Predictors of outcomes following pediatric thyroid and parathyroid surgery. Curr Opin Oncol 2009 Jan;21(1):23-8
Date
01/07/2009Pubmed ID
19125014DOI
10.1097/CCO.0b013e32831897b6Scopus ID
2-s2.0-58149251978 (requires institutional sign-in at Scopus site) 41 CitationsAbstract
PURPOSE OF REVIEW: Recent studies have demonstrated racial/ethnic and socioeconomic disparities in adults undergoing thyroidectomy and parathyroidectomy. To date, few studies have examined outcomes in children undergoing cervical endocrine surgery.
RECENT FINDINGS: Children undergoing thyroidectomy and parathyroidectomy have higher complication rates than adults undergoing similar procedures. Complication rates appear to be lower when procedures are performed by high-volume surgeons. Access to high-volume surgeons continues to be limited for children of racial/ethnic minorities and in families of a lower socioeconomic status.
SUMMARY: Complications following thyroidectomy and parathyroidectomy in children can have profound, life-long effects on development and quality of life. Outcomes are optimized when surgery is performed by high-volume surgeons. Obtaining access to high-volume surgeons requires a multidisciplinary approach by parents, pediatricians, pediatric endocrinologists, and third-party payers.
Author List
Wang TS, Roman SA, Sosa JAAuthor
Tracy S. Wang MD, MPH Professor in the Surgery department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
ChildHumans
Parathyroid Diseases
Parathyroidectomy
Predictive Value of Tests
Thyroid Diseases
Treatment Outcome
