Scandinavian quality register for thyroid and parathyroid surgery: audit of surgery for primary hyperparathyroidism.

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Scandinavian quality register for thyroid and parathyroid surgery: audit of surgery for primary hyperparathyroidism. / Bergenfelz, Anders; Jansson, Svante; Martensson, Hans; Reihnér, Eva; Wallin, Goran; Kristoffersson, Anders; Lausen, Iver.

In: Langenbeck's Archives of Surgery, Vol. 392, 2007, p. 445-451.

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Bergenfelz, Anders ; Jansson, Svante ; Martensson, Hans ; Reihnér, Eva ; Wallin, Goran ; Kristoffersson, Anders ; Lausen, Iver. / Scandinavian quality register for thyroid and parathyroid surgery: audit of surgery for primary hyperparathyroidism. In: Langenbeck's Archives of Surgery. 2007 ; Vol. 392. pp. 445-451.

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TY - JOUR

T1 - Scandinavian quality register for thyroid and parathyroid surgery: audit of surgery for primary hyperparathyroidism.

AU - Bergenfelz, Anders

AU - Jansson, Svante

AU - Martensson, Hans

AU - Reihnér, Eva

AU - Wallin, Goran

AU - Kristoffersson, Anders

AU - Lausen, Iver

PY - 2007

Y1 - 2007

N2 - Background and aim Scandinavian Quality Register for Thyroid and Parathyroid Surgery is an on-line web-based database with the aim to improve the quality of thyroid and parathyroid surgery. Preliminary data from surgery for primary hyperparathyroidism are reported here. Materials and methods Fifteen departments registered 806 operations, with 639 women (79.7%) and 167 men. The median age of the patients was 62 years. Results Approximately 95.4% of the patients had sporadic disease and first time operation was performed in 93.8% of the patients. Localization examinations were performed in 524 patients (65%); sestamibi scintigraphy in 413 patients, with a true positive adenoma localization in 64.4% and ultrasound in 293 patients with adenoma localization in 61.1%. Bilateral neck exploration was performed in 66.8%, unilateral exploration in 16.1%, and focused minimal invasive surgery in 17.1%. In 301 patients planned for limited parathyroid exploration, conversion to bilateral neck surgery occurred in 11%. The cure rate, based on short follow-up, was 91.9%. Postoperative hypocalcemia occurred in 11.4% of the patients, and was associated with reoperation, concomitant thyroid operation, and the weight of excised parathyroid tissue. Conclusion Localization examinations are performed in 2/3 of the patients, but limited neck exploration was performed in only approximately 1/3 of the operations. The cure rate was lower and postoperative hypocalcemia was more frequent than expected.

AB - Background and aim Scandinavian Quality Register for Thyroid and Parathyroid Surgery is an on-line web-based database with the aim to improve the quality of thyroid and parathyroid surgery. Preliminary data from surgery for primary hyperparathyroidism are reported here. Materials and methods Fifteen departments registered 806 operations, with 639 women (79.7%) and 167 men. The median age of the patients was 62 years. Results Approximately 95.4% of the patients had sporadic disease and first time operation was performed in 93.8% of the patients. Localization examinations were performed in 524 patients (65%); sestamibi scintigraphy in 413 patients, with a true positive adenoma localization in 64.4% and ultrasound in 293 patients with adenoma localization in 61.1%. Bilateral neck exploration was performed in 66.8%, unilateral exploration in 16.1%, and focused minimal invasive surgery in 17.1%. In 301 patients planned for limited parathyroid exploration, conversion to bilateral neck surgery occurred in 11%. The cure rate, based on short follow-up, was 91.9%. Postoperative hypocalcemia occurred in 11.4% of the patients, and was associated with reoperation, concomitant thyroid operation, and the weight of excised parathyroid tissue. Conclusion Localization examinations are performed in 2/3 of the patients, but limited neck exploration was performed in only approximately 1/3 of the operations. The cure rate was lower and postoperative hypocalcemia was more frequent than expected.

U2 - 10.1007/s00423-006-0097-6

DO - 10.1007/s00423-006-0097-6

M3 - Article

C2 - 17103223

VL - 392

SP - 445

EP - 451

JO - Langenbeck's Archives of Surgery

JF - Langenbeck's Archives of Surgery

SN - 1435-2451

ER -