Efecto del volumen quirúrgico del cirujano en cirugías pediátricas de tiroides: Una revisión sistemática
Topic overview
Systematic review of 6,430 pediatric thyroidectomy cases examining the relationship between surgeon case volume and postoperative outcomes. High-volume surgeons (definitions varied from ≥9 to >200 annual thyroid cases) demonstrated significantly lower complication rates and shorter hospital stays compared to low-volume surgeons.
Key takeaways
- Higher surgeon volume correlates with better outcomes in pediatric thyroidectomy, including fewer complications and shorter hospital stays.
- Definitions of 'high-volume' pediatric thyroid surgeon vary widely, ranging from ≥9 to >200 annual thyroid cases.
- Transient hypocalcemia is the most common complication, occurring in 11-74% of cases depending on surgeon volume and technique.
- Concentrating pediatric thyroidectomy cases to fewer, higher-volume surgeons may improve patient outcomes.
- Most pediatric thyroidectomies are total thyroidectomies (55%) performed for malignancy (42%) or hyperthyroidism/thyroiditis (41%).
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