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Volume-Outcome Relationship in Endocrine Surgery

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Volume-Outcome Relationship in Oncological Surgery

Part of the book series: Updates in Surgery ((UPDATESSURG))

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Abstract

There is a wealth of published evidence linking surgeon volume and disease outcome, with high-volume surgeons achieving lower mortality, shorter hospital stays, and fewer complications across a number of surgical specialties. Explanations for this effect include “practice makes perfect” and “selective referral” theories. This has influenced clinical practice, with more specialization and high-risk procedures being increasingly undertaken by high-volume surgeons. Improved outcomes in high-volume surgeons are also seen in endocrine surgery, with fewer complications, decreased length of stay and reduced hospital charges. This chapter aims to summarize the current data regarding the surgeon’s volume-outcome relationship for thyroidectomy, parathyroidectomy and adrenalectomy.

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Authors and Affiliations

  1. Centro Dipartimentale di Chirurgia Endocrina e dell’Obesità, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Università Cattolica del Sacro Cuore, Rome, Italy

    Rocco Bellantone, Francesco Pennestrì, Carmela De Crea, Celestino Pio Lombardi & Marco Raffaelli

  2. U.O.C. Chirurgia Generale Universitaria V. Bonomo, Università degli Studi di Bari Aldo Moro, A.O.U. Consorziale Policlinico di Bari, Bari, Italy

    Mario Testini

  3. Dipartimento di Chirurgia P. Valdoni, Sapienza University of Rome, Rome, Italy

    Giorgio De Toma

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  1. Rocco Bellantone
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  2. Francesco Pennestrì
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  3. Carmela De Crea
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  4. Celestino Pio Lombardi
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  6. Giorgio De Toma
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Correspondence to Carmela De Crea .

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  1. Department of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milan, Italy

    Marco Montorsi

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Bellantone, R. et al. (2021). Volume-Outcome Relationship in Endocrine Surgery. In: Montorsi, M. (eds) Volume-Outcome Relationship in Oncological Surgery. Updates in Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-51806-6_10

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  • DOI: https://doi.org/10.1007/978-3-030-51806-6_10

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