HYPERTHYROIDISM:
SURGEON’S EXPERIENCE IN ENDOCRINE SURGERY IS A KEY FACTOR IN THE PROCESS OF THERAPEUTIC
DECISION-MAKING
…Whenever
surgery is selected as treatment of hyperthyroidism one should consider the use
of expert high-volume thyroid surgeons with on average lower risk of
complications; lack of that expertise should be considered against the known
risk of alternative choices….…If surgery is chosen as the primary therapy for
Graves’ disease, the patient should be referred to a high-volume thyroid surgeon
(strong recommendation)….…Average complication rates, length of hospital stay,
and cost are reduced when the operation
is performed by a surgeon who conducts many thyroidectomies. A significant
association is seen between increasing thyroidectomy volume and improved
patient outcome; this association is robust and is more pronounced with an
increasing number of thyroidectomies. The surgeon should be thoroughly trained
in the procedure, have an active practice in thyroid surgery, and have
conducted a significant number of thyroidectomies with a low frequency of
complications…
American Thyroid Association,
2016
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