Fifteen years of adrenalectomies: impact of specialty training and operative volume.

ABSTRACT:

Background

Previous associations between surgeon volume with adrenalectomy outcomes examined only a sample of procedures. We performed an analysis of all adrenalectomies performed in New York state to assess the effect of surgeon volume and specialty on clinical outcomes.

Methods

Adrenalectomies performed in adults were identified from the New York Statewide Planning and Research Cooperative System from 2000-2014. Surgeon specialty, volume, and patient demographics were assessed. High volume was defined using a significance threshold at ≥4 adrenalectomies per year. Outcome variables included in-hospital mortality, duration of stay, and in-hospital complications.

Results

A total of 6,054 adrenalectomies were included. Median patient age was 56 years; 41.9% were men and

SUBMITTER: Lindeman B 

PROVIDER: S-EPMC5903575 | biostudies-literature | 2018 Jan

REPOSITORIES: biostudies-literature