Titre
Can we consider immediate complications after thyroidectomy as a quality metric of operation?
Type
article
Institution
Externe
Périodique
Auteur(s)
Lifante, J.C.
Auteure/Auteur
Payet, C.
Auteure/Auteur
Ménégaux, F.
Auteure/Auteur
Sebag, F.
Auteure/Auteur
Kraimps, J.L.
Auteure/Auteur
Peix, J.L.
Auteure/Auteur
Pattou, F.
Auteure/Auteur
Colin, C.
Auteure/Auteur
Duclos, A.
Auteure/Auteur
Contributrices/contributeurs
Arnalsteen, L.
Caizzo, R.
Carnaille, B.
Dezfoulian, G.
Eberle, C.
El Khatib, Z.
Fernandez, E.
Lamblin, A.
Pattou, F.
Six, M.F.
Bourdy, S.
Bouveret, L.
Colin, C.
Duclos, A.
Guibert, B.
Le Pogam, M.A.
Lifante, J.C.
Peix, J.L.
Singier, G.
Soardo, P.
Touzet, S.
Voirin, N.
Auquier, P.
Henry, J.F.
Morando, C.
Sebag, F.
Van Slycke, S.
Akrout, I.
Benmiloud, F.
Chigot, J.P.
Colombet, I.
Godiris-Petit, G.
Leyre, P.
Ménégaux, F.
Noullet, S.
Royer, B.
Tresallet, C.
Desurmont, T.
Dominguez, C.
Kraimps, J.L.
Odasso, C.
Rouleau, L.
Chapuis, Y.L.
Durieux, P.
Lepape, A.
Triponez, F.
Groupes de travail
CATHY Study Group
Liens vers les personnes
ISSN
1532-7361
Statut éditorial
Publié
Date de publication
2017-01
Volume
161
Numéro
1
Première page
156
Dernière page/numéro d’article
165
Peer-reviewed
Oui
Langue
anglais
Résumé
Permanent recurrent laryngeal nerve palsy and hypoparathyroidism are 2 major complications after thyroid operation. Assuming that the rate of immediate complications can predict the permanent complication rate, some authors consider these complications as a valid metric for assessing the performance of individual surgeons. This study aimed to determine the correlation between rates of immediate and permanent complications after thyroidectomy at the surgeon level.
We conducted a prospective, cross-sectional study in 5 academic hospitals between April 2008 and December 2009. The correlation between the rates of immediate and permanent complications for each of the 22 participating surgeons was calculated using the Pearson correlation test (r).
The study period included 3,605 patients. There was a fairly good correlation between rates of immediate and permanent recurrent laryngeal nerve palsy (r = 0.70, P = .004), but no correlation was found for immediate and permanent hypoparathyroidism (r = 0.18, P = .427).
The immediate hypoparathyroidism rate does not reflect the permanent hypoparathyroidism rate. Consequently, immediate hypoparathyroidism should not be used to assess the quality of thyroidectomy or to monitor the performance of surgeons.
We conducted a prospective, cross-sectional study in 5 academic hospitals between April 2008 and December 2009. The correlation between the rates of immediate and permanent complications for each of the 22 participating surgeons was calculated using the Pearson correlation test (r).
The study period included 3,605 patients. There was a fairly good correlation between rates of immediate and permanent recurrent laryngeal nerve palsy (r = 0.70, P = .004), but no correlation was found for immediate and permanent hypoparathyroidism (r = 0.18, P = .427).
The immediate hypoparathyroidism rate does not reflect the permanent hypoparathyroidism rate. Consequently, immediate hypoparathyroidism should not be used to assess the quality of thyroidectomy or to monitor the performance of surgeons.
PID Serval
serval:BIB_3EB644B132AA
PMID
Date de création
2017-06-23T12:29:34.764Z
Date de création dans IRIS
2025-05-20T19:49:45Z