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Curr Opin Oncol. 2009 Jan;21(1):23-8. doi: 10.1097/CCO.0b013e32831897b6.

Predictors of outcomes following pediatric thyroid and parathyroid surgery.

Author information

  • 1Department of Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin 53226, USA. tswang@mcw.edu

Abstract

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.

PMID:
19125014
[PubMed - indexed for MEDLINE]
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