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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