thyroid Nodule Size and Prediction of Cancer
Kamran, S. C., Marqusee, E., Kim, M. I., Frates, M. C., Ritner, J. A., Peters, H. E., Benson, C. B., Doubilet, P. M., Cibas, E. S., Barletta, J. A., et al. (2012) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2012-2968 · Cited by 296 · see citing works
Prophylactic central neck dissection for papillary thyroid cancer
Barczyński, M., Konturek, A., Stopa, M., & Nowak, W. (2012) · British journal of surgery · doi:10.1002/bjs.8985 · Cited by 283 · see citing works
Stack, B. C., Ferris, R. L., Goldenberg, D., Haymart, M. R., Shaha, A. R., Sheth, S., Sosa, J. A., & Ralph P. Tufano, F. T. A. T. A. (2012) · Thyroid · doi:10.1089/thy.2011.0312 · Cited by 279 · see citing works
Self-citationRelation of Surgical Volume to Outcome in Eight Common Operations
Khuri, S. F., Daley, J., Henderson, W. G., Hur, K., Hossain, M., Soybel, D. I., Kizer, K. W., Aust, J. B., Bell, R. H., Chong, V., et al. (1999) · Annals of Surgery · doi:10.1097/00000658-199909000-00014 · Cited by 279 · see citing works
The importance of surgeon volume and training in outcomes for vascular surgical procedures
Pearce, W. H., Parker, M. A., Feinglass, J. M., Ujiki, M. B., & Manheim, L. M. (1999) · Journal of Vascular Surgery · doi:10.1016/s0741-5214(99)70202-8 · Cited by 277 · see citing works
Prevalence of immune thrombocytopenia: analyses of administrative data
Segal, J. B., & Powe, N. R. (2006) · Journal of Thrombosis and Haemostasis · doi:10.1111/j.1538-7836.2006.02147.x · Cited by 269 · see citing works
Self-citationRecurrent laryngeal nerve injury in thyroid surgery: a review
Hayward, N. J., Grodski, S., Yeung, M. J., Johnson, W. R., & Serpell, J. W. (2012) · ANZ Journal of Surgery · doi:10.1111/j.1445-2197.2012.06247.x · Cited by 263 · see citing works
Duclos, A., Peix, J.-L., Colin, C., Kraimps, J. L., Ménégaux, F., Pattou, F. N., Sebag, F. A., Touzet, S., Bourdy, S., Voirin, N., et al. (2012) · BMJ · doi:10.1136/bmj.d8041 · Cited by 257 · see citing works
Burman, K. D., & Wartofsky, L. (2015) · New England Journal of Medicine · doi:10.1056/nejmcp1415786 · Cited by 252 · see citing works
Controversies in primary treatment of low-risk papillary thyroid cancer
McLeod, D. S. A., Sawka, A. M., & Cooper, D. S. (2013) · The Lancet · doi:10.1016/s0140-6736(12)62205-3 · Cited by 246 · see citing works
Thyroid surgery for differentiated thyroid cancer — recent advances and future directions
Wang, T. S., & Sosa, J. A. (2018) · Nature Reviews Endocrinology · doi:10.1038/s41574-018-0080-7 · Cited by 250 · see citing works
Self-citationSosa, J. A., Hanna, J. W., Robinson, K. A., & Lanman, R. B. (2013) · Surgery · doi:10.1016/j.surg.2013.07.006 · Cited by 248 · see citing works
Self-citationTeaching the surgical craft: From selection to certification
Wanzel, K. R., Ward, M., & Reznick, R. K. (2002) · Current Problems in Surgery · doi:10.1067/mog.2002.123481 · Cited by 239 · see citing works
Prystowsky, J. B., Bordage, G., & Feinglass, J. M. (2002) · Surgery · doi:10.1067/msy.2002.127550 · Cited by 239 · see citing works
SURGEON EXPERIENCE AND CLINICAL AND ECONOMIC OUTCOMES FOR SHOULDER ARTHROPLASTY
Hammond, J. W., Queale, W. S., Kim, T. K., & McFarland, E. G. (2003) · Journal of Bone and Joint Surgery · doi:10.2106/00004623-200312000-00008 · Cited by 235 · see citing works
Papillary thyroid microcarcinoma: time to shift from surgery to active surveillance?
Leboulleux, S., Tuttle, R. M., Pacini, F., & Schlumberger, M. J. (2016) · The Lancet Diabetes & Endocrinology · doi:10.1016/s2213-8587(16)30180-2 · Cited by 234 · see citing works
Udelsman, R., Pasieka, J. L., Sturgeon, C., Young, J. E. M., & Clark, O. H. (2009) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2008-1761 · Cited by 232 · see citing works
Self-citationThe impact of surgical volume on patient outcomes following thyroid surgery
Kandil, E. H., Noureldine, S. I., Abbas, A. M., & Tufano, R. P. (2013) · Surgery · doi:10.1016/j.surg.2013.04.068 · Cited by 217 · see citing works
A Prospective Assessment Defining the Limitations of Thyroid Nodule Pathologic Evaluation
Cibas, E. S., Baloch, Z. W., Fellegara, G., LiVolsi, V. A., Raab, S. S., Rosaí, J., Diggans, J., Friedman, L., Kennedy, G. C., Kloos, R. T., et al. (2013) · Annals of Internal Medicine · doi:10.7326/0003-4819-159-5-201309030-00006 · Cited by 215 · see citing works
Patterns of Technical Error Among Surgical Malpractice Claims
Regenbogen, S. E., Greenberg, C. C., Studdert, D. M., Lipsitz, S. R., Zinner, M. J., & Gawande, A. A. (2007) · Annals of Surgery · doi:10.1097/sla.0b013e31815865f8 · Cited by 212 · see citing works
Park, H. S. (2009) · Archives of Surgery · doi:10.1001/archsurg.2009.191 · Cited by 201 · see citing works
Association of Surgeon Volume With Outcomes and Cost Savings Following Thyroidectomy
Al‐Qurayshi, Z., Robins, R. P., Hauch, A. T., Randolph, G. W., & Kandil, E. H. (2015) · JAMA Otolaryngology–Head & Neck Surgery · doi:10.1001/jamaoto.2015.2503 · Cited by 198 · see citing works
Pediatric endocrine surgery: Who is operating on our children?
Tuggle, C. T., Roman, S. A., Wang, T. S., Boudourakis, L., Thomas, D. C., Udelsman, R., & Ann Sosa, J. (2008) · Surgery · doi:10.1016/j.surg.2008.08.033 · Cited by 196 · see citing works
Self-citationNanotechnology Applications in Surgical Oncology
Singhal, S. K., Nie, S., & Wang, M. D. (2010) · Annual Review of Medicine · doi:10.1146/annurev.med.60.052907.094936 · Cited by 190 · see citing works
Racial Disparities in Clinical and Economic Outcomes From Thyroidectomy
Sosa, J. A., Mehta, P. J., Wang, T. S., Yeo, H. L., & Roman, S. A. (2007) · Annals of Surgery · doi:10.1097/sla.0b013e31812eecc4 · Cited by 188 · see citing works
Self-citationGordon, T. A., Bowman, H. M., Bass, E. B., Lillemoe, K. D., Yeo, C. J., Heitmiller, R. F., Choti, M. A., Burleyson, G. P., Hsieh, G., & Cameron, J. L. (1999) · Journal of the American College of Surgeons · doi:10.1016/s1072-7515(99)00072-1 · Cited by 185 · see citing works
Self-citationSacks, W. L., Fung, C. H., Chang, J. T., Waxman, A. D., & Braunstein, G. D. (2010) · Thyroid · doi:10.1089/thy.2009.0455 · Cited by 182 · see citing works
Label-free Intraoperative Parathyroid Localization With Near-Infrared Autofluorescence Imaging
McWade, M. A., Paras, C., White, L. M., Phay, J. E., Solórzano, C. C., Broome, J. T., & Mahadevan-Jansen, A. M. (2014) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2014-2503 · Cited by 182 · see citing works
Luster, M., Aktolun, C., Amendoeira, I., Barczyński, M., Bible, K. C., Duntas, L. H., Elisei, R., Handkiewicz-Junak, D., Hoffmann, M., Jarząb, B., et al. (2018) · Thyroid · doi:10.1089/thy.2017.0129 · Cited by 180 · see citing works
Self-citationRecurrent Laryngeal Nerve Injury in Thyroid Surgery
Zakaria (2011) · Oman Medical Journal · doi:10.5001/omj.2011.09 · Cited by 175 · see citing works
Sturgeon, C., Sturgeon, T., & Angelos, P. (2008) · World Journal of Surgery · doi:10.1007/s00268-008-9724-4 · Cited by 171 · see citing works
National trends in thyroid surgery and the effect of volume on short‐term outcomes
Loyo, M., Tufano, R. P., & Gourin, C. G. (2013) · The Laryngoscope · doi:10.1002/lary.23923 · Cited by 171 · see citing works
Management Guidelines for Patients with Thyroid Nodules and Differentiated Thyroid Cancer
Cooper, D. S., Doherty, G. M., Haugen, B. R., Kloos, R. T., Lee, S. L., Mandel, S. J., Mazzaferri, E. L., McIver, B., Sherman, S. I., & Tuttle, R. M. (2006) · Thyroid · doi:10.1089/thy.2006.16.ft-1 · Cited by 169 · see citing works
Evolution of the Surgeon-Volume, Patient-Outcome Relationship
Boudourakis, L. D., Wang, T. S., Roman, S. A., Desai, R. A., & Sosa, J. A. (2009) · Annals of Surgery · doi:10.1097/sla.0b013e3181a77cb3 · Cited by 166 · see citing works
Self-citationRelationship among hospital ERCP volume, length of stay, and technical outcomes
Varadarajulu, S. S., Kilgore, M. L., Wilcox, C. M., & Eloubeidi, M. A. (2006) · Gastrointestinal Endoscopy · doi:10.1016/j.gie.2005.05.016 · Cited by 161 · see citing works
A Population-Based Study of Outcomes from Thyroidectomy in Aging Americans: At What Cost?
Ann Sosa, J., Mehta, P. J., Wang, T. S., Boudourakis, L., & Roman, S. A. (2008) · Journal of the American College of Surgeons · doi:10.1016/j.jamcollsurg.2007.11.023 · Cited by 159 · see citing works
Self-citationCirocchi, R., Arezzo, A., D’Andrea, V., Abraha, I., Popivanov, G., Avenia, N., Gerardi, C., Henry, B. M., Randolph, J., & Barczyński, M. (2019) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd012483.pub2 · Cited by 159 · see citing works
Sun, W., Lan, X., Zhang, H., Dong, W., Wang, Z., He, L., Zhang, T., & Liu, S. (2015) · PLoS ONE · doi:10.1371/journal.pone.0139021 · Cited by 151 · see citing works
Surgical complications after thyroid surgery performed in a cancer hospital
Filho, J. G., & Kowalski, L. P. (2005) · Otolaryngology · doi:10.1016/j.otohns.2004.09.028 · Cited by 148 · see citing works
Cost Impact of Molecular Testing for Indeterminate Thyroid Nodule Fine-Needle Aspiration Biopsies
Yip, L., Farris, C. A., Kabaker, A. S., Hodak, S. P., Nikiforova, M. N., McCoy, K. L., Stang, M. T., Smith, K. J., Nikiforov, Y. E., & Carty, S. E. (2012) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2011-3048 · Cited by 147 · see citing works
Moalem, J., Suh, I., & Duh, Q. (2008) · World Journal of Surgery · doi:10.1007/s00268-008-9477-0 · Cited by 146 · see citing works
Volume-Based Trends in Thyroid Surgery
Gourin, C. G., Tufano, R. P., Forastiere, A. A., Koch, W. M., Pawlik, T. M., & Bristow, R. E. (2010) · Archives of Otolaryngology - Head and Neck Surgery · doi:10.1001/archoto.2010.212 · Cited by 144 · see citing works
Increased cancer incidence after radioiodine treatment for hyperthyroidism
Metso, S., Auvinen, A. P., Huhtala, H., Salmi, J., Oksala, H., & Jaatinen, P. (2007) · Cancer · doi:10.1002/cncr.22635 · Cited by 144 · see citing works
Who performs endocrine operations in the United States?
Saunders, B., Wainess, R. M., Dimick, J. B., Doherty, G. M., Upchurch, G. R., & Gauger, P. G. (2003) · Surgery · doi:10.1016/s0039-6060(03)00420-3 · Cited by 136 · see citing works
Ultrasonically Activated Shears in Thyroidectomies
Voutilainen, P. E. J., & Haglund, C. H. (2000) · Annals of Surgery · doi:10.1097/00000658-200003000-00004 · Cited by 132 · see citing works
Cochrane, D. D., & Kestle, J. R. W. (2003) · Pediatric Neurosurgery · doi:10.1159/000070413 · Cited by 133 · see citing works
Diwas Singh, K. C., & Staats, B. R. (2011) · Manufacturing & Service Operations Management · doi:10.1287/msom.1120.0385 · Cited by 133 · see citing works
The Impact of Trauma-Center Care on Functional Outcomes Following Major Lower-Limb Trauma
MacKenzie, E. J., Rivara, F. P., Jurkovich, G. J., Nathens, A. B., Egleston, B. L., Salkever, D. S., Frey, K. P., & Scharfstein, D. O. (2008) · Journal of Bone and Joint Surgery · doi:10.2106/jbjs.f.01225 · Cited by 131 · see citing works
Outcomes Following Thyroid and Parathyroid Surgery in Pregnant Women
Kuy, S. (2009) · Archives of Surgery · doi:10.1001/archsurg.2009.48 · Cited by 126 · see citing works
Autoimmune Thyroid Diseases in Children
Cappa, M., Bizzarri, C., & Crea, F. (2010) · Journal of Thyroid Research · doi:10.4061/2011/675703 · Cited by 129 · see citing works
Lorenz, K., Raffaelli, M., Barczyński, M., Lorente-Poch, L., & Sancho, J. (2020) · Langenbeck s Archives of Surgery · doi:10.1007/s00423-020-01907-x · Cited by 124 · see citing works
Verdicts on malpractice claims after thyroid surgery: Emerging trends and future directions
Dralle, H., Lorenz, K., & Machens, A. (2012) · Head & Neck · doi:10.1002/hed.21970 · Cited by 123 · see citing works
Hussain, Z., Rahim, M. A., Jan, N., Shah, H., Rawas‐Qalaji, M., Khan, S., Sohail, M. F., Thu, H. E., Ramli, N. A., Sarfraz, R. M., et al. (2021) · Journal of Controlled Release · doi:10.1016/j.jconrel.2021.05.018 · Cited by 119 · see citing works
Risk factors for hematoma after thyroidectomy: Results from the nationwide inpatient sample
Weiss, A. C., Lee, K. C., Brumund, K. T., Chang, D. C., & Bouvet, M. (2014) · Surgery · doi:10.1016/j.surg.2014.03.015 · Cited by 118 · see citing works
- Authors
- Sosa, J. A., Bowman, H. M., Tielsch, J. M., Powe, N. R., Gordon, T. A., & Udelsman, R.
- Affiliations
- Johns Hopkins University (US)
- Corresponding author
- Sosa, Julie Ann
- Gordon, Toby A.
- Udelsman, Robert
- Venue
- Annals of Surgery
- Published
- 1998-09
- Volume
- 228
- Issue
- 3
- Pages
- 320-330
- ISSN
- 0003-4932 (ISSN-L)
- PMC
- PMC1191485
- OpenAlex
- W1981565562
- Cited by
- 1,118
- References
- 28
- Citations by year
- 2026: 19 · 2025: 20 · 2024: 28 · 2023: 41 · 2022: 43 · 2021: 54 · 2020: 69 · 2019: 64 · 2018: 62 · 2017: 60 · 2016: 49 · 2015: 73 · 2014: 60 · 2013: 61 · 2012: 57
- FWCI
- 12.23
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Annals of Surgery (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Thyroid and Parathyroid Surgery
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Thyroid Cancer Diagnosis and Treatment
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac, Anesthesia and Surgical Outcomes
- Keywords
- thyroidectomy, surgeon experience, surgeon volume, hospital volume, postoperative complications, length of hospital stay, hospital charges, benign thyroid disease, thyroid cancer, endocrine surgery
- MeSH terms
- Clinical Competence, Cross-Sectional Studies, Female, Humans, Male, Middle Aged, Postoperative Complications, General Surgery, Thyroid Diseases, Thyroidectomy, Multivariate Analysis, Treatment Outcome
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
