Evidence map›Paper›PMID 31701230›Full record

ReviewLangenbeck's archives of surgery2019

Volume-outcome correlation in adrenal surgery-an ESES consensus statement.

Radu Mihai, Gianluca Donatini, Oscar Vidal, Laurent Brunaud

Abstract readConsensus StatementReview
In one paragraph

Review in Langenbeck's archives of surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
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  8. Article
  9. Article
  10. Article
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  12. [Robotic adrenalectomy-current evidence].Chirurgie (Heidelberg, Germany) · 2024
    Review
  13. Article
  14. Article
  15. Article
  16. Observational
  17. Article
  18. Observational
  19. Hereditary Endocrine Tumor Registries.Journal of the Endocrine Society · 2023
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Radu MihaiChurchill Cancer Centre, Oxford University NHS Hospitals Foundation Trust, Oxford, UK. radumihai@doctors.org.uk.ORCID http://orcid.org/0000-0001-6153-1970
Gianluca DonatiniDepartment of Surgery and INSERM U1082, CHU Poitiers, University of Poitiers, Poitiers, France.
Oscar VidalICMDiM, Hospital Clinic, IDIBAPS, Universitat de Barcelona, Barcelona, Spain.
Laurent BrunaudDepartment of Surgery and INSERM U954, CHU Nancy (Brabois), Université de Lorraine, Vandoeuvre les Nancy, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPublished data in the last decade showed that a majority of adrenal operations are done by surgeons performing only one such case per year and based on the distribution of personal workloads 'high-volume' surgeons are defined as those doing 4 or more cases/year. PURPOSE: This paper summarises literature data identified by a working group established by the European Society of Endocrine Surgeons (ESES). The findings were discussed during ESES-2019 conference and members agreed on a consensus statement.

resultsThe annual of adrenal operations performed yearly in individual countries was reported to be 800/year in UK and over 1600/year in France. The learning curve of an individual surgeon undertaking laparoscopic, retroperitoneoscopic or robotic adrenalectomy is estimated to be 20-40 cases. Preoperative morbidity and length of stay are more favourable in high-volume centres.

conclusionThe main recommendations are that adrenal surgery should continue only in centres performing at least 6 cases per year, surgery for adrenocortical cancer should be restricted to centres performing at least 12 adrenal operations per year, and an integrated multidisciplinary team should be established in all such centres. Clinical information regarding adrenalectomies should be recorded prospectively and contribution to the established EUROCRINE and ENSAT databases is strongly encouraged. Surgeons wishing to develop expertise in this field should seek mentorship and further training from established adrenal surgeons.

Indexed as

AdrenalectomyClinical CompetenceCorrelation of DataFranceHospitals, High-VolumeHumansLearning CurveOutcome Assessment, Health CareSocieties, MedicalUnited KingdomAdrenalectomyLearning curveVolume-outcome

Identifiers

PMID31701230
PMCPMC6908553

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.