National trends in thyroid surgery and the effect of volume on short-term outcomes

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Abstract

Objectives/Hypothesis To characterize contemporary patterns of thyroid surgical care and the effect of volume status on surgical care and short-term outcomes. Study Design Retrospective cross-sectional study. Methods Discharge data from the Nationwide Inpatient Sample for 871,644 patients who underwent surgery for thyroid disease in 1993 through 2008 were analyzed using cross-tabulations and multivariate regression modeling. Results Surgical cases increased from 364,288 in 1993 through 2000 to 507,356 in 2001 through 2008, with an increase in thyroid cancer surgical cases from 28% to 34%. Cases performed by high-volume surgeons increased from 12% in 1993 through 2000 to 25% in 2001 through 2008, whereas cases performed by very-low volume surgeons decreased from 51% to 34% (P

Original languageEnglish (US)
Pages (from-to)2056-2063
Number of pages8
JournalLaryngoscope
Volume123
Issue number8
DOIs
StatePublished - Aug 2013

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Keywords

  • hypocalcemia
  • Nationwide Inpatient Sample
  • recurrent laryngeal nerve injury
  • surgery
  • thyroid neoplasms
  • Volume

ASJC Scopus subject areas

  • Otorhinolaryngology

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