Have a Diagnosis of Thyroid Cancer? Now You Need a High Volume Thyroid Surgeon.
Is there a minimum number of thyroidectomies a surgeon should perform to optimize patient outcomes?
The annual volume of total thyroidectomy surgeries by surgeons varies 1-155cases year. The adjusted association of volume of thyroid surgeries to patient outcomes grouped into low volume <25/cases a year and high volume >25 cases a year. The increase in risk compared to having a high volume surgeon do your total thyroidectomy was for 51% of all low volume surgeons doing 1 case a year was 68%, 2-5 cases 34% of low volume surgeons was 55%,6-10 cases 7% of low volume surgeons 35% increased risk,11-15 cases a year 3% of low volume 19% increased risk compared to high volume surgeons. 16-20 cases a year 1% of low volume surgeons had 9% increased risk of complications compared to high volume surgeons. Finally 21-24 cases a year 1% of low volume surgeons had a2% increased complication rate than a high volume surgeon.
Surgeon volume is significantly
associated with improved outcomes,
shorter hospitalization, and lower costs.
The threshold number of total
thyroidectomy cases for improved
outcomes is 25/yr.
The majority of patients underwent
surgery by low
Data from talk by Julie Sosa from Duke University at thyroid cancer conference in Tampa 2017.