{"database":"biostudies-literature","file_versions":[],"scores":null,"additional":{"submitter":["Ginzberg SP"],"funding":["National Cancer Institute","NCI NIH HHS"],"pagination":["44-49"],"full_dataset_link":["https://www.ebi.ac.uk/biostudies/studies/S-EPMC10922122"],"repository":["biostudies-literature"],"omics_type":["Unknown"],"volume":["229"],"pubmed_abstract":["<h4>Background</h4>This study assessed the relationship between surgeon volume, operative management, and resource utilization in adrenalectomy.<h4>Methods</h4>Isolated adrenalectomies performed within our health system were identified (2016-2021). High-volume surgeons were defined as those performing ≥6 cases/year. Outcomes included indication for surgery, perioperative outcomes, and costs.<h4>Results</h4>Of 476 adrenalectomies, high-volume surgeons (n ​= ​3) performed 394, while low-volume surgeons (n ​= ​12) performed 82. High-volume surgeons more frequently operated for pheochromocytoma (19% vs. 16%, p ​< ​0.001) and less frequently for metastasis (6.4% vs. 23%, p ​< ​0.001), more frequently used laparoscopy (95% vs. 80%, p ​< ​0.001), and had lower operative supply costs ($1387 vs. $1,636, p ​= ​0.037). Additionally, laparoscopic adrenalectomy was associated with shorter length of stay (-3.43 days, p ​< ​0.001), lower hospitalization costs (-$72,417, p ​< ​0.001), and increased likelihood of discharge to home (OR 17.03, p ​= ​0.008).<h4>Conclusions</h4>High-volume surgeons more often resect primary adrenal pathology and utilize laparoscopy. Laparoscopic adrenalectomy is, in turn, associated with decreased healthcare resource utilization."],"journal":["American journal of surgery"],"pubmed_title":["Adrenalectomy approach and outcomes according to surgeon volume."],"pmcid":["PMC10922122"],"funding_grant_id":["K08 CA270385"],"pubmed_authors":["Ginzberg SP","Gasior JA","Wachtel H","Fraker DL","Kelz LR","Roses RE","Passman JE","Soegaard Ballester JM"],"additional_accession":[]},"is_claimable":false,"name":"Adrenalectomy approach and outcomes according to surgeon volume.","description":"<h4>Background</h4>This study assessed the relationship between surgeon volume, operative management, and resource utilization in adrenalectomy.<h4>Methods</h4>Isolated adrenalectomies performed within our health system were identified (2016-2021). High-volume surgeons were defined as those performing ≥6 cases/year. Outcomes included indication for surgery, perioperative outcomes, and costs.<h4>Results</h4>Of 476 adrenalectomies, high-volume surgeons (n ​= ​3) performed 394, while low-volume surgeons (n ​= ​12) performed 82. High-volume surgeons more frequently operated for pheochromocytoma (19% vs. 16%, p ​< ​0.001) and less frequently for metastasis (6.4% vs. 23%, p ​< ​0.001), more frequently used laparoscopy (95% vs. 80%, p ​< ​0.001), and had lower operative supply costs ($1387 vs. $1,636, p ​= ​0.037). Additionally, laparoscopic adrenalectomy was associated with shorter length of stay (-3.43 days, p ​< ​0.001), lower hospitalization costs (-$72,417, p ​< ​0.001), and increased likelihood of discharge to home (OR 17.03, p ​= ​0.008).<h4>Conclusions</h4>High-volume surgeons more often resect primary adrenal pathology and utilize laparoscopy. Laparoscopic adrenalectomy is, in turn, associated with decreased healthcare resource utilization.","dates":{"release":"2024-01-01T00:00:00Z","publication":"2024 Mar","modification":"2025-04-03T23:34:07.058Z","creation":"2025-04-03T23:34:07.058Z"},"accession":"S-EPMC10922122","cross_references":{"pubmed":["37940441"],"doi":["10.1016/j.amjsurg.2023.10.042"]}}