基于协作内分泌手术质量改进计划（CESQIP）数据库的甲状旁腺切除术趋势和外科实习医生甲状旁腺切除术经验。
Parathyroidectomy trends and surgical trainee parathyroidectomy experience based on the Collaborative Endocrine Surgery Quality Improvement Program (CESQIP) database.
机构信息
Department of Endocrine Surgery, Endocrinology and Metabolism Institute, Cleveland Clinic, OH, USA.
Department of Endocrine Surgery, Endocrinology and Metabolism Institute, Cleveland Clinic, OH, USA.
出版信息
Am J Otolaryngol. 2023 Jul-Aug;44(4):103884. doi: 10.1016/j.amjoto.2023.103884. Epub 2023 Apr 5.
BACKGROUND
The parathyroidectomy approach has shifted over the last few decades from routine bilateral to more commonly focused exploration. The purpose of this study is to assess the operative experience in parathyroidectomy for surgical trainees as well as overall parathyroidectomy trends.
METHODS
Data from the Collaborative Endocrine Surgery Quality Improvement Program (CESQIP) were analyzed between 2014 and 2019.
RESULTS
The overall distribution of focused versus bilateral parathyroidectomy remained stable (2014: 54 % focused and 46 % bilateral approach; 2019: 55 % focused and 45 % bilateral). Ninety three percent of procedures involved a trainee (fellow or resident) in 2014, this dropped to 74 % in 2019 (P < 0.005). Fellow involvement decreased significantly from 31 % to 17 % (P < 0.05) over the six-year period.
CONCLUSIONS
Resident exposure to parathyroidectomies mirrored that of practicing endocrine surgeons. This works highlights the opportunities to capture more information regarding the surgical trainee experience in endocrine surgeries.
背景
过去几十年，甲状旁腺切除术的方法已经从常规的双侧手术转变为更常见的聚焦式手术。本研究旨在评估手术学员在甲状旁腺切除术中的手术经验以及甲状旁腺切除术的总体趋势。
方法
对 2014 年至 2019 年期间的协作内分泌外科质量改进计划（CESQIP）的数据进行了分析。
结果
聚焦式与双侧甲状旁腺切除术的总体分布保持稳定（2014 年：54%为聚焦式，46%为双侧手术；2019 年：55%为聚焦式，45%为双侧手术）。2014 年 93%的手术由学员（研究员或住院医师）进行，而 2019 年这一比例降至 74%（P<0.005）。研究员的参与度从 31%显著下降至 17%（P<0.05），在六年期间内。
结论
住院医师接受甲状旁腺切除术的情况与从事内分泌外科的医生相似。本研究强调了在捕获更多关于内分泌外科手术学员经验的信息方面的机会。
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