THYROIDECTOMY FOR GRAVES DISEASE: CORRELATION BETWEEN SURGEON’S EXPERIENCE AND PATIENT’S OUTCOME

Improved patient outcome is independenty associated with high thyroidectomy surgeon volume. Average complication rates, length of hospital stay, and cost are reduced when surgery is performed by a surgeon conducting many thyroidectomies per year. Increasing thyroidectomies number is significantly associated with improved patient outcome. Complications rates are 51 % higher on average when surgery is performed by low-volume surgeons. Following thyroidectomy for Graves disease in the hands of high-volume endocrine surgeons, the rate of permanent hypoparathyroidism is < 2 % and permanent recurrent laryngeal nerve injury is < 1 %, while postoperative bleeding necessitating reoperation occurs in 0.3 – 0.7 % of patients.

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