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Cited by 1,118Thyroid and Parathyroid SurgeryThyroid Cancer Diagnosis and TreatmentCardiac, Anesthesia and Surgical Outcomes

The DOI matches its Crossref record; 28 of the 28 references it cites were found in a registry or an index.

The Importance of Surgeon Experience for Clinical and Economic Outcomes From Thyroidectomy

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Sosa, Julie Ann, Bowman, Helen M., Tielsch, James M., Powe, Neil R., Gordon, Toby A., Udelsman, Robert·1998·Annals of Surgery
DOI 10.1097/00000658-199809000-00005PMC PMC1191485
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Abstract

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.

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Crossref · 10.1097/00000658-199809000-00005

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Show all 28 references

Research works printed but not linked: 7

  1. Halsted, 1920, Johns Hopkins Rep, 19, 71
  2. Lahey, 1938, Surg Gynecol Obstet, 66, 775
  3. Crile, 1929, Surg Gynecol Obstet, 49, 538
  4. Shaha, 1988, Surgery, 104, 1109
  5. Harrison, 1993, Br J Surg, 80, 1209
  6. Roos, 1997, Health Serv Res, 32, 229
  7. Van Heerden, 1987, Surgery, 101, 224

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Metadata

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
ORCID
Venue
Annals of Surgery
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
1998-09
Volume
228
Issue
3
Pages
320-330
ISSN
0003-4932 (ISSN-L)
DOI
10.1097/00000658-199809000-00005
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
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

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