Adrenal surgery in England: better outcomes in high-volume practices

Clinical Endocrinology
Fausto PalazzoJohn Newell-Price

Abstract

Adrenal surgery is performed by a variety of surgical specialities in differing environments and volumes. International data suggest that there is a correlation between adrenal surgery volume and outcomes but there are no UK data to support this or UK surgical guidelines. A multidisciplinary team representing the stakeholders in adrenal disease is preparing a national guidance on adrenal surgery. A review of the outcomes for adrenal surgery in England was performed to correlate outcomes with the volume of surgeon practice. Hospital Episode Statistics (HES) data for the National Health Service (NHS) in England in the tax year 2013-2014 were examined for adrenal surgery. Length of hospital stay and rate of postoperative readmission were assessed as surrogate quality markers and a comparison made between 'high-' and 'low-' volume surgeons. A total of 795 adult adrenalectomies were performed by 222 different surgeons with a range of between 1 and 34 adrenalectomies performed per surgeon. Only thirty-six (16%) adrenal surgeons performed 6 or more adrenalectomies. A total of 186 surgeons (84%) performed a median of one adrenalectomy a year. Length of stay and readmission rate within thirty days of operation was 60% longer and 47% hig...Continue Reading

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Citations

Nov 22, 2016·Diagnostics·Iosif A MendichovszkyFiona J Gilbert
Aug 20, 2019·The British Journal of Surgery·N PatelUNKNOWN British Association of Endocrine and Thyroid Surgeons
Nov 9, 2019·Langenbeck's Archives of Surgery·Oliver GimmMarco Raffaelli
Nov 9, 2019·Langenbeck's Archives of Surgery·Radu MihaiLaurent Brunaud
Sep 9, 2019·Langenbeck's Archives of Surgery·Thomas J MusholtUNKNOWN ESES
Mar 7, 2020·Irish Journal of Medical Science·David CagneyHenry Paul Redmond
Aug 12, 2018·Surgery·Anna C BeckRonald J Weigel
Mar 16, 2021·Acta Ophthalmologica·Matthew R StarrUNKNOWN Primary Retinal Detachment Outcomes (PRO) Study Group

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