Evidence map›Paper›PMID 39874832›Full record

ArticleSurgery2025

Retrospective cohort study of trends in the use of outpatient parathyroidectomy by surgical indication.

Jasmine Hwang, James Sharpe, Caitlin Finn, Solomiya Syvyk, Heather Wachtel, Douglas L Fraker, Rachel R Kelz

Abstract read
In one paragraph

Article in Surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Readmission and Cost of Parathyroidectomy By Admission Status in Secondary Hyperparathyroidism.Clinical journal of the American Society of Nephrology : CJASN · 2025
    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

7 authors.

Jasmine HwangDepartment of Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA; Center for Surgery and Health Economics, Department of Surgery, University of Pennsylvania, Philadelphia, PA; Leonard David Institute of Health Economics, University of Pennsylvania, Philadelphia, PA. Electronic address: Jasmine.Hwang@pennmedicine.upenn.edu.
James SharpeCenter for Surgery and Health Economics, Department of Surgery, University of Pennsylvania, Philadelphia, PA.
Caitlin FinnCenter for Surgery and Health Economics, Department of Surgery, University of Pennsylvania, Philadelphia, PA; Department of Surgery, Weill Cornell Medicine, New York, NY.
Solomiya SyvykCenter for Surgery and Health Economics, Department of Surgery, University of Pennsylvania, Philadelphia, PA.
Heather WachtelDepartment of Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA; Center for Surgery and Health Economics, Department of Surgery, University of Pennsylvania, Philadelphia, PA; Division of Endocrine and Oncologic Surgery, Department of Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA.
Douglas L FrakerDepartment of Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA; Division of Endocrine and Oncologic Surgery, Department of Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA.
Rachel R KelzDepartment of Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA; Center for Surgery and Health Economics, Department of Surgery, University of Pennsylvania, Philadelphia, PA; Leonard David Institute of Health Economics, University of Pennsylvania, Philadelphia, PA; Division of Endocrine and Oncologic Surgery, Department of Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA.

Funding

A genotype-phenotype study of germline succinate dehydrogenase pathogenic variantsK08CA270385 · NCI · UNIVERSITY OF PENNSYLVANIA · PI Heather Wachtel · 2022 to 2026
$967k
NCI NIH HHS K08 CA270385
6 · The paper itself

Abstract

backgroundA shift toward outpatient parathyroidectomy was seen in the early 2000s. Recent trends, especially for secondary and tertiary hyperparathyroidism, have not been described. This study evaluates temporal trends in same-day, overnight, and inpatient parathyroidectomy by surgical indication.

methodsAdult patients who underwent parathyroidectomy were identified in the Healthcare Cost and Utilization Project State Inpatient and State Ambulatory Surgery Databases from 2013 to 2019. Admission type was defined by length of stay as same-day, overnight, or inpatient. Parathyroidectomy indications were classified using International Classification of Diseases, Ninth and Tenth Revision, codes. Patient and hospital characteristics were compared for all parathyroidectomy and for each indication. The Cochran-Armitage test of trend was used to examine admission practice patterns over time for the overall cohort and by surgical indication.

resultsOf 67,436 parathyroidectomies, most were outpatient with 45,352 (67.3%) same-day and 17,918 (26.6%) overnight discharges. Among 4,166 (6.2%) inpatient parathyroidectomies, median length of stay was 3 days (interquartile range, 2, 5). The most common indication was primary hyperparathyroidism (n = 45,937; 68.1%). Overall, from 2013 to 2019, there was an increase in the proportion of same-day parathyroidectomy with a decrease in overnight and inpatient status over time. This pattern was driven by the most common indication of primary hyperparathyroidism. In secondary and tertiary hyperparathyroidism, there was an increase in the proportion of same-day parathyroidectomy with an associated decrease in inpatient stays.

conclusionThe trend towards outpatient, particularly same-day parathyroidectomy, has continued for primary hyperparathyroidism. Trend towards outpatient parathyroidectomy is emerging in secondary and tertiary hyperparathyroidism.

Indexed as

Ambulatory Surgical ProceduresHyperparathyroidismHyperparathyroidism, PrimaryHyperparathyroidism, SecondaryParathyroidectomyAdultAgedFemaleHumansLength of StayMaleMiddle AgedRetrospective Studies

Identifiers

PMID39874832
PMCPMC11936719

What OpenQuestion holds

Textmetadata
LicenceTDM
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.