Association of Surgical Volume and Quality Management in Thyroid Surgery: A Two-Nation Multicenter Study.

Jakob, Dominik A.; Riss, Philipp; Scheuba, Christian; Hermann, Michael; Kim-Fuchs, Corina; Seiler, Christian A.; Walter, Martin A.; Kaderli, Reto M. (2019). Association of Surgical Volume and Quality Management in Thyroid Surgery: A Two-Nation Multicenter Study. World journal of surgery, 43(9), pp. 2218-2227. Springer-Verlag 10.1007/s00268-019-05012-z

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BACKGROUND High-volume caseload in thyroid surgery is associated with lower postoperative complication rates resulting to better outcomes. The aim of the present study was to investigate the correlation of the departments' annual number of thyroid surgeries on the adherence to consensus guidelines and on the implementation of measures for quality assurance. METHODS In 2016, we sent an anonymous electronic survey with questions related to the perioperative management in thyroid surgery to all directors of departments in operative medicine in Switzerland and Austria. We compared the pre- and postoperative management with the summarized recommendations of the four most frequently used consensus guidelines. Analogously, we analyzed the implementation of six measures for quality assurance related to thyroid surgery for each participating department. Using logistic regression analysis, we evaluated the correlation of number of guidelines respected and number of measures for quality assurance with the departments' annual number of surgeries performed. Furthermore, we evaluated the number of departments providing thyroid cancer surgery and their experience in neck dissection. RESULTS The management corresponded in 64.0% to the summarized recommendations. Adherence to the summarized recommendations and implementation of measures for quality assurance were significantly more likely with increasing numbers of surgeries performed (p = 0.049 and p < 0.001). Ninety-two departments provided thyroid cancer surgery, whereas 12/92 (13.0%) were not able to perform central and/or lateral neck dissection. CONCLUSION Consensus guidelines are insufficiently implemented within thyroid surgery, and quality management is associated with surgical volume.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Gastro-intestinal, Liver and Lung Disorders (DMLL) > Clinic of Visceral Surgery and Medicine
04 Faculty of Medicine > Department of Gastro-intestinal, Liver and Lung Disorders (DMLL) > Clinic of Visceral Surgery and Medicine > Visceral Surgery

UniBE Contributor:

Jakob, Dominik; Kim-Fuchs, Corina; Seiler, Christian A. and Kaderli, Reto Martin

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0364-2313

Publisher:

Springer-Verlag

Language:

English

Submitter:

Lilian Karin Smith-Wirth

Date Deposited:

05 Feb 2020 10:30

Last Modified:

05 Feb 2020 10:30

Publisher DOI:

10.1007/s00268-019-05012-z

PubMed ID:

31011819

BORIS DOI:

10.7892/boris.139443

URI:

https://boris.unibe.ch/id/eprint/139443

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