Evidence map›Paper›PMID 39986210›Full record

ArticleAmerican journal of surgery2025

Trends in use of outpatient minimally-invasive adrenalectomy: A population-based analysis.

J Walker Rosenthal, Caitlin B Finn, Jasmine Hwang, James E Sharpe, Shane T Williams, Lauren N Krumeich, Doug L Fraker, Heather Wachtel, Rachel R Kelz

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in American journal of surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
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0citing papers in PubMed
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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

9 authors.

J Walker RosenthalDepartment of Surgery, Perelman School of Medicine of the University of Pennsylvania, Philadelphia, PA, USA; Center for Surgery and Health Economics, Department of Surgery, Philadelphia, PA, USA. Electronic address: Jacob.Rosenthal@Pennmedicine.upenn.edu.
Caitlin B FinnDepartment of Surgery, Perelman School of Medicine of the University of Pennsylvania, Philadelphia, PA, USA; Center for Surgery and Health Economics, Department of Surgery, Philadelphia, PA, USA; Department of Surgery, Weill Cornell Medicine, New York, NY, USA.
Jasmine HwangDepartment of Surgery, Perelman School of Medicine of the University of Pennsylvania, Philadelphia, PA, USA; Center for Surgery and Health Economics, Department of Surgery, Philadelphia, PA, USA.
James E SharpeDepartment of Surgery, Perelman School of Medicine of the University of Pennsylvania, Philadelphia, PA, USA; Center for Surgery and Health Economics, Department of Surgery, Philadelphia, PA, USA.
Shane T WilliamsDepartment of Surgery, Perelman School of Medicine of the University of Pennsylvania, Philadelphia, PA, USA; Center for Surgery and Health Economics, Department of Surgery, Philadelphia, PA, USA.
Lauren N KrumeichDepartment of Surgery, Perelman School of Medicine of the University of Pennsylvania, Philadelphia, PA, USA; Center for Surgery and Health Economics, Department of Surgery, Philadelphia, PA, USA; Department of Surgery, University of Michigan Medical School, Ann Arbor, MI, USA.
Doug L FrakerDepartment of Surgery, Perelman School of Medicine of the University of Pennsylvania, Philadelphia, PA, USA; Abramson Cancer Center, University of Pennsylvania, Philadelphia, PA, USA.
Heather WachtelDepartment of Surgery, Perelman School of Medicine of the University of Pennsylvania, Philadelphia, PA, USA; Abramson Cancer Center, University of Pennsylvania, Philadelphia, PA, USA.
Rachel R KelzDepartment of Surgery, Perelman School of Medicine of the University of Pennsylvania, Philadelphia, PA, USA; Center for Surgery and Health Economics, Department of Surgery, Philadelphia, PA, USA; Abramson Cancer Center, University of Pennsylvania, Philadelphia, PA, USA.

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

purposeTo examine temporal trends and outcomes of outpatient adrenalectomy in a population-based sample.

methodsWe performed a retrospective cohort study using the Healthcare Cost and Utilization Project's State Inpatient and State Ambulatory Surgery Databases, 2016-2020. Patients undergoing minimally invasive adrenalectomy were identified using billing codes. The primary exposure was admission status defined by length of stay. Outcomes included temporal trend in admission type, readmission rates and costs.

resultsAmong 4431 adrenalectomies, 51.3 ​% were performed in the outpatient setting. The majority were observed overnight with only 100 patients (2.3 ​%) discharged same-day. Outpatient adrenalectomy increased annually from 44.1 ​% in 2016 to 59.2 ​% in 2020 (p ​< ​0.01). Median costs were similar with a risk-adjusted marginal difference of $179 (same-day: $9565 vs overnight $9491; p ​= ​0.81). Odds of readmission were similar between same-day and overnight stays (OR 0.18; p ​= ​0.10).

conclusionGiven similar costs and readmission rates, case selection and surgeon expertise should continue to guide decision-making on same-day adrenalectomy.

Indexed as

AdrenalectomyAmbulatory Surgical ProceduresMinimally Invasive Surgical ProceduresAdultAgedFemaleHumansLength of StayMaleMiddle AgedPatient ReadmissionRetrospective StudiesUnited StatesAdrenalectomyDay surgeryEndocrine surgical proceduresHealthcare costsOutpatient surgery

Identifiers

PMID39986210
PMCPMC13276714

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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.